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1. Which of the following are predisposing factors for pyelonephritis?
a. Smoking
b. Dehydration
c. Pregnancy - Correct Answer: Pregnancy
2. Janet has stress urinary incontinence and has been doing Kegel exercises
with some success. Which of these other interventions might help her
urinary incontinence?
a. Limit fluids
b. Stop smoking
c. Weight lifting - Correct Answer: Stop smoking
3. Which of the following is a common bladder irritant?
a. ?
b. Tylenol
c. Sudafed - Correct Answer: Sudafed
4. The NP knows that a recurrent UTI diagnosis requires that the patient have
how many UTIs in 12 months?
a. 2
b. 6
c. at least 3 - Correct Answer: at least 3
,5. The inability to empty the bladder resulting in over distention and frequent
loss of small amounts of urine describes which type of urinary
incontinence?
a. Urge
b. Stress
c. Overflow - Correct Answer: Overflow
6. A 42 YOF is seen in clinic with fever, chills, vomiting, and severe dysuria. She
is diagnosed with acute pyelonephritis and dehydration. How should this
patient be treated?
a. Encourage cranberry juice
b. Hospitalization
c. Antibiotics for 3 days - Correct Answer: Hospitalization
7. A 34 YO patient was treated for a UTI and has not responded to antibiotic
therapy. What action would you take next?
a. Increase dose of antibiotic
b. Order cystoscopy
c. Order urine culture - Correct Answer: Order urine culture
8. A female patient is diagnosed with overactive bladder. Which of these
instructions would you give her?
a. Wear panty liners
b. Avoid going out for long periods of time
c. Eliminate caffeine from your diet - Correct Answer: Eliminate
caffeine from your diet
,9. Which of the following information is essential to have before prescribing
Bactrim DS to a 24 YOF with a UTI?
a. Blood pressure
b. Date of last menstrual period
c. History of chest pain - Correct Answer: Date of last menstrual
period
10.A patient presents with CVA tenderness and a several day history of high
fever, chills, and dysuria. Given this information which diagnosis is most
likely?
a. Cystitis
b. Renal calculi
c. Pyelonephritis - Correct Answer: Pyelonephritis
11.A 30 YO patient presents with pain on urination. The urine microscopy of
unspun urine shows more than 10 leukocytes/ml and the dipstick was
positive for nitrites. What is the probably diagnosis?
a. Chlamydia
b. Yeast infection
c. Lower UTI - Correct Answer: Lower UTI
12.A patient is complaining of leaking urine when she sneezes. What action
would you take first?
a. Obtain bladder scan
b. Order cystogram
c. Instruct patient on Kegel exercises - Correct Answer: Instruct
patient on Kegel exercises
, 13.A patient is seen in the clinic with hematuria confirmed on microscopic
examination. The clinician should inquire about the ingestion of which of
these substances that might be causing the hematuria
a. Red meat
b. Vitamin A
c. NSAIDs - Correct Answer: NSAIDs
14.What are the main causes of Chronic Renal failure? - Correct Answer:
DM, Primary HTN, Age, Glomerulonephritis, cystic diseases, Renal artery
stenosis,
15.At what % of GFR decline would s/s of kidney disease present? - Correct
Answer: 10-15% of normal
16.Stages of CKD - Correct Answer: 1 GFR >90
2 GFR 60-89
3 GFR 30-59
4 GFR 15-29
5 GFR <15
17.Why are kegel exercises helpful in those with urinary incontinence? -
Correct Answer: they strengthen the muscles of the pelvic floor
18.Twisting or rotation of the testes, resulting in acute ischemia & urological
emergency - Correct Answer: Testicular torsion