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CMN 577 Unit 1 Questions with Verified Answers 100% Solved
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CMN 577 Unit 1 Questions with Verified Answers 100% Solved
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CMN 577 Unit 1 Questions with VerifiedAnswers 100% Solved
In what type of patient is cystology indicated for evaluation of hematuria? - ✔✔Pts with gross hematuria
and those > 35 yrs with asymptomatic microscopic hematuria
McPhee p 962
Common symtpoms of acute cystitis - ✔✔Irritative voiding sx (frequency, urgency, dysuria) Suprapubic
discomfort
NOTE: ♀ may also have gross hematuria and sx follow sexual intercourse.
McPhee p 962
Urinalysis results in acute cystitis - ✔✔Pyuria
Bacteruria
Varying degrees of hematuria
McPhee p 963
When are ♀ candidates for prophyactic abx tx for prevention of recurrent UTI? - ✔✔♀ who have > 3
episodes of cystitis per year
McPhee p 963
Microscopic hematuria in male patients is most often caused by what? - ✔✔BPH
McPhee p 962
,Most common cause of acute cystitis? - ✔✔Coliform bacteria (especially E.Coli and occasionally gram
positive bacteria).
McPhee p 962
Tx of uncomplicated cystitis in women - ✔✔+ Short term antimicrobial tx (either single dose, or 1-9 days)
+ 1st line therapies
-- Macrobid 100 mg BID x 5 -7 days
-- Bactrim 160/800 mg BID x 3 days
-- Fosfomycin trometamol (3 g single dose)
McPhee p 963-4
Most common causes of acute pyelonephritis - ✔✔Gram negative bacteria (e.g. E coli, Proteus,
Klebsiella, Enterobacter, Pseudomonas)
OCCASIONALLY, gram positive are seen (e.g enterococcus faecalis, staph aureus)
McPHee p 965
s/s acute pyelonephritis - ✔✔+ Fever with shaking chills
+ Flank pain
+ Irritative voiding sx
+ Positive urine culture (pyuria, bacteriuria and some hematuria + occasional white cell casts) + CBC
shows leukocytosis and a left shift
McPhee p 965
,Main differential dx for acute pyelonephritis in men? - ✔✔+ Acute epididymitis + Acute prostatitis
McPhee p 965
Tx of acute pyelonephritis - ✔✔+ Empiric tx OK while awaiting cultures
-- Bactrim 160/800 mg BID x 10-14 days
-- Levofloxacin 750 mg daily x 5 days
-- Cipro 750 mg BID x 7 - 14 days
McPhee p 965
At what point should you order a CT for a patient with acute pyelonephritis? - ✔✔Failure to respond to
abx after 48 hours of tx.
(Done to exclude complicating factors that may require intervention)
McPHee p 965
Usual cause of acute bacterial prostatitis - ✔✔Gram negative rods (e.g. E coli and pseudomonas) MOST
common.
Gram positive organisms less frequently (e.g. enterococci)
McPhee p 965
Common complaints associated with acute bacterial prostatitis - ✔✔+ Perineal, sacral or suprapubic pain
fever and irritative voiding complaints.
+ High fevers and a warm and often exquisitely tender prostate are detected on exam
McPhee p 966
Lab findings in cases of acute bacterial prostatitis - ✔✔+ CBC = Leukocytosis and a left shift
, + Urinalysis = Pyuria, bacteriuria and varying degrees of hematuria
+ Culture urine to find offending organism!
McPhee p 966
In which situation is prostatic massage contraindicated?
Acute bacterial prostatitis
Chronic bacterial prostatitis
Nonbacterial prostatitis - ✔✔Acute bacterial prostatitis
McPhee p 966
Most common agent of chronic bacteria prostatitis - ✔✔Gram negative rods are most common etiologic
agent; but only one gram positive organism (enterococcus) is associated with chronic infection.
McPhee p 967
Results of urinalysis in cases of chronic bacterial prostatitis? - ✔✔NORMAL! (unless a secondary cystitis is
present.
McPHee p 967
Treatment of chronic bacterial prostatitis - ✔✔+ Bactrim 160/800 mg BID x 6 - 12 weeks is associated
with the best cure rates (because it diffuses into the prostate the best)
+ Anti-inflammatory agents (indomethacin, ibuprofen) and hot sitz baths can provide symptomatic relief.
NOTE: CBP is common in older men, so be sure their kidney function is OK before allowing them to take
NSAIDs.
McPhee p 967
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