Nu 664 Final Exam – Questions With Proper
Solutions
Urinary tract infection (UTI) Correct Answer - invasion of
pathogenic organisms (commonly bacteria) in the urinary tract,
especially the urethra and bladder; symptoms include dysuria,
urinary frequency, and malaise
UTI clinical manifestations Correct Answer - LOWER-
frequency, smell, urgency, burning, concentrated, hematuria, super
pubic pressure/pain
UPPER- All of the above plus fever, flank pain, and chills
Uncomplicated UTI Correct Answer - Occurs in otherwise
normal urinary tract . Affects women
Usually involves only the bladder.
Uti in men is always complicated
Cysitis Correct Answer - inflammation of the bladder
Causes of uncomplicated UTIs? Correct Answer - Sexual
intercourse, impaired voiding, use of spermicides , estrogen
defieciency , abx use
Most UTIs are caused by Correct Answer - Gram-negative rods
from the GI tract. ( ecoli)
Risk factors for UTIs Correct Answer - Female gender
Vaginal infections
Bubble baths and vaginal deodorant sprays
Dehydration
, Tight-fitting synthetic undergarments
Infrequent voiding
First trimester of pregnancy
Trauma during delivery
Urinary calculi
Diabetes
Sickle cell trait
Frequent UTIs Correct Answer - More than 3x/year or 2 in 6
months
UTI diagnosis confirmed Correct Answer - urinalysis
UTI treatment Correct Answer - Complicated:
Fluoroquinolones are typically the first-line choice.
Uncomplicated:
Macrodantin 100mg x 5 days
Bactrim DS BID x 3 days
Cipro 250 bid x 3 days
Levaquin 250mg x 3 days
UTI pathogens Correct Answer - E. Coli
Enterococcus
Klebsiella
Proteusy
pyelonephritis Correct Answer - inflammation of the kidney
and renal pelvis
Pyelonephritis treatment Correct Answer - outpatient:
ciprofloxacin, levaquin, bactrim ds x 14 days y
inpatient: ampicillin/gentamicin
Solutions
Urinary tract infection (UTI) Correct Answer - invasion of
pathogenic organisms (commonly bacteria) in the urinary tract,
especially the urethra and bladder; symptoms include dysuria,
urinary frequency, and malaise
UTI clinical manifestations Correct Answer - LOWER-
frequency, smell, urgency, burning, concentrated, hematuria, super
pubic pressure/pain
UPPER- All of the above plus fever, flank pain, and chills
Uncomplicated UTI Correct Answer - Occurs in otherwise
normal urinary tract . Affects women
Usually involves only the bladder.
Uti in men is always complicated
Cysitis Correct Answer - inflammation of the bladder
Causes of uncomplicated UTIs? Correct Answer - Sexual
intercourse, impaired voiding, use of spermicides , estrogen
defieciency , abx use
Most UTIs are caused by Correct Answer - Gram-negative rods
from the GI tract. ( ecoli)
Risk factors for UTIs Correct Answer - Female gender
Vaginal infections
Bubble baths and vaginal deodorant sprays
Dehydration
, Tight-fitting synthetic undergarments
Infrequent voiding
First trimester of pregnancy
Trauma during delivery
Urinary calculi
Diabetes
Sickle cell trait
Frequent UTIs Correct Answer - More than 3x/year or 2 in 6
months
UTI diagnosis confirmed Correct Answer - urinalysis
UTI treatment Correct Answer - Complicated:
Fluoroquinolones are typically the first-line choice.
Uncomplicated:
Macrodantin 100mg x 5 days
Bactrim DS BID x 3 days
Cipro 250 bid x 3 days
Levaquin 250mg x 3 days
UTI pathogens Correct Answer - E. Coli
Enterococcus
Klebsiella
Proteusy
pyelonephritis Correct Answer - inflammation of the kidney
and renal pelvis
Pyelonephritis treatment Correct Answer - outpatient:
ciprofloxacin, levaquin, bactrim ds x 14 days y
inpatient: ampicillin/gentamicin
