Objective assessment exam
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A male patient with lower urinary tract symptoms has the following urinalysis. (+)
leukocytes (+) nitrates (+) bacteria 15-20 WBCs. What medication should be given
and for how many days?
a. doxycycline for 7 days
b. trimethoprim-sulfamethoxazole (TMPS) for 7-10 days
c. ciprofloxacin for 3 days
d. nitrofurantoin for 14 days - ANSWER ✅a. doxycycline for 7 days
A 25 year old male patient with subacute bacterial epididymitis should be treated
initially with:
a. an oral quinolone
b. doxycycline
c. NSAIDs only
d. ice and scrotal support - ANSWER ✅b. doxycycline
The most common pathogen found in patients with pyelonephritis is:
a. pseudomonas
b. streptococcus
c. e-coli
d. klebsiella - ANSWER ✅c. e-coli
A 24 year old female patient has been diagnosed with an uncomplicated UTI.
Which assessment below is least important at this time?
, a. body temperature
b. abdominal exam
c. assessment of CVA tenderness
d. vaginal exam - ANSWER ✅d. vaginal exam
A patient presents with a complaint of dark-colored urine and fatigue. UA= (+)
hemaglobin (-) leukocytes (-) nitrates 10 RBCs RBC casts-present. What is the
most likely explanation?
a. acute renal failure
b. chronic renal insufficiency
c. glomerulonephritis
d. urinary tract infection - ANSWER ✅c. glomerulonephritis
Te term that describes the urethral opening on the ventral surface of the penis is:
a. cryptorchidism
b. hypospadias
c. inguinal hernia
d. hydrocele - ANSWER ✅b. hypospadias
A 44 year old female patient is diagnosed with a urinary tract infection (UTI).
Which bacteria count collected via midstream, clean catch supports a diagnosis of
UTI?
a. > 10,000 bacteria
b. >25,000 bacteria
c. >50,000 bacteria
d. >100,000 bacteria - ANSWER ✅d. >100,000 bacteria
A patient has been diagnosed with pyelonephritis. He probably will have:
a. costovertebral angle tenderness
b. a positive Murphys sign
c. burning with urination
d. pain which waxes and wanes - ANSWER ✅a. costovertebral angle tenderness
A patient has a urinary tract infection. What findings on urine dipstick best
describes a typical urinary tract infection?