D118 UNIT 4 QUESTIONS AND
ANSWERS 100% SOLVED.
, Criteria for Recurrent UTI - ANSWER3x in 1 Yr OR 2x in 6Mo
Treatment of Uncomplicated UTI - ANSWERNitrofurantoin 100mg BID x 5 days
Bactrim 1 DS tab BID x 3 days (7 days for men)
Fosfomycin pwd 3g single dose
Cipro, levofloxacin if allergic to penicillin.
Phenazopyridine for urinary pain
When to culture for UTI - ANSWERpregnancy, if febrile/seriously I'll, have frequent
history of UTI, live in community with high ABX resistance, failed empiracle treat, first
infection, men
Treatment of UTI in Pregnant - ANSWERCephalexin, Amoxicillin, Augmentin, Ampicillin.
NO MACROBID 38-42wk
Treatment of Chlamydia/Gonorrhea - ANSWERCeftriaxone 250mg IM once +
Azithromycin 1G PO once
OR
Doxycycline 100mg PO BID 7 days.
If severe cephalosporin allergy: Azithromycin 2G PO once + test of cure in 1wk.
Treatment of Pylonephritis - ANSWERCeftriaxone 500-1000mg IM once + Ciprofloxacin
500mg PO BID 5-7 days!
Labs for Pylonephritis - ANSWERWBC > 10-20 per HPF, RBC >3, casts of RBC and
WBC, dipstick + for leukocyte esterases, nitrites, and proteinurea.
Gold standard for Dx of Kidney Stones - ANSWERLow-dose non-contrast CT (NCCT)
Renal US for pregnant.
Treatment for Calcium stones - ANSWERHcTz 25mg PO BID, Allopurinol 100-300mg
PO QD, K Citrate 20-80mEq/Day.
Treatment Uric Acid Stones - ANSWERK Citrate 60mEq/day, Febuxostat for pts with
gout
ANSWERS 100% SOLVED.
, Criteria for Recurrent UTI - ANSWER3x in 1 Yr OR 2x in 6Mo
Treatment of Uncomplicated UTI - ANSWERNitrofurantoin 100mg BID x 5 days
Bactrim 1 DS tab BID x 3 days (7 days for men)
Fosfomycin pwd 3g single dose
Cipro, levofloxacin if allergic to penicillin.
Phenazopyridine for urinary pain
When to culture for UTI - ANSWERpregnancy, if febrile/seriously I'll, have frequent
history of UTI, live in community with high ABX resistance, failed empiracle treat, first
infection, men
Treatment of UTI in Pregnant - ANSWERCephalexin, Amoxicillin, Augmentin, Ampicillin.
NO MACROBID 38-42wk
Treatment of Chlamydia/Gonorrhea - ANSWERCeftriaxone 250mg IM once +
Azithromycin 1G PO once
OR
Doxycycline 100mg PO BID 7 days.
If severe cephalosporin allergy: Azithromycin 2G PO once + test of cure in 1wk.
Treatment of Pylonephritis - ANSWERCeftriaxone 500-1000mg IM once + Ciprofloxacin
500mg PO BID 5-7 days!
Labs for Pylonephritis - ANSWERWBC > 10-20 per HPF, RBC >3, casts of RBC and
WBC, dipstick + for leukocyte esterases, nitrites, and proteinurea.
Gold standard for Dx of Kidney Stones - ANSWERLow-dose non-contrast CT (NCCT)
Renal US for pregnant.
Treatment for Calcium stones - ANSWERHcTz 25mg PO BID, Allopurinol 100-300mg
PO QD, K Citrate 20-80mEq/Day.
Treatment Uric Acid Stones - ANSWERK Citrate 60mEq/day, Febuxostat for pts with
gout
