Renegade
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Topics: 18
Posts: 171
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Your pt is having a pyelonephritis and proper tx has been given. After 3 days, the pt states he/she feels better. Which of the following should definately make you suspect of something else besides pyelonephritis?
1-Persistent hematuria
2-Persistent bacteriuria
3-Persistent pyuria
4-Persistent fever (>101º)
5-Any of the above
You do become suspicious that there is more to it... Which of the following might be the cause?
1-Mycobacteria infection
2-Kidney Tumor
3-Calculi
4-Lymphoma
5-Any of the above
Female complains of of acute dysuria, frequency and cloudy urine. What are the chances she will present insignificant or no bacterial growth in urine culture?
1-5%
2-10%
3-20%
4-30%
5-None of the above
Which of the following does not suggest E. coli UTI?
1-Gross hematuria
2-Abrupt onset of illness
3-> 7 days of symptons
4-Suprapubic pain
5-None of the above
Which of the following can cause Sterile Pyuria?
1-Anatomic abnormality
2-U. urealyticum
3-APKD
4-Nephrocalcinosis
5-All of the above
Which of these male pts should have urological evaluation in context of cystitis?
1-One with AIDS
2-Circumcised one
3-More than 3 partners in last 6 months
4-All of the above
5-None of the above
Which is not cause of susceptibility to papillary necrosis?
1-Alcohol
2-Type 2 Diabetes
3-Urinary tract obstuction
4-Sickle-cell disease
5-P blood group
Male diabetic pt with CRD compains of sudden onset of suprapubic pain and fever. His BP is 143/89. His ionogram is normal, despite raised inflamatory parameters. Urine shows pyuria, pneumaturia and glucosuria. Best next step?
1-Empirically initiate 7-day outpatient tx with imipenem
2-Request ultrasound of upper urinary tract
3-Monitor condition while wait for results of urine culture
4-Request plain abdomen X-ray
5-None of the above
On a completely unrelated sidenote... One must keep up to date with the latest evidence-based results... http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=...
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«The desire to take medicine is perhaps the greatest feature which distinguishes man from animals.» W. Osler
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