Urinary System Module Quiz 2025

Which of the following statements is correct regarding leptospirosis?

• Clinical course comprises three phases

• Most of the infections are symptomatic

• Suspected leptospirosis is a notifiable disease

• The commonest organ involved is the lung

A 52-year-old man with a history of recent exposure to floods is presented with fever for 3 days. He is suspected to have leptospirosis. Which of the following is the best investigation to arrive at an aetiological diagnosis?

• Blood for dark ground microscopy

• Blood for Leptospira DNA by PCR

• Serum for IgM ELISA

• Serum for Microscopic agglutination test (Lepto MAT)

Which of the following is the causative organism of leptospirosis?

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Which of the following organisms is most commonly associated with struvite stone formation in recurrent UTIs?

• Klebsiella pneumoniae

• Proteus mirabilis

• Enterococcus faecalis

• Pseudomonas aeruginosa

• No treatment needed since she is asymptomatic

• Advise her to revisit if urinary symptoms occur

• Repeat urine culture in 2 weeks without starting antibiotics

• Start her on antibiotics according to susceptibility results

A 42-year-old woman presented with fever for 14 days and haematuria. She was suspected of having renal tuberculosis. Which of the following investigations is most recommended to confirm the clinical diagnosis?

• Urine for acid-fast bacilli

• Urine for mycobacterial culture

• Blood for mycobacterial culture

• Mantoux test

A 24-year-old married woman presented with dysuria and lower abdominal pain for 2 days. Her urine culture is growing a gram-positive coccus. Which of the following is the most likely pathogen for her clinical presentation?

• Staphylococcus epidermidis

• Staphylococcus saprophyticus

• Enterococcus faecalis

• Proteus mirabilis

An empiric antibiotic that could be prescribed to treat Pseudomonas urosepsis includes.

• Ampicillin

• Co-amoxiclav

• Cefotaxime

• Gentamicin

Which of the following pathogens is likely to cause recurrent pyuria in a 32-year-old woman?

• Chlamydia trachomatis

• Escherichia coli

• Staphylococcus saprophyticus

• Proteus mirabilis

Which of the following glomerular change is most likely to occur in post-streptococcal glomerular nephritis?

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