GU APEA QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION 100% CORRECT

GU APEA QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTION 100% CORRECT

UTI

Most common etiolgoy - ANSWER - Ecoli (75-95%)* (female hygiene)


Uncomplicated UTI (3) - ANSWER - Cyctitis/UTI
- Low risk pt
- NO systemic sx


Complicated UTI (3) - ANSWER - Lower or upper kidneys
- High risk pt
- Systemic SX


Uncomplicated UTI SX (8) - ANSWER -Dysuria
-Frequency, and/or urgency
-Sensation of incomplete bladder emptying
-Suprapubic/back pain
-Hematuria: gross
-Foul-smelling urine
-Scant voiding
-**KEY: lack of systemic sx and low risk pt!!


Complicated UTI SX (9) - ANSWER -Fever, chills

, -Costovertebral angle tenderness
-Fatigue
-Falls
-AMS
-Urinary incontinence- new or worsening
-Hematuria
-Anorexia
n/v
-Sepsis!


Asymptomatic Bacteriuria guidliens - ANSWER Screen and treat ALL pregnant
women. 4-7 days of ABX


UTI DX (2) - ANSWER - UA (Good specimen is key!) Nitrites, WBCs, Leukocyte
esterase
- Urine Culture (>100,000 midstream, >1,000 catheter)


Urine culture who gets one? (5) - ANSWER - Recurrent or refractory infections
- Children
- Men
- Pregnant
- Older adults


Nitrites (s&s) (2) - ANSWER - Sensitivity: only 50% (why-b/c only g- will
metabolize producing nitrites)