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