题目内容

All of the following statements are correct regarding clinical presentation and management of urinary tract infections EXCEPT, Select one

A. Patients with pyelonephritis may present with fever, chills, nausea, vomiting, and flank pain
B. Asymptomatic bacteriuria in pregnancy can lead to symptomatic UTI, acute cystitis, and pyelonephritis
C. Nitrofurantoin and beta-lactams are safe to use throughout pregnancy for treatment of UTI
D. All male patients that are diagnosed with a UTI would be classified as having a complicated UTI

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A 27 year old female presents with a 2 day history of dysuria and increased urinary frequency she has no lower back pain or fever. Her history indicates that she had 2 previous U TIs which were both successfully treated with trimethoprim sulfamethoxazole (TMP-SMX)160 mg/800 mg po BID x 3 days. Her last UTI was 4 months ago. She is on oral contraceptives and she is sexually active. What is the LEAST likely pathogen responsible for the UTI? Select one

A. Candida albicans
B. Klebsiella pneumoniae
C. Escherichia coli
D. Proteus mirabilis

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Which of the following patients is most likely to have a UTI caused by Candida albicans?Select one:

A 54 year old male with a history of poorly controlled type 2 diabetes
B. A 24 year old female who is sexually active and using spermicides
C. A 30 year old female who is currently 12 weeks pregnant
D. A 75 year old male with an indwelling catheter due to urinary incontinence

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The most common pathogen involved in community-acquired UTIs isSelect one

A. Pseudomonas aeruginosa
B. Escherichia coli
Candida glabrata
D. Staphylococcus saprophyticus

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A 73 year old female is admitted to hospital for a heart failure exacerbation An indwelling urinary catheter is inserted at the time of admission to monitor urine output. Her admission is complicated by non-medical issues related to nursing home placement and inability to cope at home. She has been afebrile and medically stable for the past week. A routine urine culture is collected and the cultures are positive for Enterococcus faecalis after 12 days of admission. She is not experiencing any urinary symptoms. The most appropriate recommendation is: Select one

A. Treat the patient with amoxicillin 500 mg po TID X 7 days
B. Remove the indwelling urinary catheter if possible or change it
C. Treat with amoxicillin/clavulanate 875 mg/125 mg po TID x 7 days
D. Treat with nitrofurantoin 100 mg po BID x 5 days

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