Leon Schwarze
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Old Questions + Entry from 2023/24

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Leon Schwarze
Created by Leon Schwarze 3 months ago
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UTI

Question 1 of 42

1

Choose True Statement(s)

Select one or more of the following:

  • Uropathogenic E.Coli produces adhesive fimbriae

  • Significant Bacteria does not refer to bacteria in Urine sample collexted via suprapubic aspiration

  • Gram positive spore-forming rods are the most common cause of hospital aquired UTI

  • Most bacteria can cause bacteria to grow easily in 24h

Explanation

Question 2 of 42

1

Choose antibiotics used in therapy of uncomplicated enterococcus

Select one or more of the following:

  • nitrofurantoin

  • erythromycin

  • cephalexin

Explanation

Question 3 of 42

1

Choose antibiotics used in therapy of uncomplicated enterobacteriacea

Select one or more of the following:

  • nitrofurantoin

  • erythromcin

  • cephalexin

  • Ciprofloxacin (Quinolones)

  • Cotrimoxazole

Explanation

Question 4 of 42

1

How should the urine be kept/taken

Select one or more of the following:

  • a) Urine sample should be kept in sterile contain

  • b) urine should be kept in fridge 2-4 days

  • c) it should always be centrigugated

  • d) may be kept in fridge for up to 24 hours

  • Mid Stream for bladder urine - cystitis

Explanation

Question 5 of 42

1

Which drugs are found in urine in therapeutic conditions

Select one or more of the following:

  • ciprofloxacin

  • nitrofurantoin

  • fluoroquinolones

  • sulfonomide trimethoprim

  • amoxicillin

Explanation

Question 6 of 42

1

Choose Correct

Select one or more of the following:

  • Adhesin are the reason for ascending of UTI

  • SignifIcant bacteriuria refer to bacteria in urine sample collected via suprapubic aspiration.

  • Gram negative bacteria are the most common cause of hospital acquired UTI

Explanation

Question 7 of 42

1

Why should we take the sample in the early morning? -
the bacteria concentration is highest in the morning

Select one of the following:

  • True
  • False

Explanation

Question 8 of 42

1

Explain asymptomatic UTI

Select one or more of the following:

  • without pain

  • without fever

  • without leucocyturia

  • luecocyturia with > 5 leucocytes in visual field or > 10 / µl

Explanation

Question 9 of 42

1

On an examination you find clue cells, vagina with fishy odour. This is most likely:

Select one or more of the following:

  • Physiological

  • Candidiasis

  • Bacterial vaginosis due to gardnerella vaginallis

  • Bacteriemia

  • None of the mentionend

Explanation

Question 10 of 42

1

Choose the agent responsible for stone formation in UTI

Select one or more of the following:

  • Klebsiella pneumonia

  • Proteus Mirabilis

  • E. Coli

  • Pseudomonas aeruhinosa

  • Candida Albicans

Explanation

Question 11 of 42

1

Drugs used for pseudomonas aeruginosa Treatment

Select one or more of the following:

  • Cefepime - ß-lactam

  • ciprofloxacin - Fluoroquinolone

  • levofloxacin - Fluoroquinolone

  • chloramphenicol

  • amoxicillin

Explanation

Question 12 of 42

1

Mention two antibiotics with therapeutic value in urine:

Select one or more of the following:

  • Amoxicillin

  • Nitrofurantoin

  • sulfamethoxazole

  • cephalosporins

  • sulfonomides

Explanation

Question 13 of 42

1

Mention examples of complicated UTI

Select one or more of the following:

  • Congenital abnormalities

  • pregnancy

  • stones

  • neurogenic bladder

Explanation

Question 14 of 42

1

Presence of one type of bacteria in 10^5 indicates

Select one or more of the following:

  • Significant bacteriuria

  • leucocyturia

Explanation

Question 15 of 42

1

Presence of one type of microorganism in 10^2 CFU/ml indicates in urine sample collected from catheterization

Select one or more of the following:

  • significant bacteruria

  • asymptomatic bacteriuria

Explanation

Question 16 of 42

1

Pick the correct statement(s)

Select one or more of the following:

  • co-existing LEUKOCITURIA AND ASYMTOMATIC BACTERIURIA (AB) – no indication for antibiotic treatment

  • ASYMTOMATIC BACTERIURIA – requires treatment only in case of pregnancy - risk of developing UTI in IIIrd trimester, pre-term labour
    small for gestational age)

  • Antibiotic treatment is recommended in older diabetic patients

Explanation

Question 17 of 42

1

Thick, white vaginal exudate discharge is typical for

Select one or more of the following:

  • C. Albicans

  • Gardnerella Trachomatis

  • Trichomonas Vaginalis

Explanation

Question 18 of 42

1

Leukocyturia with bacteriuria is common for

Select one or more of the following:

  • Tuberculosis

  • Atypical Infection

  • E.Coli

Explanation

Question 19 of 42

1

Leukocyturia without bacteriuria is common for:

Select one or more of the following:

  • Tuberculosis

  • Atypical Infection

  • E.Coli

Explanation

Question 20 of 42

1

Define the term bacteriuria without leukocyturia:
in the urine, asymptomatic
May it indicate contamination?

Drag and drop to complete the text.

    Yes
    No
    No leukocytes
    Many leukocytes

Explanation

Question 21 of 42

1

In UTI caused by E. coli KPC (+) the following antibiotics may be administered

Select one or more of the following:

  • Amoxicillin

  • Ciprofloxacin

  • Cefepime

  • Trimethropin

  • Meroponem

Explanation

Question 22 of 42

1

Causative agent of hospital-acquired infection?

Select one or more of the following:

  • E. Coli with 30-50%

  • Proteus Mirabillis

  • Candida alicans

  • Serratia marcescens

  • Klebsilla pneumoniae

Explanation

Question 23 of 42

1

Nitrofurantoin

Select one or more of the following:

  • Peptidoglycan synthesis inhibitor

  • Drug of choice in UTI by E. Coli

  • Drug against UTI by Proteus mirabilis

  • Higher concentration in urine than serum

Explanation

Question 24 of 42

1

A 35 year old woman outpatient presents acute urinary frequency and dysuria. Urine analysis shows pyuria and urine culture. Lactose fermenting Gram negatvie rods in titer 10^5. What is the most probable cause of the infection and what is the most beneficial treatment.

Select one or more of the following:

  • E. Coli

  • Fluoroquinolones

  • nitrofurantoin

  • Meroponem

  • K. Pneumonie

Explanation

Question 25 of 42

1

3 predisposing factors for UTI

Select one or more of the following:

  • sexual intercourse

  • female

  • catherization

Explanation

Question 26 of 42

1

Ascending urinary tract infections are mostly due to:

Select one or more of the following:

  • Trichomonas vaginalis

  • E.Coli

  • Lactobacillus spp.

  • Staphylococcus aureus

Explanation

Question 27 of 42

1

List 3 virulence factors of uropathogenic bacteria…..

Select one or more of the following:

  • Pill adhesion

  • motility

  • capsule

Explanation

Question 28 of 42

1

Blood culture is the only specimen examined in urosepsis

Select one of the following:

  • True
  • False

Explanation

Question 29 of 42

1

Pick correct

Select one or more of the following:

  • The most cases of UTI in outpatients are due to lactose fermenting Gram-negative rods

  • Asymptomatic infection should be treated in pregnancy or in patients with UT abnormalities

  • Catherization is a major risk factor for ascending urinary infection in hospital settings

  • aspiration c) Gram positive grape-shaped cocci are the cause of catheter- related UTI

Explanation

Question 30 of 42

1

Which drug/s is/are found in therapeutic concentrations in urine:

Select one or more of the following:

  • macrolides

  • Nitrofuratonin

  • fluooroquinolones

Explanation

Question 31 of 42

1

Main cause of vaginitis is:

Select one or more of the following:

  • Chlamydia pneumoniae

  • Candida albicans

  • Staphylococcus epidermis

  • Trichomonas vaginalis

  • Lactobacillus acidophilus

Explanation

Question 32 of 42

1

Virulence factors of uropathogens

Select one or more of the following:

  • Urease

  • Adhesions

  • Biofilm

Explanation

Question 33 of 42

1

UTI by P. aeruginosa can be treated with

Select one or more of the following:

  • Amoxicillin

  • clauvulanic acid

  • ciprofloxacin

  • ceftazidin

  • levofloxacin

Explanation

Question 34 of 42

1

3 predisposing factors for vaginal candidiasis

Select one or more of the following:

  • HIV

  • poor diet (high in sugar)

  • poor hygiene

  • pregnancy

  • antibiotic therapy

  • birth control

  • lingerine

Explanation

Question 35 of 42

1

Direct gram stained vaginal smear that contains epithelial cells, single blastospores, single leukocytes, multiple lactobacilli the following characteristic most likely indicate

Select one or more of the following:

  • candidiasis

  • bacterial vaginosis

  • physiology

  • significant bacteruria

Explanation

Question 36 of 42

1

Examination of direct gram-stained smear is an essential element in diagnostics of

Select one or more of the following:

  • vaginal candidiasis

  • asymptomatic bacteruria

  • bacterial vaginosis

Explanation

Question 37 of 42

1

The presence of S.epidermidis, enterococcus sp. and Lactobacillus sp. in the outpatient’s urine in titer of 10^4 of each is most likely:

Select one of the following:

  • asymptomatic bacteriuria

  • sample contamination

  • chronic UTI

  • significant bacteriuria

  • none of the mentionend

Explanation

Question 38 of 42

1

Choose drug\s that may be used to treat complicated UTI caused by K.pneumonia NDM(+) New Dehli Metalobetalactamase

Select one or more of the following:

  • meroponem

  • cotrimoxazole

  • imipenem

Explanation

Question 39 of 42

1

Why the urine sample refrigerated before examination?

To prevent bacterial overgrowth. Refrigeration slows down the growth of bacteria in
the urine, preserving the sample for accurate analysis.

Select one of the following:

  • True
  • False

Explanation

Question 40 of 42

1

Choose antibiotic used in empiric therapy of uncomplicated UTI caused by enterobacter cloacae

Select one or more of the following:

  • piperacillin tazobactam

  • meropenem

  • amoxicillin

Explanation

Question 41 of 42

1

Antimicrobial host factors present in urine

Select one or more of the following:

  • Urea

  • osmolarity

  • acidic pH

  • Ammonium

Explanation

Question 42 of 42

1

Lactobacilli

Select one or more of the following:

  • are gram negative rods

  • maintain the microbial balance of vagina

  • are non spore forming gram positive rods

  • are usually multi resistant to antibiotics

Explanation

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