Question 1

The treatment goals when treating urinary tract infection (UTI) include:

Accepted Answer

The treatment goals when treating urinary tract infections (UTI) include eradicating the infecting organism, relieving UTI symptoms, and preventing recurrence of the infection. Therefore, all of the above options are correct.

Question 2

Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only drug allergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her would be:

Accepted Answer

Ciprofloxacin is a first-line treatment for uncomplicated urinary tract infections (UTIs) in adults who do not have any contraindications to its use. Trimethoprim/sulfamethoxazole would normally be considered, but it is contraindicated due to Jamie's sulfa allergy. Azithromycin is not typically used for UTIs, and while ceftriaxone could be used in certain situations, it is not the first-line oral therapy for uncomplicated UTIs.

Question 3

Monitoring for a healthy, nonpregnant adult patient being treated for a urinary tract infection is:

Accepted Answer

For a healthy, nonpregnant adult patient being treated for a urinary tract infection (UTI), the primary monitoring focus is on the resolution of symptoms, typically expected within 48 hours of starting appropriate antibiotic therapy. Follow-up urine cultures or "test of cure" are generally not recommended unless there are complicating factors or the patient does not improve as expected.

Question 4

Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give her would be:

Accepted Answer

Studies have shown that 100% cranberry juice or cranberry juice extract may help decrease UTIs in some patients. It is important to note that cranberry juice is not a guaranteed preventive measure for UTIs and should not replace traditional medical treatment for an active infection.

Question 5

Along with an antibiotic prescription, lifestyle education for a nonpregnant adult female who has had a urinary tract infection includes:

Accepted Answer

The answer of Along with an antibiotic prescription, lifestyle education...

Question 6

Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with no use of antibiotics in the previous 6 months and no drug allergies. An appropriate first-line antibiotic choice for her would be:

Accepted Answer

Trimethoprim/sulfamethoxazole is a first-line antibiotic for uncomplicated urinary tract infections in adolescent females. Azithromycin, ceftriaxone, and levofloxacin are not the recommended first-line agents for this type of infection.

Question 7

Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy and has no drug allergies. Appropriate initial therapy for her UTI would be:

Accepted Answer

The answer of Nicole is a 4-year-old female with a...

Question 8

Which of the following patients may be treated with a 3-day course of therapy for their urinary tract infection?

Accepted Answer

The answer of Which of the following patients may be...

Question 9

Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed with a lower urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI would be:

Accepted Answer

Amoxicillin is the recommended first-line therapy for lower UTIs in pregnant women due to its safety and efficacy. Azithromycin is not the preferred agent for UTI, and trimethoprim/sulfamethoxazole and ciprofloxacin are contraindicated in pregnancy due to potential adverse effects on the fetus.

Question 10

Monitoring for a child who has had a urinary tract infection is:

Accepted Answer

A follow-up urine culture should be obtained at the completion of therapy to ensure that the infection has been eradicated. It is not necessary to wait 2 months for a follow-up culture, as resolution should occur within a few days of treatment. A "test of cure" urinary analysis is not routinely recommended.

Question 11

Monitoring for a pregnant woman who has had a urinary tract infection is:

Accepted Answer

The answer of Monitoring for a pregnant woman who has...

Quiz 47: Urinary Tract Infections