Urinary Tract Infection

Question 1

Which of the following is the definition of bacteriuria?

1 - WBC in urine
2 - sepsis due to UTI
3 - bacteria in the blood
4 - bacteria in the urine

Answer 1

4 - bacteria in the urine

Question 2

Which of the following is the definition of pyuria?

1 - WBC in urine
2 - sepsis due to UTI
3 - bacteria in the blood
4 - bacteria in the urine

Answer 2

1 - WBC in urine

Question 3

Which 2 of the following would be included under the definition of a complicated UTI?

1 - >6 months in duration
2 - UTI with anatomical or functional abnormality
3 - UTI in patient with reduced immunity e.g. diabetes, chemotherapy, immunosuppression
4 - >2 UTIs in 6 months

Answer 3

2 - UTI with anatomical or functional abnormality
3 - UTI in patient with reduced immunity e.g. diabetes, chemotherapy, immunosuppression

Question 4

Which of the following would match the definition of an isolated UTI?

1 - >6 months in duration
2 - UTI with anatomical or functional abnormality
3 - 6 months between infections
4 - >2 UTIs in 6 months

Answer 4

3 - 6 months between infections

Question 5

Which of the following would match the definition of an recurrent UTI?

1 - >6 months in duration
2 - UTI with anatomical or functional abnormality
3 - 6 months between infections
4 - >2 UTIs in 6 months or 3 in 12 months

Answer 5

4 - >2 UTIs in 6 months or 3 in 12 months

Question 6

Which of the following would match the definition of an persistent UTI?

1 - recurrence with the same organisms after treatment
2 - UTI with anatomical or functional abnormality
3 - 6 months between infections
4 - >2 UTIs in 6 months or 3 in 12 months

Answer 6

1 - recurrence with the same organisms after treatment

Question 7

All of the following are symptoms of a UTI, EXCEPT which one?

1 - storage symptoms
2 - voiding symptoms (urine stream issues)
3 - haematuria
4 - dysuria and pain
5 - dyspareunia

Answer 7

5 - dyspareunia
- this is pain during sex

Question 8

In a patient with suspected UTI, which of the following would we expect to be raised?

1 - blood levels
2 - pH
3 - nitrites
4 - protein
5 - leukocytes
6 - glucose
7 - all of the above

Answer 8

7 - all of the above

Question 9

In a patient with a UTI, we may image to rule out renal calculi or transitional cell cancer. What imaging would be 1st choice in this instance?

1 - CT
2 - ultrasound
3 - MRI
4 - X-ray

Answer 9

2 - ultrasound

Question 10

In a patient with a UTI, we may consider giving the patient antibiotics. What other advice should patients with a UTI be given?

1 - high fluid intake
2 - cranberry juice
3 - bladder emptying
4 - avoid bubblebaths
5 - probiotics
6 - all of the above

Answer 10

6 - all of the above
- these can be done by patients to reduce the risk of UTIs

Question 11

The location and type of UTI a patient has affects the antibiotics they are given. Which of the following would typically be 1st line in a patient with urosepsis?

1 - Nitrofurantoin
2 - Gentamicin
3 - Ceftriaxone
4 - Cefalexin

Answer 11

2 - Gentamicin
- this is an aminoglycaside

Question 12

The location and type of UTI a patient has affects the antibiotics they are given. Which of the following would typically be 1st line in a patient with UTI in men, women or recurrent UTI?

1 - Nitrofurantoin
2 - Gentamicin
3 - Ceftriaxone
4 - Cefalexin

Answer 12

1 - Nitrofurantoin

Question 13

The location and type of UTI a patient has affects the antibiotics they are given. Which of the following would typically be 1st line in a patient with acute pyelonephritis or prostatitis?

1 - Nitrofurantoin
2 - Gentamicin
3 - Ceftriaxone
4 - Cefalexin

Answer 13

3 - Ceftriaxone
- this is a Cephalosporins

Question 14

If a patient has a catheter in and they have developed bacteriuria, but they are asymptomatic, should they be prescribed antibiotics?

Answer 14

• no
• should only be prescribed if symptoms of infection or if there is a catheter associated UTI

Question 15

If a patient has developed a urinary catheter infection, which antibiotic is 1st line?

1 - Nitrofurantoin
2 - Gentamicin
3 - Ceftriaxone
4 - Cefalexin

Answer 15

2 - Gentamicin
- should be given 30-60 minutes before removing the catheter