NRNP 6550 FINAL EXAM WITH COMPLETE SOLUTION.ALREADY PASSED
O O O O O O O
Urine Oculture Owith OUTI OCorrect OAnswer-100.000 Ocolonies Oin Oasymptomatic:
bacteruria O10 O- O10.000 Ocolonies Oin Osymptomatic Opatients Obut Oalso Opyuria
O
pyuria: Omore Othan O10 Oleukocytes
elevated Oerythrocytes Owith Opyelonephritis
O WBC Oin Ourine
false Opositive Owith Otumor, Ourethritis Oand Opoor Ocollection Otechnique
Repeat Oin Opregnant Owomen
Lower Ourinary Otract OUTI Oand Oupper Ourinary Otract OUTI OCorrect OAnswer-bladder Oand Ourethra: Ocystitis/
O urethritis/ Oprostatitis
kidney Oand Oureters: Opyelonephritis/ Orenal Oabcess
Uncomplicated Oand Ocomplicated Outi OCorrect OAnswer-Uncomplicated: Oin Onormal Oworking Ourinary Otract
O Complicated: Odefects Oin Ourinary Otract Oor Owith Oother Ohealth Oproblems
1
,Common Opathogens Ofor OUTI OCorrect OAnswer-E.coli O(elderly Owomen)
Staphylococcus
proteus Omirabilis O(elderly Omen)
Klebsiella
O enterecoccus
O pseudomonas
Providencia O(institutionalized)
O Fungus: Ocandida
Risk Ofactors Ofor OUTI OCorrect OAnswer-
Female Ocritically Oill
elderly
catheter O(caused Oby Obiofilm)
O DM
calculi, Otumor, Ostricture
O neurogenic Obladder
O Women:
sexual Ointercourse Oor Onew Osex Opartner
O pregnancy
2
,previous
UTI OMen:
O
prostate
enlargement
O
O prostatitis
lack Oof Ocircumcision
O gay
HIV
Findings OUTI OCorrect OAnswer-Lower:
O Dysuria/ Ourgency/ Ofrequency/
incontinence Osuprapubic Opain
O
hematuria
fever/ Ochills Ouncommon
O No Oflank Opain
Upper:
O flank
pain
O
fever Oand Ochills
O hematuria
3
, n/v
ams O(in Oelderly)
O malaise
tachycardia/ Otachypnea
Testing Oand Oresults Ofor OUTI OCorrect OAnswer-Gold Ostandard: Ourine Oculture Oand Osensitivity: Odetection
of Obacteria. OStart Owith OPOC: Ourine Oanalysis.
O
UA: Opos Ofor Onitrite Oor Oleukocyte Oor Oblood
CBC: Oleukocyte Owith Oleft Oshift Oin Opyelonephritis
For Orecurrent OUTI Oin Owomen Oor OUTI Oin Omen Orule Oout Oobstruction, Ocalculi, Oor Onecrosis
with: Oxr Ovoiding
O
CT
abdomen
O
O US Opelvis
O MRI Opelvis
Management Oacute Ocystitis OCorrect OAnswer-First Oline:
- Single Odose OFosfomycin O(monurol)
- 3 Oday: Osulfa: Otrimethoprim/ Osulfa O(bactrim) O(do Onot Ogive Onear Odelivery Oof Obaby, Ogive Ocephalexin
instead) Oor Osulfa
O
- 5 Odays: Onitrofurantoin, Ocaution Oin Oelderly
4
O O O O O O O
Urine Oculture Owith OUTI OCorrect OAnswer-100.000 Ocolonies Oin Oasymptomatic:
bacteruria O10 O- O10.000 Ocolonies Oin Osymptomatic Opatients Obut Oalso Opyuria
O
pyuria: Omore Othan O10 Oleukocytes
elevated Oerythrocytes Owith Opyelonephritis
O WBC Oin Ourine
false Opositive Owith Otumor, Ourethritis Oand Opoor Ocollection Otechnique
Repeat Oin Opregnant Owomen
Lower Ourinary Otract OUTI Oand Oupper Ourinary Otract OUTI OCorrect OAnswer-bladder Oand Ourethra: Ocystitis/
O urethritis/ Oprostatitis
kidney Oand Oureters: Opyelonephritis/ Orenal Oabcess
Uncomplicated Oand Ocomplicated Outi OCorrect OAnswer-Uncomplicated: Oin Onormal Oworking Ourinary Otract
O Complicated: Odefects Oin Ourinary Otract Oor Owith Oother Ohealth Oproblems
1
,Common Opathogens Ofor OUTI OCorrect OAnswer-E.coli O(elderly Owomen)
Staphylococcus
proteus Omirabilis O(elderly Omen)
Klebsiella
O enterecoccus
O pseudomonas
Providencia O(institutionalized)
O Fungus: Ocandida
Risk Ofactors Ofor OUTI OCorrect OAnswer-
Female Ocritically Oill
elderly
catheter O(caused Oby Obiofilm)
O DM
calculi, Otumor, Ostricture
O neurogenic Obladder
O Women:
sexual Ointercourse Oor Onew Osex Opartner
O pregnancy
2
,previous
UTI OMen:
O
prostate
enlargement
O
O prostatitis
lack Oof Ocircumcision
O gay
HIV
Findings OUTI OCorrect OAnswer-Lower:
O Dysuria/ Ourgency/ Ofrequency/
incontinence Osuprapubic Opain
O
hematuria
fever/ Ochills Ouncommon
O No Oflank Opain
Upper:
O flank
pain
O
fever Oand Ochills
O hematuria
3
, n/v
ams O(in Oelderly)
O malaise
tachycardia/ Otachypnea
Testing Oand Oresults Ofor OUTI OCorrect OAnswer-Gold Ostandard: Ourine Oculture Oand Osensitivity: Odetection
of Obacteria. OStart Owith OPOC: Ourine Oanalysis.
O
UA: Opos Ofor Onitrite Oor Oleukocyte Oor Oblood
CBC: Oleukocyte Owith Oleft Oshift Oin Opyelonephritis
For Orecurrent OUTI Oin Owomen Oor OUTI Oin Omen Orule Oout Oobstruction, Ocalculi, Oor Onecrosis
with: Oxr Ovoiding
O
CT
abdomen
O
O US Opelvis
O MRI Opelvis
Management Oacute Ocystitis OCorrect OAnswer-First Oline:
- Single Odose OFosfomycin O(monurol)
- 3 Oday: Osulfa: Otrimethoprim/ Osulfa O(bactrim) O(do Onot Ogive Onear Odelivery Oof Obaby, Ogive Ocephalexin
instead) Oor Osulfa
O
- 5 Odays: Onitrofurantoin, Ocaution Oin Oelderly
4
