Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->Pelvic Relaxation and Urogynecology
Page: 6

Question 26# Print Question

A 28-year-old woman presents to your office with symptoms of a UTI. This is her second infection in 2 months. You treated the last infection with Bactrim DS for 3 days. Her symptoms never really improved. Now she has worsening lower abdominal discomfort, dysuria, and frequency. She reports no fever or flank pain. Physical examination shows only mild suprapubic tenderness.

Which of the following is the best next step in the evaluation of this patient?

A. Urine culture
B. Intravenous pyelogram
C. Cystoscopy
D. Wet smear
E. Treat her with a different antibiotic

Question 27# Print Question

You have diagnosed a healthy, sexually active 24-year-old female patient with an uncomplicated acute UTI.

Which of the following is the most likely organism responsible for this patient’s infection?

A. Chlamydia
B. Pseudomonas
C. Klebsiella
D. Escherichia coli
E. Candida albicans

Question 28# Print Question

A 32-year-old woman presents to your office with dysuria, urinary frequency, and urinary urgency for 24 hours. She is healthy but is allergic to sulfa drugs. Urinalysis shows large blood, leukocytes, and nitrites in her urine.

Which of the following medications is the best to treat this patient’s condition?

A. Dicloxacillin
B. Bactrim
C. Nitrofurantoin
D. Azithromycin
E. Flagyl

Question 29# Print Question

You are seeing a patient in the emergency department who presents with fever, chills, flank pain, and blood in her urine. She has had severe nausea and started vomiting after the fever developed. She was diagnosed with a UTI 3 days ago by her primary care physician, but she never took the antibiotics that were prescribed, because her symptoms improved after she started drinking cranberry juice. The patient has a temperature of 38.8°C (102°F). On physical examination, she has right-sided CVA tenderness and suprapubic tenderness. Her clean-catch urinalysis shows a large amount of ketones, RBCs, WBCs, bacteria, and squamous cells.

Which of the following is the most appropriate next step in the management of this patient?

A. Tell her to take the oral antibiotics that she was prescribed and give her a prescription for Phenergan rectal suppositories
B. Admit the patient for IV fluids and IV antibiotics
C. Admit the patient for diagnostic laparoscopy
D. Admit the patient for an intravenous pyelogram and consultation with an urologist
E. Arrange for a home health agency to go to the patient’s home to administer IV fluids and oral antibiotics

Question 30# Print Question

A 22-year-old woman has been seeing you for treatment of recurrent UTIs over the past 6 months. She married 6 months ago and became sexually active at that time. She seems to become symptomatic shortly after having intercourse.

Which of the following is the most appropriate treatment?

A. Refer her to an urologist
B. Schedule an IVP
C. Prescribe prophylactic urinary antispasmodic
D. Prescribe antibiotic suppression
E. Recommend that she use condoms to prevent recurrent UTIs

Category: Obstetrics & Gynecology--->Pelvic Relaxation and Urogynecology
Page: 6 of 6