UTI

Descrição

Old Questions + Entry from 2023/24
Leon Schwarze
Quiz por Leon Schwarze, atualizado 8 meses atrás
Leon Schwarze
Criado por Leon Schwarze 8 meses atrás
29
0

Resumo de Recurso

Questão 1

Questão
Choose True Statement(s)
Responda
  • 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

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
  • 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

Questão 5

Questão
Which drugs are found in urine in therapeutic conditions
Responda
  • ciprofloxacin
  • nitrofurantoin
  • fluoroquinolones
  • 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
  • without leucocyturia
  • 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
  • Bacteriemia
  • None of the mentionend

Questão 10

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

Questão 11

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

Questão 12

Questão
Mention two antibiotics with therapeutic value in urine:
Responda
  • Amoxicillin
  • Nitrofurantoin
  • sulfamethoxazole
  • cephalosporins
  • sulfonomides

Questão 13

Questão
Mention examples of complicated UTI
Responda
  • Congenital abnormalities
  • pregnancy
  • stones
  • 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
  • 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

Questão 17

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

Questão 18

Questão
Leukocyturia with bacteriuria is common for
Responda
  • Tuberculosis
  • Atypical Infection
  • 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
  • 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
  • Cefepime
  • Trimethropin
  • Meroponem

Questão 22

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

Questão 23

Questão
Nitrofurantoin
Responda
  • Peptidoglycan synthesis inhibitor
  • Drug of choice in UTI by E. Coli
  • Drug against UTI by Proteus mirabilis
  • 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
  • catherization

Questão 26

Questão
Ascending urinary tract infections are mostly due to:
Responda
  • Trichomonas vaginalis
  • E.Coli
  • Lactobacillus spp.
  • 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
  • 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

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
  • Staphylococcus epidermis
  • 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
  • pregnancy
  • antibiotic therapy
  • 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
  • are usually multi resistant to antibiotics

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