Questão 1
Questão
How many women have a recurrent UTi at some point in their life
Questão 2
Questão
Urinary tract is in women the most common site of what kind of infection
Responda
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bacterial
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parasitic
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fungal
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viral
Questão 3
Questão
UTIs are a significant cause of mortility
Questão 4
Questão
Majority of UTIs are
Responda
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acute
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short lived
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chronic
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fatal
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asymptomatic
Questão 5
Questão
What is the usual route of bacterial infection in UTIs?
Responda
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minor calyx - major calyx - ureter
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urethra - bladder
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urethra - ureter - bladder
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isthmus of utherus - fundus of utherus - bladder
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bladder - kidneys
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utherus - bladder - kidneys
Questão 6
Questão
Septicaemia occurs when
Responda
-
There is a low concentraion of bacteria in the blood
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Bacteria from the urinary tract invade bloodstream
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The blood is sterile
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Bacteria infect the kidneys, resulting in an inflammation
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There is bacterial infection, in any organ of the body
Questão 7
Questão
Pylonephritis occuring without bladder infection is
Questão 8
Questão
Nosocomial is another word for community acquired infection
Questão 9
Questão
Enterobacteriacaea
Responda
-
are gram negative bacteria
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are gram positive bacteria
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include E. coli
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include Staph aureus
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most common cause of UTIs
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common in hospital acquired UTIs, but not so in community acquired
Questão 10
Questão
Hospital acquired UTIs are commonly a result of
Responda
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Pseudomonas aeruginosa
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Klebsiella
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Enterobacter
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Citrobacter
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Pseudomonas putida
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Proteus
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Salmonella typhi
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Corynebacterium
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Streptococcus
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Yersenia pestis
Questão 11
Questão
Amongst gram positive bacteria causing UTIs belong
Questão 12
Questão
Most common gram positive bacteria in UTIs is
Questão 13
Questão
Immunodeficient patients (unlike other patients) with UTI are often found to be infected with
Responda
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Enterococcus
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Staphylococcus epidermis
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Salmonella typhi
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Klebssiella
Questão 14
Questão
Common bacteria causing UTI by heamatogenous spread are
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]
Questão 16
Questão
Select a correct statement about community acquired UTI:
Responda
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80% of cases are caused by E. coli
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40% of cases are caused by E. coli
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most commonly caused as a cosequence of catheter insertion
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60% is caused by gram negative bacteria
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60% is caused by gram positive bacteria
Questão 17
Questão
What are the symptoms of UTI?
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
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Pyuria
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Bacteriuria
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Septicaemia
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Haematuria
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Haemolysis
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Biliverdinea
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Dysuria
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Anuria
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Pyelonephritis
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Glomerulonephritis
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bacteraemia
Questão 19
Questão
Which of the following are symptoms pf pyelonephritis
Responda
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symptoms of lower UTIs
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back pain
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easy bruising
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keratitis
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malnutrition
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fever
Questão 20
Questão
Which of the following statements about pyelonephritis are correct
Responda
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it is often caused by staphylococci
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if recurrent can cause severe kidney damage
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if recurrent can cause irreversible bladder damage
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it is infection of the bladder
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renal abscesses are usually absent
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it is also called upper urinary tract infection
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is more severe than lower UTI
Questão 21
Questão
Who is at risk of aymptomatic UTI
Questão 22
Questão
Asymptomatic UTI can only be detected by laboratory screenings
Questão 23
Questão
Bacteriuria can proceed into bacteraemia
Questão 24
Questão
At what bacterial concentraion is bacteriuria considered significant
Responda
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>10^5 organisms/mL
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<10^5 organisms/mL
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>10^9 organisms/mL
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>10^4 organisms/mL
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<10^4 organisms/mL
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10^6 - 10^9 organisms/mL
Questão 25
Questão
How can infection be distinguished from contamination?
Responda
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by quantative culture methods
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by modern PCR
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good specimens will always contain periurethral flora
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infected urine usually contains only one species
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threshold for contaminated specimen is >5 species
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contaminated specimen would contain <10^4 organisms/mL
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infected specimen wowuld contain >10^3 organisms/mL
Questão 26
Questão
Urinary tract is normally sterile
Questão 27
Questão
Low bacterial counts are always insignificant
Questão 28
Questão
How can urine samples be collected?
Responda
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Suprapubic aspiration
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Nephrostomy tubes
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Nasopharyngeal aspirates
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Excision
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First stream urine
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Midstream urine
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Lumbar puncture
Questão 29
Questão
Presence if WBC in urine is
Questão 30
Questão
Sterile pyuria could indicate
Responda
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antibiotic therapy
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nothing, it´s not possible
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infection by organisms not detectable by conventional techniques (e.g. Mycobacterium tuberculosis, Chlamydia, Gonorrhoea)
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infection by organisms not detectable by conventional techniques (e.g. Staphylococcus saprophyticus, Salmonella typhi, E. coli)
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diseases not caused by bacteria (e.g. renal canaliculli, neoplasms)
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viral UTI
Questão 31
Questão
Culture is performed
Questão 32
Questão
Which of the following statements about agar cultures are correct:
Responda
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mixed growth is indicative of contamination
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bacteria can be identified by the colour which is a result of sugar fermentation
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bacteria are idedntified by the time they take to grow to 1mm thickness
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bacteria can be identified by the colour which is a result of toxin release
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sensitivity plates are set up after culture is performed
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culture plates are usually completed within 24 hours
Questão 33
Questão
What is the routine treatment for UTI?
Responda
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Amoxicillin; if patients are allergic to penicillin
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Amoxicillin
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Ciprofloxacin; if patients are allergic to penicillin
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Ciprofloxacin
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Oritavancin
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Oritavancin combined with Vancomycin
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Cefoxitin; if patients are allergic to penicilin
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Cefoxitin
Questão 34
Questão
Which statements about microorganisms causing UTIs are correct
Responda
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viruses cause significant UTIs
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E. coli is the predominant pathogen
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they are usually of endogenous origin
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community acquired UTIs are commonly caused by multiple-resistant gram negative bacteria
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they cause an UTI via blood
Questão 35
Questão
Which statements about tretment of UTIs are correct
Responda
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oral antibiotcs are not effective for lower UTI
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lower UTIs are usually short lived
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upper UTIs are usually short lived
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upper UTIs often require systemic administration of drugs
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antibiotics must be administred intramuscularly