UTI & Pyelonephritis Diagnosis and Treatment Quiz

1. Which clinical presentation is classic for acute pyelonephritis?

Dysuria only, no systemic symptoms

Fever, flank pain, nausea, and CVA tenderness

Urgency without fever

Gross hematuria alone

2. True or False: Catheterized patients with asymptomatic bacteriuria should always receive antibiotic treatment.

True

False

Submit

4. A patient with pyelonephritis has persistent fever after 48 hours of appropriate antibiotics. What should be considered?

Continue same antibiotic for one week

Imaging to rule out obstruction or abscess

Stop antibiotics and monitor

Change to oral therapy immediately

5. Which patient population requires imaging after a first UTI episode?

All women with uncomplicated cystitis

Children and men with first UTI

Pregnant patients only

Elderly patients exclusively

6. True or False: Prophylactic antibiotics are recommended for all patients with history of UTI.

True

False

7. A patient reports recurrent UTIs. Which investigation should be performed to rule out anatomical abnormalities?

Abdominal X-ray

Renal ultrasound or CT imaging

Complete blood count

Serum creatinine only

8. Which finding on urinalysis is most suggestive of pyelonephritis?

White blood cell casts

Squamous epithelial cells

Crystals

Bacteria only

9. What is the typical treatment duration for uncomplicated cystitis in women?

1-3 days

5-7 days

10-14 days

2-3 weeks

10. True or False: Men with UTI are considered to have complicated UTI until proven otherwise.

True

False

11. Which organism is the most common causative agent of uncomplicated UTIs in women?

Escherichia coli

Staphylococcus saprophyticus

Klebsiella pneumoniae

Proteus mirabilis

Submit

13. Which antibiotic is typically first-line for uncomplicated UTI in non-pregnant women?

Trimethoprim-sulfamethoxazole

Vancomycin

Gentamicin

Fluoroquinolones only

14. A urine culture shows gram-negative rods with urease production. What organism is most likely?

E. coli

Proteus mirabilis

Enterococcus

Pseudomonas aeruginosa

15. True or False: Nitrites and leukocyte esterase are always present in UTI.

True

False

16. Which of the following increases the risk for UTI development in women?

Sexual activity and pregnancy

High fluid intake

Regular urination

Young age

17. A patient with pyelonephritis presents with high fever, flank pain, and nausea. What is the most appropriate initial management?

Oral antibiotics and home rest

IV antibiotics and supportive care

Urinary catheterization only

NSAIDs without antibiotics

18. Which diagnostic finding is most specific for diagnosing a UTI?

Presence of white blood cells in urine

Positive urine culture with ≥10⁵ CFU/mL

Positive nitrite test

Cloudy urine appearance

19. True or False: Asymptomatic bacteriuria in non-pregnant women requires treatment.

True

False

20. A patient reports dysuria, frequency, and urgency. Which additional finding would suggest pyelonephritis rather than simple cystitis?

Positive urine culture

Fever and flank pain

Presence of nitrites in urine

Low urine specific gravity

UTI Quiz: Can You Diagnose and Treat It?

1. Which clinical presentation is classic for acute pyelonephritis?

2.

What first name or nickname would you like us to use?

2. True or False: Catheterized patients with asymptomatic bacteriuria should always receive antibiotic treatment.

3. The pathophysiology of UTI involves bacterial adherence via ____.

4. A patient with pyelonephritis has persistent fever after 48 hours of appropriate antibiotics. What should be considered?

5. Which patient population requires imaging after a first UTI episode?

6. True or False: Prophylactic antibiotics are recommended for all patients with history of UTI.

7. A patient reports recurrent UTIs. Which investigation should be performed to rule out anatomical abnormalities?

8. Which finding on urinalysis is most suggestive of pyelonephritis?

9. What is the typical treatment duration for uncomplicated cystitis in women?

10. True or False: Men with UTI are considered to have complicated UTI until proven otherwise.

11. Which organism is the most common causative agent of uncomplicated UTIs in women?

12. Untreated asymptomatic bacteriuria in pregnancy increases risk of ____.

13. Which antibiotic is typically first-line for uncomplicated UTI in non-pregnant women?

14. A urine culture shows gram-negative rods with urease production. What organism is most likely?

15. True or False: Nitrites and leukocyte esterase are always present in UTI.

16. Which of the following increases the risk for UTI development in women?

17. A patient with pyelonephritis presents with high fever, flank pain, and nausea. What is the most appropriate initial management?

18. Which diagnostic finding is most specific for diagnosing a UTI?

19. True or False: Asymptomatic bacteriuria in non-pregnant women requires treatment.

20. A patient reports dysuria, frequency, and urgency. Which additional finding would suggest pyelonephritis rather than simple cystitis?