NUR 622 (Adult_Gero Acute) MOD #10, male GU 1 & 2, male GU cancer Questions with CORRECT
Answers (Grade A+)
Question 1:
lower vs upper acute cystitis (frequency, dysuria, urgency, suprapubic discomfort)
Answer:
lower - bladder/urethra upper - kidney/ureters
Question 2:
uncomplicated vs complicated cystitis
Answer:
uncomplicated - normal urinary tract complicated - defects in urinary tract or comorbidities (HIV,
DM)
Question 3:
common acute cystitis pathogens
Answer:
E-coli (most common), staph. saprophyticus, enterococcus, klebsiella, proteus (more long term
cath)
Question 4:
again, treatment for UTI
Answer:
-nitrofurantoin 100mg BID 5 days -TMP-SMX 160/80 BID 3 days -Fosfomycin 3G single dose *avoid
FQN's due to side effects
Question 5:
fever, flank pain, chills, CVA TENDERNESS -positive urine cultures
Answer:
pyelonephritis
Question 6:
inpatient treatment for pyelonephritis
, Answer:
start by giving Ampicillin and Gent -get c/s -likely switch to ceftriaxone 1gm daily ot Ciprofloxacin
400mg BID
Question 7:
Outpatient treatment for pyelonephritis
Answer:
-one time IV dose of ceftriaxone or gentamycin -followed by oral Cipro or TMP-SMX (5-14 days)
Question 8:
in pyelonephritis, if fever persists after 48 hours despite ABX, consider
Answer:
CT or ultrasound to r/o abscess or obstructing stone
Question 9:
-warm, swollen, tender prostate on digital exam -fever, perineal, or suprapubic pain -pain with
voiding -pos UC
Answer:
prostatitis
Question 10:
with prostatitis, avoid
Answer:
rigorous prostate massage to prevent bacteremia
Question 11:
tx prostatitis
Answer:
IV ampicillin + Gent until afebrile -transition to oral Cipro/bactrim for 3-4 weeks (tissue is hard to
penetrate)
Question 12:
with prostatitis, if there is persistent fever and signs of sepsis, get a
Answers (Grade A+)
Question 1:
lower vs upper acute cystitis (frequency, dysuria, urgency, suprapubic discomfort)
Answer:
lower - bladder/urethra upper - kidney/ureters
Question 2:
uncomplicated vs complicated cystitis
Answer:
uncomplicated - normal urinary tract complicated - defects in urinary tract or comorbidities (HIV,
DM)
Question 3:
common acute cystitis pathogens
Answer:
E-coli (most common), staph. saprophyticus, enterococcus, klebsiella, proteus (more long term
cath)
Question 4:
again, treatment for UTI
Answer:
-nitrofurantoin 100mg BID 5 days -TMP-SMX 160/80 BID 3 days -Fosfomycin 3G single dose *avoid
FQN's due to side effects
Question 5:
fever, flank pain, chills, CVA TENDERNESS -positive urine cultures
Answer:
pyelonephritis
Question 6:
inpatient treatment for pyelonephritis
, Answer:
start by giving Ampicillin and Gent -get c/s -likely switch to ceftriaxone 1gm daily ot Ciprofloxacin
400mg BID
Question 7:
Outpatient treatment for pyelonephritis
Answer:
-one time IV dose of ceftriaxone or gentamycin -followed by oral Cipro or TMP-SMX (5-14 days)
Question 8:
in pyelonephritis, if fever persists after 48 hours despite ABX, consider
Answer:
CT or ultrasound to r/o abscess or obstructing stone
Question 9:
-warm, swollen, tender prostate on digital exam -fever, perineal, or suprapubic pain -pain with
voiding -pos UC
Answer:
prostatitis
Question 10:
with prostatitis, avoid
Answer:
rigorous prostate massage to prevent bacteremia
Question 11:
tx prostatitis
Answer:
IV ampicillin + Gent until afebrile -transition to oral Cipro/bactrim for 3-4 weeks (tissue is hard to
penetrate)
Question 12:
with prostatitis, if there is persistent fever and signs of sepsis, get a
