WorksheetsUrinary Tract Infection
Total questions: 5
Worksheet time: 3mins
A 25-year-old woman has dysuria and frequency. She is not pregnant, has no comorbidities, and no structural urinary abnormalities.
Which category fits best?
Complicated UTI
Uncomplicated UTI
Recurrent UTI
Catheter-associated UTI
A 22-year-old woman reports burning on urination plus vaginal discharge and itch. What is the best next step?
Treat as cystitis immediately
Evaluate for vaginitis first
Start IV antibiotics for pyelonephritis
Order renal ultrasound
A 72-year-old man with fever 39.3 °C, flank pain, BP 86/52 mmHg after a fluid bolus, and a known obstructing ureteric stone.
Which plan is most appropriate right now?
Wait for culture results before antibiotics
Start amoxicillin/clavulanate PO and observe
Start piperacillin–tazobactam 4.5 g IV q8h (or cefepime 2 g IV q8h) within 1 hour, obtain blood or urine cultures, and arrange urgent source control
Give meropenem routinely for all urosepsis
An 80-year-old woman with a long-term Foley catheter presents with fever and suprapubic discomfort. Urine analysis shows evidence of infection. What is the best first step?
Start oral amoxicillin/clavulanate and leave catheter in place
Replace the catheter, send urine from the new catheter for culture, and start empiric IV antibiotics
Treat only if blood cultures come back positive
Give a single dose of fosfomycin and discharge
82-year-old nursing-home resident has foul-smelling urine but no dysuria, urgency, fever, or flank pain. Urine analysis shows leucocyte +. What’s the best next step?
Start nitrofurantoin for 5 days
No antibiotics; ensure hydration and observe
Obtain urgent CT for obstruction
Begin IV ceftriaxone
