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Kaplan Qbank USMLE



Author10 Posts
  #1

36. An asymptomatic 62-year-old man comes for a
follow-up visit.
One month ago, he had acute cystitis treated with
ciprofloxacin. At his
initial visit, a urine culture grew Klebsiella
pneumoniae. He has a
2-year history of chronic prostatitis and has had four
episodes of
cystitis over the past year. His temperature is 36.9
C (98.4 F).
Examination, including prostate examination, shows no
abnormalities. Which of
the following is the most appropriate measure to
prevent recurrent
episodes of cystitis in this patient?
A
) Trimethoprim-sulfamethoxazole prophylaxis
B ) Insertion of a Foley catheter
C
) Total prostatectomy
D
) Transurethral prostatectomy
E
) No treatment is available


___________________
99/99/cs passed/2007 grad/need visa/no USCE/no USLOR/no research

  #2

Mild cases of acute cystitis may disappear on their own without treatment, but since it is possible to get the risk of the infection spreading to the kidneys or complicated UTI, treatment is usually recommended.

so will go with A ) Trimethoprim-sulfamethoxazole prophylaxis


  #3

never heard of prophylaxis to prevent UTI...so i`m not giving any treatmentgrin...E


___________________
it is our choices that show what we truly are, far more than our abilities!!!!

  #4

E

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drms!dreams+responsibility+motivation=success!

  #5

Yeah I too had gone in for an E


___________________
99/99/cs passed/2007 grad/need visa/no USCE/no USLOR/no research

  #6

sorry to disagree.

patient has cystitis ( irritation of the urethral mucosa )

there is the potential of infection. ( risk )

Prophylaxis means to prevent.

When a patient goes into the OR he/she is given a preventive antibiotics

mmmmm

I will go with TMS treatment.

and by the way TMS is given to patient with AIDS to prevent them from opportunist infections Pneumocitis Carii or relapsing


2Ftemas%2Fcistitis_luna_de_miel.htm&mb=f8a3776edae258818e92c268f79567a1



  #7

105k - 15 sec @ 56k Tuotromedico: Cistitis de la luna de miel [Translate this page]

Se puede tomar un antibiótico como la Nitrofurantoina a dosis bajas o Trimetropin/Sulfametaxozol cada vez que se tengan relaciones sexuales.
www.tuotromedico.com/temas/cistitis_luna_de_miel.htm


  #8

sorry page links does not come up but the information is there on the web,

ok guys see ya later.

  #9

Here is the translation grin
105k - 15 sec @ 56k Tuotromedico: Cystitis of the honeymoon [Translate this page]

It may take an antibiotic such as nitrofurantoin at low doses or Trimethroprin / Sulfametaxozol every time they have sex.
www.tuotromedico.com / topics / cistitis_luna_de_miel.htm

  #10

A) the patient has a chronic prostatitis









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