infections

Question 1

Freq, urgency, nocturia, hesitancy is?

Answer 1

Cystitis - 20s female

E.coli - Nitrofurantoin

Question 2

cystitis diag?

Answer 2

Nitrite positive, Leukocyte esterase positive, >100 CFU

Question 3

Complicated Cystitis requires a?

Answer 3

Culture - TMP-Sulfa (bactrim)

Question 4

UTI + flack pain, CVA, fever, or SIRS is?

Answer 4

Pyelonephritis

Question 5

Pyelonephritis tx?

Answer 5

Ceftriazone 10 days or Cirpo/Moxi, NSAID (opioids), IVF

Question 6

Complications of Pyelonephritis?

Answer 6

Diabetics, Renal Abscess (CT)

Question 7

UTI asymptomatic in preg tx?

Answer 7

Aggressive Abx (ora cephalosporin)

Question 8

Dysuria, pain, dischage, hesitancy is?

Answer 8

urethritis

Question 9

Rash, gun metal grey

Answer 9

urethritis - gonoccocal

Question 10

urethritis tx?

Answer 10

Ceftriaxone and Azythromycin

Question 11

infection, Rule Out Torsion, + phreg, unilate scrotal pain, + cremaster

Answer 11

epididymitis

Question 12

epididymitis diag?

Answer 12

Doppler US (increase blood flow), Cintigraphy

Question 13

epididymitis tx?

Answer 13

Ceft+Dox - Cipro

Bactrim, FQ, Nsaid

Question 14

boggy prostate, pain with defecation, suprapubic pain

Answer 14

acute prostatitis

Question 15

prostatitis diag?

Answer 15

NO DRE, NO FOLEY,

Do a UA

Question 16

prostatitis tx?

Answer 16

Ceft+Dox - Cipro

Bactrim, FQ, Nsaid

Question 17

Mumps (paramyxovirus) causes?

Answer 17

Orchitis

Question 18

Orchitis tx?

Answer 18

MMR (stop infertility)

if bacterial = Epididimytis

Question 19

Lactose negative bacteria in UTI is?

Answer 19

Proteus

Question 20

Lactose Positive bacteria in UTI is?

Answer 20

Ecoli

Question 21

What is the MOA of bactrim?

Answer 21

Dihydrofolate redutase

Question 22

What is the MOA of rifampin?

Answer 22

RNA polymeras inhibitor

Question 23

30s ribosome? 50s ribosome

Answer 23

30= doxy
50= macrolide

Question 24

How does sickle cell affect the kidneys?

Answer 24

Necrosis of the papilla

Question 25

IV drug use, African american, AIDS, HTN. what kind of nephorpathy is it?

Answer 25

Focal segmental glomerular sclerosis.

Question 26

besides sex, UTI are associated with?

Answer 26

Hypoestrogenism

Question 27

Sinus brady + Sine wave+ ESRD + weird electrolyres needs?

Answer 27

IV calcium gluconate

Question 28

right-sided inguinal lymph node, STI. which is it? how do you tx it?

Answer 28

painless ulcer 2 days, LGV (chalydia),DOXY

Question 29

Painless ulcer + beefy red that bleeds with no LAD is?

Answer 29

Granuloma inguinale = donovanosis= safety pin intracellular

Question 30

What antibiotic is safe in pregs for UTI?

Answer 30

Amoxicillin