c. 3+ protein -ANS_ a 44 y/o female presents with pyelonephritis. The report of her urinalysis is
least likely to include:
a. WBC casts
b. positive nitrites
c. 3+ protein
d. rare RBCs
ciprofloxacin -ANS_ an example of a first line of therapeutic agent for the tx of pyelonephritis is
one week -ANS_ with fluoroquinolone use, length of antimicrobial therapy during
uncomplicated pyelonephritis is typically:
constipation -ANS_ in children and elderly, what can contribute to bladder instability and
increase the risk of a UTI?
d. S. saprophyticus -ANS_ which of the following is NOT a gram negative organism?
a. E. coli
b. K. pneumoniae
c. P. mirabilis
d. S. saprophyticus
c. ciprofloxacin -ANS_ you see a 70 y/o female in a walk-in clinic with a cc of increased urinary
frequency and dysuria. Urinalysis reveals pyuria and positive nitrites. She mentions she has a
"bit of kidney trouble, not too bad". Recent eval of renal status is unavailable. In considering
antimicrobial therapy for this patient, you prescribe:
a. nitrofurantoin (macrobid)
b. fosfomycin (Monorul)
c. ciprofloxacin (fluoroquinolone)
d. doxycycline (tetracycline)
b. low eprivaginal lactobacilli colonization -ANS_ risk factors for UTI in women include:
a. postvoid wiping back to front
b. low perivaginal lactobacilli colonization
c. hot tub use
d. wearing snug-fitting pantyhose
d. postcoital voiding -ANS_ all of the following can negatively impact perivaginal lactobacilli
colonization, except:
a. recent antimicrobial use
b. exposure to the spermicide nonoxynol-9
c. estrogen deficiency
d. postcoital voiding
average -ANS_ urine pH of 5-6
acidic -ANS_ urine pH of 4.5 to 5.5
