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Quiz von Leon Schwarze, aktualisiert vor 6 Monate
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Erstellt von Leon Schwarze
vor 6 Monate
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Frage 1
Frage
Choose True Statement(s)
Antworten
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Uropathogenic E.Coli produces adhesive fimbriae
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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
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Most bacteria can cause bacteria to grow easily in 24h
Frage 2
Frage
Choose antibiotics used in therapy of uncomplicated enterococcus
Antworten
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nitrofurantoin
-
erythromycin
-
cephalexin
Frage 3
Frage
Choose antibiotics used in therapy of uncomplicated enterobacteriacea
Antworten
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nitrofurantoin
-
erythromcin
-
cephalexin
-
Ciprofloxacin (Quinolones)
-
Cotrimoxazole
Frage 4
Frage
How should the urine be kept/taken
Antworten
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a) Urine sample should be kept in sterile contain
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b) urine should be kept in fridge 2-4 days
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c) it should always be centrigugated
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d) may be kept in fridge for up to 24 hours
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Mid Stream for bladder urine - cystitis
Frage 5
Frage
Which drugs are found in urine in therapeutic conditions
Antworten
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ciprofloxacin
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nitrofurantoin
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fluoroquinolones
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sulfonomide trimethoprim
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amoxicillin
Frage 6
Frage
Choose Correct
Antworten
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Adhesin are the reason for ascending of UTI
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SignifIcant bacteriuria refer to bacteria in urine sample collected via suprapubic aspiration.
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Gram negative bacteria are the most common cause of hospital acquired UTI
Frage 7
Frage
Why should we take the sample in the early morning? -
the bacteria concentration is highest in the morning
Antworten
- True
- False
Frage 8
Frage
Explain asymptomatic UTI
Antworten
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without pain
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without fever
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without leucocyturia
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luecocyturia with > 5 leucocytes in visual field or > 10 / µl
Frage 9
Frage
On an examination you find clue cells, vagina with fishy odour. This is most likely:
Antworten
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Physiological
-
Candidiasis
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Bacterial vaginosis due to gardnerella vaginallis
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Bacteriemia
-
None of the mentionend
Frage 10
Frage
Choose the agent responsible for stone formation in UTI
Antworten
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Klebsiella pneumonia
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Proteus Mirabilis
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E. Coli
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Pseudomonas aeruhinosa
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Candida Albicans
Frage 11
Frage
Drugs used for pseudomonas aeruginosa Treatment
Antworten
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Cefepime - ß-lactam
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ciprofloxacin - Fluoroquinolone
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levofloxacin - Fluoroquinolone
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chloramphenicol
-
amoxicillin
Frage 12
Frage
Mention two antibiotics with therapeutic value in urine:
Antworten
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Amoxicillin
-
Nitrofurantoin
-
sulfamethoxazole
-
cephalosporins
-
sulfonomides
Frage 13
Frage
Mention examples of complicated UTI
Antworten
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Congenital abnormalities
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pregnancy
-
stones
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neurogenic bladder
Frage 14
Frage
Presence of one type of bacteria in 10^5 indicates
Antworten
-
Significant bacteriuria
-
leucocyturia
Frage 15
Frage
Presence of one type of microorganism in 10^2 CFU/ml indicates in urine sample collected from catheterization
Antworten
-
significant bacteruria
-
asymptomatic bacteriuria
Frage 16
Frage
Pick the correct statement(s)
Antworten
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co-existing LEUKOCITURIA AND ASYMTOMATIC BACTERIURIA (AB) – no indication for antibiotic treatment
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ASYMTOMATIC BACTERIURIA – requires treatment only in case of pregnancy - risk of developing UTI in IIIrd trimester, pre-term labour small for gestational age)
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Antibiotic treatment is recommended in older diabetic patients
Frage 17
Frage
Thick, white vaginal exudate discharge is typical for
Antworten
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C. Albicans
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Gardnerella Trachomatis
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Trichomonas Vaginalis
Frage 18
Frage
Leukocyturia with bacteriuria is common for
Antworten
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Tuberculosis
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Atypical Infection
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E.Coli
Frage 19
Frage
Leukocyturia without bacteriuria is common for:
Antworten
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Tuberculosis
-
Atypical Infection
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E.Coli
Frage 20
Frage
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]
Antworten
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Yes
-
No
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No leukocytes
-
Many leukocytes
Frage 21
Frage
In UTI caused by E. coli KPC (+) the following antibiotics may be administered
Antworten
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Amoxicillin
-
Ciprofloxacin
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Cefepime
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Trimethropin
-
Meroponem
Frage 22
Frage
Causative agent of hospital-acquired infection?
Antworten
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E. Coli with 30-50%
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Proteus Mirabillis
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Candida alicans
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Serratia marcescens
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Klebsilla pneumoniae
Frage 23
Frage
Nitrofurantoin
Antworten
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Peptidoglycan synthesis inhibitor
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Drug of choice in UTI by E. Coli
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Drug against UTI by Proteus mirabilis
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Higher concentration in urine than serum
Frage 24
Frage
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.
Antworten
-
E. Coli
-
Fluoroquinolones
-
nitrofurantoin
-
Meroponem
-
K. Pneumonie
Frage 25
Frage
3 predisposing factors for UTI
Antworten
-
sexual intercourse
-
female
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catherization
Frage 26
Frage
Ascending urinary tract infections are mostly due to:
Antworten
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Trichomonas vaginalis
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E.Coli
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Lactobacillus spp.
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Staphylococcus aureus
Frage 27
Frage
List 3 virulence factors of uropathogenic bacteria…..
Antworten
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Pill adhesion
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motility
-
capsule
Frage 28
Frage
Blood culture is the only specimen examined in urosepsis
Antworten
- True
- False
Frage 29
Frage
Pick correct
Antworten
-
The most cases of UTI in outpatients are due to lactose fermenting Gram-negative rods
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Asymptomatic infection should be treated in pregnancy or in patients with UT abnormalities
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Catherization is a major risk factor for ascending urinary infection in hospital settings
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aspiration c) Gram positive grape-shaped cocci are the cause of catheter- related UTI
Frage 30
Frage
Which drug/s is/are found in therapeutic concentrations in urine:
Antworten
-
macrolides
-
Nitrofuratonin
-
fluooroquinolones
Frage 31
Frage
Main cause of vaginitis is:
Antworten
-
Chlamydia pneumoniae
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Candida albicans
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Staphylococcus epidermis
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Trichomonas vaginalis
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Lactobacillus acidophilus
Frage 32
Frage
Virulence factors of uropathogens
Antworten
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Urease
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Adhesions
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Biofilm
Frage 33
Frage
UTI by P. aeruginosa can be treated with
Antworten
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Amoxicillin
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clauvulanic acid
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ciprofloxacin
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ceftazidin
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levofloxacin
Frage 34
Frage
3 predisposing factors for vaginal candidiasis
Antworten
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HIV
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poor diet (high in sugar)
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poor hygiene
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pregnancy
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antibiotic therapy
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birth control
-
lingerine
Frage 35
Frage
Direct gram stained vaginal smear that contains epithelial cells, single blastospores, single leukocytes, multiple lactobacilli the following characteristic most likely indicate
Antworten
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candidiasis
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bacterial vaginosis
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physiology
-
significant bacteruria
Frage 36
Frage
Examination of direct gram-stained smear is an essential element in diagnostics of
Antworten
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vaginal candidiasis
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asymptomatic bacteruria
-
bacterial vaginosis
Frage 37
Frage
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:
Antworten
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asymptomatic bacteriuria
-
sample contamination
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chronic UTI
-
significant bacteriuria
-
none of the mentionend
Frage 38
Frage
Choose drug\s that may be used to treat complicated UTI caused by K.pneumonia NDM(+) New Dehli Metalobetalactamase
Antworten
-
meroponem
-
cotrimoxazole
-
imipenem
Frage 39
Frage
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.
Antworten
- True
- False
Frage 40
Frage
Choose antibiotic used in empiric therapy of uncomplicated UTI caused by enterobacter cloacae
Antworten
-
piperacillin tazobactam
-
meropenem
-
amoxicillin
Frage 41
Frage
Antimicrobial host factors present in urine
Antworten
-
Urea
-
osmolarity
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acidic pH
-
Ammonium
Frage 42
Frage
Lactobacilli
Antworten
-
are gram negative rods
-
maintain the microbial balance of vagina
-
are non spore forming gram positive rods
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are usually multi resistant to antibiotics
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