UrizoneCPD

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1. Which of the conditions below is NOT classified as an uncomplicated UTI (urinary tract infection)?

a. Acute cystitis in a healthy, non-pregnant woman

b. Acute cystitis in a pregnant woman

c. Recurrent cystitis in healthy, pre-menopausal woman with no comorbidities.

d. Acute pyelonephritis in a healthy, non-pregnant woman with no anatomical urinary tract abnormalities.

e. None of the above.

2. Select the correct option below: When distinguishing cystitis from pyelonephritis, which of the two conditions is more likely to be associated with flank pain, and nausea and vomiting?

a. Cystitis

b. Pyelonephritis

3. True or false? Tests for bacteriuria or pyuria do not establish the diagnosis of a urinary tract infection.

a. True

b. False

4. In which of the following patient groups would bacteriuria ALONE be an indication for antibiotic treatment?

a. Diabetes

b. Spinal cord injury

c. Solid organ transplant patient

d. Postmenopausal women

e. None of the above

5. Which of the following is NOT an indication to submit a urine MC &S?

a. Asymptomatic bacteriuria

b. Suspected acute pyelonephritis

c. Symptoms do not resolve, or recur within 4 weeks of completion of treatment

d. Women who present with atypical symptoms

e. Pregnant women

6. Which of the following two statements regarding the use of βB-lactams in the treatment of uncomplicated urinary tract infection is CORRECT?

a. B-lactams should be considered as empiric first-line therapy in all cases of uncomplicated UTI, as they more efficacious and have fewer side-effects than nitrofurantoin, fosfomycin, and co-trimoxazole.

b. Penicillins and cephalosporins are only considered first-line therapy in treatment of uncomplicated UTI in patients with renal insufficiency.

7. Which of the following statements regarding fosfomycin are correct?

a. There is very little cross-resistance between fosfomycin and other antibiotics used to treat UTIs

b. Fosfomycin is bactericidal

c. Fosfomycin reached peak urine concentrations after 4 hours

d. Fosfomycin levels in urine and the bladder wall are maintained at >128 mg/L for at least 36 to 48 hours

e. All of the above

8. True or false: Recommended treatment of a UTI in pregnant women include single dose fosfomycin

a. True

b. False

9. Choose the correct option: 50% of adult men with recurrent UTI, and 90% of men with febrile UTI have prostate infection/epididymitis.

a. Prostate

b. Epididymitis

10. Which of the following statements regarding recurrent uncomplicated UTI is INCORRECT?

a. Recurrent UTI can be due to reinfection or bacterial persistence

b. 1 in 3 women will present with at least one UTI by the age of 24 years

c. Recurrent uncomplicated UTIs only recur once, never more than once

d. 27% of recurrent uncomplicated UTIs will recur once

e. Diabetic or immunocompromised patients with recurrent uncomplicated UTI should be further investigated