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UTI

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Old Questions + Entry from 2023/24
Leon Schwarze
Quiz by Leon Schwarze, updated 9 months ago
Leon Schwarze
Created by Leon Schwarze 9 months ago
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Resource summary

Question 1

Question
Choose True Statement(s)
Answer
  • Uropathogenic E.Coli produces adhesive fimbriae
  • Significant Bacteria does not refer to bacteria in Urine sample collexted via suprapubic aspiration
  • Gram positive spore-forming rods are the most common cause of hospital aquired UTI
  • Most bacteria can cause bacteria to grow easily in 24h

Question 2

Question
Choose antibiotics used in therapy of uncomplicated enterococcus
Answer
  • nitrofurantoin
  • erythromycin
  • cephalexin

Question 3

Question
Choose antibiotics used in therapy of uncomplicated enterobacteriacea
Answer
  • nitrofurantoin
  • erythromcin
  • cephalexin
  • Ciprofloxacin (Quinolones)
  • Cotrimoxazole

Question 4

Question
How should the urine be kept/taken
Answer
  • a) Urine sample should be kept in sterile contain
  • b) urine should be kept in fridge 2-4 days
  • c) it should always be centrigugated
  • d) may be kept in fridge for up to 24 hours
  • Mid Stream for bladder urine - cystitis

Question 5

Question
Which drugs are found in urine in therapeutic conditions
Answer
  • ciprofloxacin
  • nitrofurantoin
  • fluoroquinolones
  • sulfonomide trimethoprim
  • amoxicillin

Question 6

Question
Choose Correct
Answer
  • Adhesin are the reason for ascending of UTI
  • SignifIcant bacteriuria refer to bacteria in urine sample collected via suprapubic aspiration.
  • Gram negative bacteria are the most common cause of hospital acquired UTI

Question 7

Question
Why should we take the sample in the early morning? - the bacteria concentration is highest in the morning
Answer
  • True
  • False

Question 8

Question
Explain asymptomatic UTI
Answer
  • without pain
  • without fever
  • without leucocyturia
  • luecocyturia with > 5 leucocytes in visual field or > 10 / µl

Question 9

Question
On an examination you find clue cells, vagina with fishy odour. This is most likely:
Answer
  • Physiological
  • Candidiasis
  • Bacterial vaginosis due to gardnerella vaginallis
  • Bacteriemia
  • None of the mentionend

Question 10

Question
Choose the agent responsible for stone formation in UTI
Answer
  • Klebsiella pneumonia
  • Proteus Mirabilis
  • E. Coli
  • Pseudomonas aeruhinosa
  • Candida Albicans

Question 11

Question
Drugs used for pseudomonas aeruginosa Treatment
Answer
  • Cefepime - ß-lactam
  • ciprofloxacin - Fluoroquinolone
  • levofloxacin - Fluoroquinolone
  • chloramphenicol
  • amoxicillin

Question 12

Question
Mention two antibiotics with therapeutic value in urine:
Answer
  • Amoxicillin
  • Nitrofurantoin
  • sulfamethoxazole
  • cephalosporins
  • sulfonomides

Question 13

Question
Mention examples of complicated UTI
Answer
  • Congenital abnormalities
  • pregnancy
  • stones
  • neurogenic bladder

Question 14

Question
Presence of one type of bacteria in 10^5 indicates
Answer
  • Significant bacteriuria
  • leucocyturia

Question 15

Question
Presence of one type of microorganism in 10^2 CFU/ml indicates in urine sample collected from catheterization
Answer
  • significant bacteruria
  • asymptomatic bacteriuria

Question 16

Question
Pick the correct statement(s)
Answer
  • co-existing LEUKOCITURIA AND ASYMTOMATIC BACTERIURIA (AB) – no indication for antibiotic treatment
  • ASYMTOMATIC BACTERIURIA – requires treatment only in case of pregnancy - risk of developing UTI in IIIrd trimester, pre-term labour small for gestational age)
  • Antibiotic treatment is recommended in older diabetic patients

Question 17

Question
Thick, white vaginal exudate discharge is typical for
Answer
  • C. Albicans
  • Gardnerella Trachomatis
  • Trichomonas Vaginalis

Question 18

Question
Leukocyturia with bacteriuria is common for
Answer
  • Tuberculosis
  • Atypical Infection
  • E.Coli

Question 19

Question
Leukocyturia without bacteriuria is common for:
Answer
  • Tuberculosis
  • Atypical Infection
  • E.Coli

Question 20

Question
Define the term bacteriuria without leukocyturia: [blank_start]No leukocytes[blank_end] in the urine, asymptomatic May it indicate contamination? [blank_start]Yes[blank_end]
Answer
  • Yes
  • No
  • No leukocytes
  • Many leukocytes

Question 21

Question
In UTI caused by E. coli KPC (+) the following antibiotics may be administered
Answer
  • Amoxicillin
  • Ciprofloxacin
  • Cefepime
  • Trimethropin
  • Meroponem

Question 22

Question
Causative agent of hospital-acquired infection?
Answer
  • E. Coli with 30-50%
  • Proteus Mirabillis
  • Candida alicans
  • Serratia marcescens
  • Klebsilla pneumoniae

Question 23

Question
Nitrofurantoin
Answer
  • Peptidoglycan synthesis inhibitor
  • Drug of choice in UTI by E. Coli
  • Drug against UTI by Proteus mirabilis
  • Higher concentration in urine than serum

Question 24

Question
A 35 year old woman outpatient presents acute urinary frequency and dysuria. Urine analysis shows pyuria and urine culture. Lactose fermenting Gram negatvie rods in titer 10^5. What is the most probable cause of the infection and what is the most beneficial treatment.
Answer
  • E. Coli
  • Fluoroquinolones
  • nitrofurantoin
  • Meroponem
  • K. Pneumonie

Question 25

Question
3 predisposing factors for UTI
Answer
  • sexual intercourse
  • female
  • catherization

Question 26

Question
Ascending urinary tract infections are mostly due to:
Answer
  • Trichomonas vaginalis
  • E.Coli
  • Lactobacillus spp.
  • Staphylococcus aureus

Question 27

Question
List 3 virulence factors of uropathogenic bacteria…..
Answer
  • Pill adhesion
  • motility
  • capsule

Question 28

Question
Blood culture is the only specimen examined in urosepsis
Answer
  • True
  • False

Question 29

Question
Pick correct
Answer
  • The most cases of UTI in outpatients are due to lactose fermenting Gram-negative rods
  • Asymptomatic infection should be treated in pregnancy or in patients with UT abnormalities
  • Catherization is a major risk factor for ascending urinary infection in hospital settings
  • aspiration c) Gram positive grape-shaped cocci are the cause of catheter- related UTI

Question 30

Question
Which drug/s is/are found in therapeutic concentrations in urine:
Answer
  • macrolides
  • Nitrofuratonin
  • fluooroquinolones

Question 31

Question
Main cause of vaginitis is:
Answer
  • Chlamydia pneumoniae
  • Candida albicans
  • Staphylococcus epidermis
  • Trichomonas vaginalis
  • Lactobacillus acidophilus

Question 32

Question
Virulence factors of uropathogens
Answer
  • Urease
  • Adhesions
  • Biofilm

Question 33

Question
UTI by P. aeruginosa can be treated with
Answer
  • Amoxicillin
  • clauvulanic acid
  • ciprofloxacin
  • ceftazidin
  • levofloxacin

Question 34

Question
3 predisposing factors for vaginal candidiasis
Answer
  • HIV
  • poor diet (high in sugar)
  • poor hygiene
  • pregnancy
  • antibiotic therapy
  • birth control
  • lingerine

Question 35

Question
Direct gram stained vaginal smear that contains epithelial cells, single blastospores, single leukocytes, multiple lactobacilli the following characteristic most likely indicate
Answer
  • candidiasis
  • bacterial vaginosis
  • physiology
  • significant bacteruria

Question 36

Question
Examination of direct gram-stained smear is an essential element in diagnostics of
Answer
  • vaginal candidiasis
  • asymptomatic bacteruria
  • bacterial vaginosis

Question 37

Question
The presence of S.epidermidis, enterococcus sp. and Lactobacillus sp. in the outpatient’s urine in titer of 10^4 of each is most likely:
Answer
  • asymptomatic bacteriuria
  • sample contamination
  • chronic UTI
  • significant bacteriuria
  • none of the mentionend

Question 38

Question
Choose drug\s that may be used to treat complicated UTI caused by K.pneumonia NDM(+) New Dehli Metalobetalactamase
Answer
  • meroponem
  • cotrimoxazole
  • imipenem

Question 39

Question
Why the urine sample refrigerated before examination? To prevent bacterial overgrowth. Refrigeration slows down the growth of bacteria in the urine, preserving the sample for accurate analysis.
Answer
  • True
  • False

Question 40

Question
Choose antibiotic used in empiric therapy of uncomplicated UTI caused by enterobacter cloacae
Answer
  • piperacillin tazobactam
  • meropenem
  • amoxicillin

Question 41

Question
Antimicrobial host factors present in urine
Answer
  • Urea
  • osmolarity
  • acidic pH
  • Ammonium

Question 42

Question
Lactobacilli
Answer
  • are gram negative rods
  • maintain the microbial balance of vagina
  • are non spore forming gram positive rods
  • are usually multi resistant to antibiotics
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