Module 4 NURS 5433 Exam Questions &
Answers Latest Update.
What is the most common gram- E. Coli, klebsiella, Enterobacter, proteus mirabilis
negative causative agents for UTI?
What is the most common gram-positive Staph saprophyticus
causative organism for UTI?
recent UTI, recent sexual activity (and not voiding after serx), DM, abnormalities of
Name 5 risk factors for UTI
urinary tract, recent abx use, poor hygiene, estrogen deficiency
dysuria, urgency, cloudy and foul-smelling urine, hematuria, suprapubic
What is common s/s of UTI?
tenderness
pyelonephritis will have flank pain, fever, and signs of sepsis
How can you distinguish pyelonephritis
from a UTI?
typically, no fever is present with UTI
What is the common s/s of fever 101.3 or greater, rigors, flank pain, signs of sepsis
pyelonephritis?
Why do pregnant women with UTI (even UTI can induce premature labor
is asymptomatic) need to be treated? Can elevate BP (preeclampsia)
What is the most important diagnostic urine sample for c/s
test to run for UTIs?
What do white blood cell casts on UA pyelonephritis
indicate?
fever over 101.3
flank pain
When can you treat empirically for pyuria
pyelonephritis without c/s results? hematuria
when cultures get back, ensure that they are on the correct abx
What test can you do in the office for urine dipstick
UTI?
nitrates and leukocytes
What results from a urine dipstick would
indicate infection? this may be the only test needed unless you suspect pyelonephritis, they have had
a recent UTI or abx therapy or been hospitalized recently
What is your next step in action if a run a c/s
patient presents with dysuria, frequency,
and urgency, but the urine dipstick shows because some strains of proteus, klebsiella, E. coli, and Enterobacter do not
no nitrates or leukocytes? produce nitrates
Which populations ALWAYS need a c/s Men, pregnant women, recently hospitalized patients, children
when you suspect a UTI
What diagnoses should you consider if bladder stone, bladder tumor, interstitial cystitis or bladder obstruction
you have a patient with pyuria but a
negative urine culture?
What is the imaging of choice to evaluate Sonogram
urinary problems?
Page 1 of 7
, acute pyelo in a male, acute pyelo in women with fever even after 2 days on abx,
When is it recommend to perform a
women who has had 4 UTI in last year, failure to clear infection after course of
sonogram for urinary issues?
abx, renal mass
What is a renal ultrasound used for in to determine if there is an obstruction
pediatrics?
What is the purpose of a voiding diagnose vesicoureteral reflux or other structural abnormalities
cystourethrogram?
What are causative agents for E. Coli, proteus, klebsiella, enterobacter or staph saprophyticus
asymptomatic bacteriuria
What are the diagnostics needed to two consecutive midstream clean catch UA that both show WBC
diagnose asymptomatic bacteriuria?
When is it appropriate to treat pregnancy and immunocompromised patients (HIV)
asymptomatic bacteriuria?
What medications are acceptable to treat amoxicillin, cephalosporins, fosfomycin
for UTI in pregnancy?
What is the first line treatment for UTI? bactrim 400/80 BID for 10-14 days
complicated UTI... it is NOT first line treatment. cannot give to kids or pregnant
When are fluoroquinolones used in UTI?
women
acute uncomplicated--250mg BID for 3 days
What is the dose for cipro in treatment of
mild/moderate--250mg BID for 7-14 days
UTI?
severe--500mg BID for 7-14 days
What is the doses of levofloxacin for acute uncomplicated--250mg daily for 3 days
treatment of UTI? complicated--250 daily for 10 days or 750 for 5 days
What is the doses of ofloxacin for acute uncomplicated--200mg BID for 3 days
treatment of UTI? complicated--200 daily for 10 days
What are the doses for amoxicillin for mild/moderate--500 BID for 10 days
treatment of UTI in an adult? severe--875mg BID for 10 days
What are the drug choices for treatment fluoroquinolones, amoxicillin, augmentin, bactrim, ampicillin, cephalosporins (2nd
of UTI? or 3rd generation), nitrofurantoin, fosfomycin
Which medication is the best choice for fosfomycin. . it is only one time dosing
someone who is likely to be non-
compliant with taking medications for
UTI?
What is the drug of choice for UTI in amoxicillin
pregnancy and children
No.
Can nitrofurantoin treat pyelonephritis? it concentrates in urine in the bladder... pyelonephritis occurs higher up in GU
tract... not enough urine to concentrate the medication... will only work where
there is a lot of urine (bladder)
flavoxate 100mg 3-4 times a day
phenazopyridine 100mg 3x/day for max of 2 days
What are two antispasmodics to treat
UTIs? can be given in first few days to help with dysuria
these discolor the urine/tears and contact lens.
Page 2 of 7
Answers Latest Update.
What is the most common gram- E. Coli, klebsiella, Enterobacter, proteus mirabilis
negative causative agents for UTI?
What is the most common gram-positive Staph saprophyticus
causative organism for UTI?
recent UTI, recent sexual activity (and not voiding after serx), DM, abnormalities of
Name 5 risk factors for UTI
urinary tract, recent abx use, poor hygiene, estrogen deficiency
dysuria, urgency, cloudy and foul-smelling urine, hematuria, suprapubic
What is common s/s of UTI?
tenderness
pyelonephritis will have flank pain, fever, and signs of sepsis
How can you distinguish pyelonephritis
from a UTI?
typically, no fever is present with UTI
What is the common s/s of fever 101.3 or greater, rigors, flank pain, signs of sepsis
pyelonephritis?
Why do pregnant women with UTI (even UTI can induce premature labor
is asymptomatic) need to be treated? Can elevate BP (preeclampsia)
What is the most important diagnostic urine sample for c/s
test to run for UTIs?
What do white blood cell casts on UA pyelonephritis
indicate?
fever over 101.3
flank pain
When can you treat empirically for pyuria
pyelonephritis without c/s results? hematuria
when cultures get back, ensure that they are on the correct abx
What test can you do in the office for urine dipstick
UTI?
nitrates and leukocytes
What results from a urine dipstick would
indicate infection? this may be the only test needed unless you suspect pyelonephritis, they have had
a recent UTI or abx therapy or been hospitalized recently
What is your next step in action if a run a c/s
patient presents with dysuria, frequency,
and urgency, but the urine dipstick shows because some strains of proteus, klebsiella, E. coli, and Enterobacter do not
no nitrates or leukocytes? produce nitrates
Which populations ALWAYS need a c/s Men, pregnant women, recently hospitalized patients, children
when you suspect a UTI
What diagnoses should you consider if bladder stone, bladder tumor, interstitial cystitis or bladder obstruction
you have a patient with pyuria but a
negative urine culture?
What is the imaging of choice to evaluate Sonogram
urinary problems?
Page 1 of 7
, acute pyelo in a male, acute pyelo in women with fever even after 2 days on abx,
When is it recommend to perform a
women who has had 4 UTI in last year, failure to clear infection after course of
sonogram for urinary issues?
abx, renal mass
What is a renal ultrasound used for in to determine if there is an obstruction
pediatrics?
What is the purpose of a voiding diagnose vesicoureteral reflux or other structural abnormalities
cystourethrogram?
What are causative agents for E. Coli, proteus, klebsiella, enterobacter or staph saprophyticus
asymptomatic bacteriuria
What are the diagnostics needed to two consecutive midstream clean catch UA that both show WBC
diagnose asymptomatic bacteriuria?
When is it appropriate to treat pregnancy and immunocompromised patients (HIV)
asymptomatic bacteriuria?
What medications are acceptable to treat amoxicillin, cephalosporins, fosfomycin
for UTI in pregnancy?
What is the first line treatment for UTI? bactrim 400/80 BID for 10-14 days
complicated UTI... it is NOT first line treatment. cannot give to kids or pregnant
When are fluoroquinolones used in UTI?
women
acute uncomplicated--250mg BID for 3 days
What is the dose for cipro in treatment of
mild/moderate--250mg BID for 7-14 days
UTI?
severe--500mg BID for 7-14 days
What is the doses of levofloxacin for acute uncomplicated--250mg daily for 3 days
treatment of UTI? complicated--250 daily for 10 days or 750 for 5 days
What is the doses of ofloxacin for acute uncomplicated--200mg BID for 3 days
treatment of UTI? complicated--200 daily for 10 days
What are the doses for amoxicillin for mild/moderate--500 BID for 10 days
treatment of UTI in an adult? severe--875mg BID for 10 days
What are the drug choices for treatment fluoroquinolones, amoxicillin, augmentin, bactrim, ampicillin, cephalosporins (2nd
of UTI? or 3rd generation), nitrofurantoin, fosfomycin
Which medication is the best choice for fosfomycin. . it is only one time dosing
someone who is likely to be non-
compliant with taking medications for
UTI?
What is the drug of choice for UTI in amoxicillin
pregnancy and children
No.
Can nitrofurantoin treat pyelonephritis? it concentrates in urine in the bladder... pyelonephritis occurs higher up in GU
tract... not enough urine to concentrate the medication... will only work where
there is a lot of urine (bladder)
flavoxate 100mg 3-4 times a day
phenazopyridine 100mg 3x/day for max of 2 days
What are two antispasmodics to treat
UTIs? can be given in first few days to help with dysuria
these discolor the urine/tears and contact lens.
Page 2 of 7
