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34 Cards in this Set
- Front
- Back
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_ is caused by sti's such as gonorrhea, chlamydia, herpes, or trich.
-urethritis -uti -upper tract infection -prostatitis |
urethritis
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_ can cause dysuria and are typically associated with decreased urine flow, urgency, and hesitancy.
-urethritis -uti -upper tract infection -prostatitis |
prostate infections
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_ is the MCC of dysuria
-urethritis -uti -upper tract infection -prostatitis |
uti
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which 2 of the following may present with fever and dysuria.
-urethritis -uti -upper tract infection -prostatitis |
prostatitis and upper tract infection
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_ syndrome is pain on urination without clearly identifiable cause that has been blamed on trauma, chemical irritation, low levels of urinary pathogens or infection.
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urethral syndrome
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what is the MCC of dysuria in women?
-uti -vaginitis -upper tract infxn -urethritis |
uti
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what group of women are at greatest risk of uti?
-teens -young adult -perimenopause -postmenopausal |
young adult
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at 24 y.o. female presents to your office with a 24 hour history of fever, n/v, flank pain, and chills. She denies any dysuria, hematuria or vaginal discharge. what is at the top of your differential list?
-uti -chlamydia -upper tract infection -pid |
upper tract infection; most specific s/s is chills/rigors
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all of the following are 'red flags' for complicated urinary infection except which one?
-male gender -extremes of age -sx's >7 daysj -immunosuppression -horseshoe kidney patient -htn -dm -fever -flank pain |
not htn
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what is the MC way to obtain a urine sample from infants and young kids?
-u bag -ccms -suprapubic tap -catheter |
catheter
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if a pt's UA shows _ or _, it has a .90 specificity for UTI.
-LE -RBC's -pH <5.5 -nitrite |
LE or nitrite
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t/f
uti's d/t e.coli do not always show as + nitrites on UA. |
true as they need several hours usually to convert to nitrites.
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what is the significance of white cell casts found in the urine?
-uti -prostatitis -infection/interstitial nephritis |
infection/interstitial nephritis
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what is the reference standard for the diagnosis of uti?
-ua dipstick -lab run ua -urine culture -24 hour urine collection |
urine culture
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what is the cutoff for wbc's seen on microscopy for uti in an asymptomatic woman?
2 wbc's 5-10 wbc's 50-100 wbc's |
2 wbc's
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t/f
a culture is typically part of the evaluation of a premenopausal woman with acute dysuria that appears uncomplicated. |
false
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all of the following are reasonable choices for abx's of an uncomplicated uti except which?
-sulfa -amoxil -nitrofurantoin -cipro |
not amoxil !!!
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what is the optimal treatment time for most acute uncomplicated uti's?
-1 -3 -5 -7 |
3 days
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in the treatment of occult pyelonephritis in a female which of the following is NOT an appropriate choice?
-nitrofurantoin x7 days -septra ds x7 days -cipro x7 days |
nitro is not a good choice as it does not provide therapeutic drug levels within the upper tract
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if a pt frequently gets uti's after intercourse and no abnormalities have been identified, what is an appropriate action?
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rx for antibiotics to be taken as 1 pill after intercourse
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which of the following have been proven to be effective in the prevention of uti's in women?
-wiping front to back -not using pantyhose -postcoidal voiding -all of the above -none of the above -A & C |
none of them!!! bullshit.
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what are acceptable outpatient treatments for acute pylonephritis?
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14 days of septra or 7 days of FQ
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after you have admitted a 26 y.o. female with acute pylonephritis, and she has not improved over the past 3 days, you decide to do imaging, what is your 1st choice?
-mri -ct -u/s -hida |
ct or u/s are both acceptable
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what is the 1st abx of choice in a man with a uti?
-cipro -bactrim -augmentin -amoxil |
cipro-FQ's should be used!
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a 77 y.o. male presents to your office with a temp of 99.1, nausea, and a hr of 114. He denies any dysuria, hematuria, but his UA shows 25 wbc's. How should you treat him?
-FQ -PCN -doxy -flagyl |
a FQ or septra
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what is the MC bug that causes uti's in kids?
-staph -strep pn. -e. coli -chlamydia |
e. coli
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t/f
UA is not a sensitive test for UTI in infants and young kids. |
true; skip and do a culture
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a 4 month old baby presents to your office for f/u of an ER visit last week where she was diagnosed with a uti, and started on ciprofloxacin, was this an appropriate choice? Why?
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no, FQ's should not be used if possible as they have the potential to cause toxicity to growing cartilage
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what would be appropriate choice of antibiotics in the previous patient?
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septra ds, augmentin, nitrofurantoin, or a 3rd gen. cefalosporin
cefixime for 14 days is usually the 1st line for outpatient tx |
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what type of bug is MC associated with urinary catheters?
-gram negative -gram positive -fungal -sti's |
gram negative
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t/f
catheter flushing or daily perineal care does not prevent infectionf |
true
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According to the USPSTF all pregnant women should have a urine culture at ?
-1st visit -10 weeks gestation -12-16 weeks gestation -36-40 weeks gestation |
12-16 weeks; the USPSTF is fucking stupid
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according to ACOG all pregnant women should receive a urine culture at?
-1st visit -10 weeks gestation -12-16 weeks gestation -36-40 weeks gestation |
1st visit
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which of the following antibiotics should be avoided in pregnant women d/t neonatal kernicterus?
-cipro -nitrofurantoin -tetracycline -septra ds |
septra ds
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