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UTI and Prostatitis

Total questions: 10

Worksheet time: 30mins

Name
Class
Date
1.

Which of the following is a risk factor for UTI?

a)

Age 1-3 years old

b)

Diabetes mellitus

c)

Myocardial infarction

d)

Hypertension

2.

Which of the following statements regarding UTI are TRUE?

I. Infection of the bladder is called pyelonephritis

II. Urinary stasis increases risk of UTI

III. Urine is normally sterile

IV. UTI can be acquired via the lymphatic pathway

a)

I, II and III only

b)

I, II and IV only

c)

I, III and IV only

d)

II, III and IV only

3.

Which of the following factors are associated with compIicated UTI?

I. Pregnancy

II. Recent antimicrobial use

III. Male sex

IV. Immunosuppression

a)

I, II and III only

b)

I, III and IV only

c)

II, III and IV only

d)

I, II, III and IV

4.

Which of the following is the most common causative agent of UTI?

a)

Escherichia coli

b)

Staphylococcus aureus

c)

Streptococcus pyogenes

d)

Pseudomonas aeruginosa

5.

Which of the following symptoms are typically present in upper UTI but NOT in lower UTI?

I. Frequent urination

II. Fever

III. Flank pain

IV. Hematuria

a)

I and II only

b)

I and III only

c)

II and III only

d)

II and IV only

6.

Which of the following statements regarding prostatitis is FALSE?

a)

Prostatitis can only occur in men.

b)

Common causative organisms include Enterobacteriaceae, Enterococci and Pseudomonas.

c)

Chronic bacterial prostatitis lasts for at least a month.

d)

Urine culture should be obtained prior to starting treatment.

7.

SN is a 62-year-old woman who presents to the emergency department with a 3-day history of urinary frequency and dysuria. During the past 24 hours, she experienced nausea, vomiting and flank pain. SN has a history of type 2 diabetes mellitus which is poorly controlled.

She was diagnosed with complicated pyelonephritis. Which is the best empirical therapy for SN?

a)

IV gentamicin 140mg OD for 3 days

b)

PO cephalexin 500mg QID for 3 days

c)

PO amoxicillin/ clavulanate 625mg TDS for 7 days

d)

PO trimethoprim/ sulfamethoxazole 160mg/800mg BD for 7 days

8.

AD is a 28-year-old pregnant woman who presents to the clinic with a 2-day history of dysuria, frequency and urgency. She is in her third trimester of pregnancy. She has so significant medical history. Which is the best empirical therapy for her?

a)

PO nitrofurantoin 100mg q12h

b)

PO cephalexin 500mg q12h

c)

PO fosfomycin 3g stat

d)

PO amoxicillin/ clavulanate 625mg TDS

9.

GR is an 85-year-old woman who is bedridden and lives in a nursing home. She is chronically catheterized and her urinary catheter was last changed 3 weeks ago. Today, her urine is cloudy, and a urinalysis reveals many bacteria. GR is not noticing any symptoms. A urine culture is obtained.

Which option is the best for GR?

a)

No therapy because she is chronically catheterized and has no symptoms.

b)

No antibiotic therapy, but the catheter should be changed.

c)

PO amoxicillin/ clavulanate 625mg q8h for 7 days and a new catheter.

d)

PO amoxicillin/ clavulanate 625mg q8h for 14 days without a change in catheter.

10.

TF is a 45-year-old man who experienced urinary frequency, urgency and incontinence for the past 3 days. He has also developed fever, chills and pain during urination yesterday. On examination in the emergency room, he was diagnosed with acute bacterial prostatitis. Which is the best treatment for TF?

a)

PO trimethoprim/ sulfamethoxazole 160/800mg q12h for 3 days

b)

PO trimethoprim/ sulfamethoxazole 160/800mg q12h for 7 days

c)

PO ciprofloxacin 500mg q12h for 14 days

d)

PO ciprofloxacin 500mg q24h for 28 days