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1. What are potential causes of chronic infection/UTI? - Correct Answer: -
obstructions
-antibiotic-resistant bacteria ---- presence of multiple strains of bacteria
2. What additional HPI questions would you want to ask a patient with urinary
complaints (dyuria, urgency, etc.)? - Correct Answer: -fever
-N/V
-Pain (abdominal, pelvic, back)
-LMP
-Contraceptive use
-Sexual partners
-hygeine habits
-Vaginal discharge/irritation
-hx of UTIs
3. What are possible differential diagnosis of dysuria? - Correct Answer: -
Usually bladder problem
-UTI
,-Pyleonephritis
-STI
-inflammatory lesions of the prostate, bladder, & urethra
-Bladder tumors
Chronic renal failure
-nephrolitiasis
-vaginitis/prostatitis
-Prolapsed uterus
-pelvic peritonitis
-cancer of cervix or prostate
4. What is the easiest, most noninvasive, and most economical way to identify UTI
and/or other renal problems? - Correct Answer: UA
5. Infection that occurs when the normal sterile condition of the urinary tract is
invaded by pathogenic bacteria - Correct Answer: Lower urinary tract infection
6. Name the types of lower urinary tract infections. - Correct Answer:
Urethra: urethritis
Bladder: cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis
,7. Acute lower urinary tract infections are characterized by what? - Correct
Answer: Onset of UTI in a previously symptom-free individual.
8. What tests would you order to diagnose lower UTI? - Correct Answer: UA
C&S
9. What results would make you suspect UTI? - Correct Answer: -cloudy urine
clarity
-positive leukocytes esterase
-positive nitrites (signals gram - organism, may have false -)
-Protein: 1+-4+ (kidney problems)
-Alkaline urine (PH 6.5-8)
-RBCs may be present
10. Who should receive prophylaxis for recurrent UTI? - Correct Answer: -2 or
more symptomatic UTIs w/in 6 months
-3 or > within 12 months
11. When should prophylaxis for recurrent UTI be intiated? - Correct Answer:
After previous UTI resolution is confirmed
12. Antibiotic regimin for recurrent UTI prophylaxis. - Correct Answer: -Daily
dosing for 6 months
-Post-coital prophylaxis
, -self medication (3-4 days of therapy when symptoms being
13. What is the clinical presentation of uncomplicated UTI? - Correct Answer: -
Dysuria
-urinary frequency & urgency
-hematuria
-low back or suprapubic pain/tenderness
-elderly=AMS
14. WHat is the oral treatment for acute uncomplicated UTI? - Correct
Answer: -Bactrim 1 DS BID x 3
-Cefdinir 500 mg BID x 5
-Nitrofurantoin 100 mg BID x 5
15. Patient education for uncomplicated UTI - Correct Answer: •Complete the
antibiotic regimen
•Proper hygiene
•Drink plenty of water (8 - 8oz glasses)
•Cotton undergarments
•Empty bladder after sexual intercourse
•Empty bladder frequently
•No tub baths or bubble baths