Medical Microbiology-UTIs

Descrição

undergraduate second year Biomedical science 2nd year (Medical Microbiology) Quiz sobre Medical Microbiology-UTIs, criado por Idont Evencare em 14-04-2017.
Idont Evencare
Quiz por Idont Evencare, atualizado more than 1 year ago
Idont Evencare
Criado por Idont Evencare mais de 7 anos atrás
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Resumo de Recurso

Questão 1

Questão
How many women have a recurrent UTi at some point in their life
Responda
  • 20-30%
  • 10%
  • 78%
  • 5%
  • 45-55%

Questão 2

Questão
Urinary tract is in women the most common site of what kind of infection
Responda
  • bacterial
  • parasitic
  • fungal
  • viral

Questão 3

Questão
UTIs are a significant cause of mortility
Responda
  • True
  • False

Questão 4

Questão
Majority of UTIs are
Responda
  • acute
  • short lived
  • chronic
  • fatal
  • asymptomatic

Questão 5

Questão
What is the usual route of bacterial infection in UTIs?
Responda
  • minor calyx - major calyx - ureter
  • urethra - bladder
  • urethra - ureter - bladder
  • isthmus of utherus - fundus of utherus - bladder
  • bladder - kidneys
  • utherus - bladder - kidneys

Questão 6

Questão
Septicaemia occurs when
Responda
  • There is a low concentraion of bacteria in the blood
  • Bacteria from the urinary tract invade bloodstream
  • The blood is sterile
  • Bacteria infect the kidneys, resulting in an inflammation
  • There is bacterial infection, in any organ of the body

Questão 7

Questão
Pylonephritis occuring without bladder infection is
Responda
  • called heamatogenous spread
  • rare
  • not possible
  • common
  • called cystitis

Questão 8

Questão
Nosocomial is another word for community acquired infection
Responda
  • True
  • False

Questão 9

Questão
Enterobacteriacaea
Responda
  • are gram negative bacteria
  • are gram positive bacteria
  • include E. coli
  • include Staph aureus
  • most common cause of UTIs
  • common in hospital acquired UTIs, but not so in community acquired

Questão 10

Questão
Hospital acquired UTIs are commonly a result of
Responda
  • Pseudomonas aeruginosa
  • Klebsiella
  • Enterobacter
  • Citrobacter
  • Pseudomonas putida
  • Proteus
  • Salmonella typhi
  • Corynebacterium
  • Streptococcus
  • Yersenia pestis

Questão 11

Questão
Amongst gram positive bacteria causing UTIs belong
Responda
  • Staphylococcus saprophyticus
  • Enterococcus
  • E. coli
  • Pseudomonas aeruginosa
  • Klebsiella
  • Staphylococcus aureus
  • Staphylococcus epidermis
  • Mycobacterium tuberculosis

Questão 12

Questão
Most common gram positive bacteria in UTIs is
Responda
  • Staphylococcu saprophyticus
  • Staphylococcus epidermis
  • Staphylococcus aureus
  • Enterococcus faecium
  • Staphylococcus auricularis
  • Escherichia coli

Questão 13

Questão
Immunodeficient patients (unlike other patients) with UTI are often found to be infected with
Responda
  • Enterococcus
  • Staphylococcus epidermis
  • Salmonella typhi
  • Klebssiella

Questão 14

Questão
Common bacteria causing UTI by heamatogenous spread are
Responda
  • Staphylococcus epidermis
  • Salmonella typhi
  • Mycobacterium tuberculosis
  • Staphylococcus aureus
  • Staphylococcus saprophyticus
  • Citrobacter

Questão 15

Questão
Select the bacteria you would expect to be present in the following cases: Nosocomal UTI patient with an immunodeficiency: [blank_start]Staphylococcus epidermis[blank_end] UTI acqured by a heamatogenous spread: [blank_start]Staphylococcus aureus[blank_end] Gram positive hospital acquired UTI: [blank_start]Staphylococcus saprophyticus[blank_end] Most common to cause an UTI: [blank_start]E. coli[blank_end]
Responda
  • Staphylococcus aureus
  • Staphylococcus epidermis
  • Staphylococcus saprophyticus
  • E. coli
  • Pseudomonas aeruginosa

Questão 16

Questão
Select a correct statement about community acquired UTI:
Responda
  • 80% of cases are caused by E. coli
  • 40% of cases are caused by E. coli
  • most commonly caused as a cosequence of catheter insertion
  • 60% is caused by gram negative bacteria
  • 60% is caused by gram positive bacteria

Questão 17

Questão
What are the symptoms of UTI?
Responda
  • microturition
  • macrourination
  • dysuria
  • urgency
  • lack of need to pass urine
  • itching
  • angular stomatitis
  • pallor

Questão 18

Questão
Match the correct definitions: [blank_start]Pyuria[blank_end] - Cloudy urine due to the presence of pus cells [blank_start]Bacteriuria[blank_end] - Cloudy urine due to the presenece of bacteria [blank_start]Haematuria[blank_end] - Presence of blood in the urine [blank_start]Dysuria[blank_end] - A burning pain on passing urine [blank_start]Pylonephritis[blank_end] - Infection of the kidney
Responda
  • Pyuria
  • Bacteriuria
  • Septicaemia
  • Haematuria
  • Haemolysis
  • Biliverdinea
  • Dysuria
  • Anuria
  • Pyelonephritis
  • Glomerulonephritis
  • bacteraemia

Questão 19

Questão
Which of the following are symptoms pf pyelonephritis
Responda
  • symptoms of lower UTIs
  • back pain
  • easy bruising
  • keratitis
  • malnutrition
  • fever

Questão 20

Questão
Which of the following statements about pyelonephritis are correct
Responda
  • it is often caused by staphylococci
  • if recurrent can cause severe kidney damage
  • if recurrent can cause irreversible bladder damage
  • it is infection of the bladder
  • renal abscesses are usually absent
  • it is also called upper urinary tract infection
  • is more severe than lower UTI

Questão 21

Questão
Who is at risk of aymptomatic UTI
Responda
  • young adults
  • pregnant women
  • immunodeficient patients
  • diabetic patients
  • patients with Duchenne muscular dystophy
  • children and elderly
  • 30 year old men

Questão 22

Questão
Asymptomatic UTI can only be detected by laboratory screenings
Responda
  • True
  • False

Questão 23

Questão
Bacteriuria can proceed into bacteraemia
Responda
  • True
  • False

Questão 24

Questão
At what bacterial concentraion is bacteriuria considered significant
Responda
  • >10^5 organisms/mL
  • <10^5 organisms/mL
  • >10^9 organisms/mL
  • >10^4 organisms/mL
  • <10^4 organisms/mL
  • 10^6 - 10^9 organisms/mL

Questão 25

Questão
How can infection be distinguished from contamination?
Responda
  • by quantative culture methods
  • by modern PCR
  • good specimens will always contain periurethral flora
  • infected urine usually contains only one species
  • threshold for contaminated specimen is >5 species
  • contaminated specimen would contain <10^4 organisms/mL
  • infected specimen wowuld contain >10^3 organisms/mL

Questão 26

Questão
Urinary tract is normally sterile
Responda
  • True
  • False

Questão 27

Questão
Low bacterial counts are always insignificant
Responda
  • True
  • False

Questão 28

Questão
How can urine samples be collected?
Responda
  • Suprapubic aspiration
  • Nephrostomy tubes
  • Nasopharyngeal aspirates
  • Excision
  • First stream urine
  • Midstream urine
  • Lumbar puncture

Questão 29

Questão
Presence if WBC in urine is
Responda
  • always indicative of UTI
  • abnormal
  • normal
  • an indicative of contamination
  • can form urinary casts
  • indicative of infection if at concentraion >10/mL

Questão 30

Questão
Sterile pyuria could indicate
Responda
  • antibiotic therapy
  • nothing, it´s not possible
  • infection by organisms not detectable by conventional techniques (e.g. Mycobacterium tuberculosis, Chlamydia, Gonorrhoea)
  • infection by organisms not detectable by conventional techniques (e.g. Staphylococcus saprophyticus, Salmonella typhi, E. coli)
  • diseases not caused by bacteria (e.g. renal canaliculli, neoplasms)
  • viral UTI

Questão 31

Questão
Culture is performed
Responda
  • after microscopy
  • prior to microscopy
  • when UTI is suspected
  • to establish whether or not UTI is to be suspected
  • to identify the organism
  • to count the bacteria

Questão 32

Questão
Which of the following statements about agar cultures are correct:
Responda
  • mixed growth is indicative of contamination
  • bacteria can be identified by the colour which is a result of sugar fermentation
  • bacteria are idedntified by the time they take to grow to 1mm thickness
  • bacteria can be identified by the colour which is a result of toxin release
  • sensitivity plates are set up after culture is performed
  • culture plates are usually completed within 24 hours

Questão 33

Questão
What is the routine treatment for UTI?
Responda
  • Amoxicillin; if patients are allergic to penicillin
  • Amoxicillin
  • Ciprofloxacin; if patients are allergic to penicillin
  • Ciprofloxacin
  • Oritavancin
  • Oritavancin combined with Vancomycin
  • Cefoxitin; if patients are allergic to penicilin
  • Cefoxitin

Questão 34

Questão
Which statements about microorganisms causing UTIs are correct
Responda
  • viruses cause significant UTIs
  • E. coli is the predominant pathogen
  • they are usually of endogenous origin
  • community acquired UTIs are commonly caused by multiple-resistant gram negative bacteria
  • they cause an UTI via blood

Questão 35

Questão
Which statements about tretment of UTIs are correct
Responda
  • oral antibiotcs are not effective for lower UTI
  • lower UTIs are usually short lived
  • upper UTIs are usually short lived
  • upper UTIs often require systemic administration of drugs
  • antibiotics must be administred intramuscularly

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