39323261
Descripción
Test por Leon Schwarze, actualizado hace 8 meses
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Creado por Leon Schwarze
hace 8 meses
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Pregunta 1
Pregunta
Choose True Statement(s)
Respuesta
-
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
Pregunta 2
Pregunta
Choose antibiotics used in therapy of uncomplicated enterococcus
Respuesta
-
nitrofurantoin
-
erythromycin
-
cephalexin
Pregunta 3
Pregunta
Choose antibiotics used in therapy of uncomplicated enterobacteriacea
Respuesta
-
nitrofurantoin
-
erythromcin
-
cephalexin
-
Ciprofloxacin (Quinolones)
-
Cotrimoxazole
Pregunta 4
Pregunta
How should the urine be kept/taken
Respuesta
-
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
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d) may be kept in fridge for up to 24 hours
-
Mid Stream for bladder urine - cystitis
Pregunta 5
Pregunta
Which drugs are found in urine in therapeutic conditions
Respuesta
-
ciprofloxacin
-
nitrofurantoin
-
fluoroquinolones
-
sulfonomide trimethoprim
-
amoxicillin
Pregunta 6
Pregunta
Choose Correct
Respuesta
-
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
Pregunta 7
Pregunta
Why should we take the sample in the early morning? -
the bacteria concentration is highest in the morning
Respuesta
- True
- False
Pregunta 8
Pregunta
Explain asymptomatic UTI
Respuesta
-
without pain
-
without fever
-
without leucocyturia
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luecocyturia with > 5 leucocytes in visual field or > 10 / µl
Pregunta 9
Pregunta
On an examination you find clue cells, vagina with fishy odour. This is most likely:
Respuesta
-
Physiological
-
Candidiasis
-
Bacterial vaginosis due to gardnerella vaginallis
-
Bacteriemia
-
None of the mentionend
Pregunta 10
Pregunta
Choose the agent responsible for stone formation in UTI
Respuesta
-
Klebsiella pneumonia
-
Proteus Mirabilis
-
E. Coli
-
Pseudomonas aeruhinosa
-
Candida Albicans
Pregunta 11
Pregunta
Drugs used for pseudomonas aeruginosa Treatment
Respuesta
-
Cefepime - ß-lactam
-
ciprofloxacin - Fluoroquinolone
-
levofloxacin - Fluoroquinolone
-
chloramphenicol
-
amoxicillin
Pregunta 12
Pregunta
Mention two antibiotics with therapeutic value in urine:
Respuesta
-
Amoxicillin
-
Nitrofurantoin
-
sulfamethoxazole
-
cephalosporins
-
sulfonomides
Pregunta 13
Pregunta
Mention examples of complicated UTI
Respuesta
-
Congenital abnormalities
-
pregnancy
-
stones
-
neurogenic bladder
Pregunta 14
Pregunta
Presence of one type of bacteria in 10^5 indicates
Respuesta
-
Significant bacteriuria
-
leucocyturia
Pregunta 15
Pregunta
Presence of one type of microorganism in 10^2 CFU/ml indicates in urine sample collected from catheterization
Respuesta
-
significant bacteruria
-
asymptomatic bacteriuria
Pregunta 16
Pregunta
Pick the correct statement(s)
Respuesta
-
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
Pregunta 17
Pregunta
Thick, white vaginal exudate discharge is typical for
Respuesta
-
C. Albicans
-
Gardnerella Trachomatis
-
Trichomonas Vaginalis
Pregunta 18
Pregunta
Leukocyturia with bacteriuria is common for
Respuesta
-
Tuberculosis
-
Atypical Infection
-
E.Coli
Pregunta 19
Pregunta
Leukocyturia without bacteriuria is common for:
Respuesta
-
Tuberculosis
-
Atypical Infection
-
E.Coli
Pregunta 20
Pregunta
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]
Respuesta
-
Yes
-
No
-
No leukocytes
-
Many leukocytes
Pregunta 21
Pregunta
In UTI caused by E. coli KPC (+) the following antibiotics may be administered
Respuesta
-
Amoxicillin
-
Ciprofloxacin
-
Cefepime
-
Trimethropin
-
Meroponem
Pregunta 22
Pregunta
Causative agent of hospital-acquired infection?
Respuesta
-
E. Coli with 30-50%
-
Proteus Mirabillis
-
Candida alicans
-
Serratia marcescens
-
Klebsilla pneumoniae
Pregunta 23
Pregunta
Nitrofurantoin
Respuesta
-
Peptidoglycan synthesis inhibitor
-
Drug of choice in UTI by E. Coli
-
Drug against UTI by Proteus mirabilis
-
Higher concentration in urine than serum
Pregunta 24
Pregunta
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.
Respuesta
-
E. Coli
-
Fluoroquinolones
-
nitrofurantoin
-
Meroponem
-
K. Pneumonie
Pregunta 25
Pregunta
3 predisposing factors for UTI
Respuesta
-
sexual intercourse
-
female
-
catherization
Pregunta 26
Pregunta
Ascending urinary tract infections are mostly due to:
Respuesta
-
Trichomonas vaginalis
-
E.Coli
-
Lactobacillus spp.
-
Staphylococcus aureus
Pregunta 27
Pregunta
List 3 virulence factors of uropathogenic bacteria…..
Respuesta
-
Pill adhesion
-
motility
-
capsule
Pregunta 28
Pregunta
Blood culture is the only specimen examined in urosepsis
Respuesta
- True
- False
Pregunta 29
Pregunta
Pick correct
Respuesta
-
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
Pregunta 30
Pregunta
Which drug/s is/are found in therapeutic concentrations in urine:
Respuesta
-
macrolides
-
Nitrofuratonin
-
fluooroquinolones
Pregunta 31
Pregunta
Main cause of vaginitis is:
Respuesta
-
Chlamydia pneumoniae
-
Candida albicans
-
Staphylococcus epidermis
-
Trichomonas vaginalis
-
Lactobacillus acidophilus
Pregunta 32
Pregunta
Virulence factors of uropathogens
Respuesta
-
Urease
-
Adhesions
-
Biofilm
Pregunta 33
Pregunta
UTI by P. aeruginosa can be treated with
Respuesta
-
Amoxicillin
-
clauvulanic acid
-
ciprofloxacin
-
ceftazidin
-
levofloxacin
Pregunta 34
Pregunta
3 predisposing factors for vaginal candidiasis
Respuesta
-
HIV
-
poor diet (high in sugar)
-
poor hygiene
-
pregnancy
-
antibiotic therapy
-
birth control
-
lingerine
Pregunta 35
Pregunta
Direct gram stained vaginal smear that contains epithelial cells, single blastospores, single leukocytes, multiple lactobacilli the following characteristic most likely indicate
Respuesta
-
candidiasis
-
bacterial vaginosis
-
physiology
-
significant bacteruria
Pregunta 36
Pregunta
Examination of direct gram-stained smear is an essential element in diagnostics of
Respuesta
-
vaginal candidiasis
-
asymptomatic bacteruria
-
bacterial vaginosis
Pregunta 37
Pregunta
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:
Respuesta
-
asymptomatic bacteriuria
-
sample contamination
-
chronic UTI
-
significant bacteriuria
-
none of the mentionend
Pregunta 38
Pregunta
Choose drug\s that may be used to treat complicated UTI caused by K.pneumonia NDM(+) New Dehli Metalobetalactamase
Respuesta
-
meroponem
-
cotrimoxazole
-
imipenem
Pregunta 39
Pregunta
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.
Respuesta
- True
- False
Pregunta 40
Pregunta
Choose antibiotic used in empiric therapy of uncomplicated UTI caused by enterobacter cloacae
Respuesta
-
piperacillin tazobactam
-
meropenem
-
amoxicillin
Pregunta 41
Pregunta
Antimicrobial host factors present in urine
Respuesta
-
Urea
-
osmolarity
-
acidic pH
-
Ammonium
Pregunta 42
Pregunta
Lactobacilli
Respuesta
-
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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