Bacterial Cystitis Diagnosis Quiz

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Questions and Answers

What are the cardinal signs of lower urinary tract disease?

  • Oliguria, Anuria, and Urgency
  • Dysuria, Hematuria, and Nocturia
  • Polyuria, Pollakiuria, and Incontinence (correct)
  • Flank pain, Fever, and Nausea

Which part of the urinary tract is responsible for localizing the disease to the upper urinary tract?

  • Urinary Bladder
  • Prostate
  • Urethra
  • Kidneys (correct)

What is the definition of polyuria?

  • Painful urination
  • Increased volume of urine (correct)
  • Presence of blood in urine
  • Increased frequency of urination

What is the main goal of differentiating urinary tract infections from subclinical bacteriuria?

<p>To generate a treatment plan (A)</p> Signup and view all the answers

What is the most common cause of pyelonephritis?

<p>Ascending bacterial infections from the lower urinary tract (B)</p> Signup and view all the answers

Which of the following is a potential clinical sign of pyelonephritis?

<p>Polyuria/polydipsia (A)</p> Signup and view all the answers

What is a potential predisposing factor for pyelonephritis?

<p>Urethral abnormalities (B)</p> Signup and view all the answers

Which diagnostic test is most definitive for pyelonephritis?

<p>Pyelocentesis (B)</p> Signup and view all the answers

What is the recommended treatment for pyelonephritis?

<p>Empiric antibiotic therapy based on culture and sensitivity results (D)</p> Signup and view all the answers

What is a potential consequence of chronic, untreated pyelonephritis?

<p>Chronic kidney disease (A)</p> Signup and view all the answers

What is the most likely cause of the bacteriuria in the given case?

<p>Pyelonephritis (D)</p> Signup and view all the answers

What is the most definitive finding in abdominal ultrasound for pyelonephritis?

<p>Pyelectasia (A)</p> Signup and view all the answers

What type of medication is commonly used in the treatment of pyelonephritis?

<p>Fluoroquinolone (D)</p> Signup and view all the answers

What is a potential sign of systemic illness in pyelonephritis?

<p>Fever (C)</p> Signup and view all the answers

What is a potential evidence of comorbidity/predisposing factor in urinalysis for pyelonephritis?

<p>Glucosuria (D)</p> Signup and view all the answers

What is a potential consequence of untreated pyelonephritis?

<p>Permanent renal injury (B)</p> Signup and view all the answers

What is the most appropriate treatment time for reinfection of bacterial cystitis?

<p>3-5 days (C)</p> Signup and view all the answers

What is the recommended treatment for recurrent bacterial cystitis if the infection is resistant to empiric antibiotic?

<p>Continue empiric antibiotic if animal is clinically responding (D)</p> Signup and view all the answers

What is the appropriate initial treatment time for reinfection of pyelonephritis?

<p>3-5 days (D)</p> Signup and view all the answers

What is the most appropriate empiric therapy for a 2 yo FS Bulldog with UTI caused by E. coli?

<p>Amoxicillin for 5 days (D)</p> Signup and view all the answers

What is the appropriate treatment time for relapse or persistence of bacterial cystitis?

<p>7-14 days (B)</p> Signup and view all the answers

What is the most common reason for isolates with < 1,000 CFUs in urine culture?

<p>Contamination (B)</p> Signup and view all the answers

What is the appropriate treatment for recurrent bacterial cystitis if the animal is not responding within 48 hours?

<p>Further investigation (A)</p> Signup and view all the answers

What should be considered before selecting a drug for multi-drug resistant organisms causing UTI?

<p>Regional resistance patterns (B)</p> Signup and view all the answers

What is the appropriate follow-up for sporadic bacterial cystitis?

<p>Correct/manage predisposing conditions (A)</p> Signup and view all the answers

What is the most appropriate treatment for sporadic bacterial cystitis if the infection is resistant to empiric antibiotic?

<p>Switch to culture and susceptibility-based antibiotic (A)</p> Signup and view all the answers

What is the recommended initial treatment time for reinfection of pyelonephritis?

<p>3-5 days (D)</p> Signup and view all the answers

What is the appropriate treatment for recurrent bacterial cystitis if the infection is resistant to empiric antibiotic?

<p>Continue empiric antibiotic if animal is clinically responding (D)</p> Signup and view all the answers

What are the three cardinal signs of lower urinary tract disease?

<p>Polyuria, pollakiuria, stranguria (D)</p> Signup and view all the answers

What is the most common cause of urinary tract infections (UTIs) in dogs?

<p>Bacteria (B)</p> Signup and view all the answers

Which anatomical structure's impairment predisposes to UTIs?

<p>Glycosaminoglycans (D)</p> Signup and view all the answers

What is the definitive method for diagnosing a urinary tract infection (UTI)?

<p>Quantitative urine culture (B)</p> Signup and view all the answers

Which organisms are commonly associated with bacterial cystitis in dogs?

<p>Gram-negative organisms (A)</p> Signup and view all the answers

What clinical signs indicate upper urinary tract infection (pyelonephritis)?

<p>Fever, inappetence, vomiting, lethargy (C)</p> Signup and view all the answers

What does pyuria (> 3-5 WBCs/hpc) indicate in a urinalysis?

<p>Supportive evidence for UTI (A)</p> Signup and view all the answers

What can be mistaken for bacteriuria in a urinalysis?

<p>Stain precipitate (C)</p> Signup and view all the answers

What is the most common cause of UTIs in cats?

<p>E. coli (B)</p> Signup and view all the answers

What percentage of positive urine cultures in cats are Enterococcus spp.?

<p>27% (A)</p> Signup and view all the answers

What can indicate non-urinary systemic disease in the case of polymicrobial infections?

<p>Fever, inappetence, vomiting, lethargy (D)</p> Signup and view all the answers

What is the most common cause of polymicrobial infections in dogs?

<p>Bacterial cystitis (A)</p> Signup and view all the answers

What is the most appropriate drug to prescribe for a 12-year-old male neutered Cocker Spaniel found to be proteinuric (UPC 3.2) and hypertensive (BP 170 mmHg) on routine geriatric panel?

<p>Amlodipine (A)</p> Signup and view all the answers

Which antiplatelet drug is generally used in the management of hypercoagulability?

<p>Clopidogrel (C)</p> Signup and view all the answers

Which factor Xa inhibitor is mentioned in the text for the management of hypercoagulability?

<p>Rivaroxaban (C)</p> Signup and view all the answers

What are the mild diuretics mentioned in the text for managing fluid accumulation?

<p>Spironolactone (A)</p> Signup and view all the answers

In the treatment of underlying glomerular disease, how often should monitoring be conducted initially?

<p>Every 2-4 weeks (D)</p> Signup and view all the answers

Which drug is mentioned in the text as an immunosuppressive protocol for glomerulopathies?

<p>Mycophenolate mofetil (B)</p> Signup and view all the answers

What is a negative prognostic indicator for glomerular disease in dogs?

<p>Azotemia (D)</p> Signup and view all the answers

Which drug is most appropriate to prescribe for hypertension in a proteinuric dog?

<p>Amlodipine (B)</p> Signup and view all the answers

What is the main cause of glomerular (renal) proteinuria?

<p>Abnormal filtration by the glomerulus (D)</p> Signup and view all the answers

Which type of glomerular disease is the most common, causing damage to the glomerular filtration apparatus?

<p>Immune-complex glomerulonephritis (ICGN) (D)</p> Signup and view all the answers

What are the potential complications of glomerular diseases?

<p>Hypertension, hypercoagulability, and fluid accumulation (B)</p> Signup and view all the answers

What type of proteinuria results from excess plasma proteins exceeding resorption in proximal renal tubules?

<p>Pre-renal proteinuria (A)</p> Signup and view all the answers

Which type of glomerular disease causes damage to the glomerular filtration barrier?

<p>Glomerulosclerosis (C)</p> Signup and view all the answers

What is the potential cause of post-renal proteinuria?

<p>Inflammation below the collecting duct (D)</p> Signup and view all the answers

What are the types of glomerular diseases?

<p>Functional and structural (C)</p> Signup and view all the answers

What is the cause of renal proteinuria?

<p>Diseases affecting the proximal tubules (D)</p> Signup and view all the answers

Which type of glomerular disease is due to abnormal filtration by the glomerulus?

<p>Immune-complex glomerulonephritis (ICGN) (B)</p> Signup and view all the answers

What are the potential consequences of glomerular diseases?

<p>Hypertension, hypercoagulability, and fluid accumulation (C)</p> Signup and view all the answers

What is the cause of glomerular (renal) proteinuria?

<p>Abnormal filtration by the glomerulus (B)</p> Signup and view all the answers

What is the main type of proteinuria caused by diseases affecting the proximal tubules?

<p>Renal proteinuria (A)</p> Signup and view all the answers

Which of the following is a hallmark of glomerular disease?

<p>Proteinuria (B)</p> Signup and view all the answers

What is the screening test for proteinuria in diagnosing glomerular disease?

<p>Urine protein:creatinine ratio (UPC) (A)</p> Signup and view all the answers

Which of the following is a common finding in glomerular disease?

<p>Hypoalbuminemia (C)</p> Signup and view all the answers

What is essential for managing proteinuria and its complications in glomerular disease?

<p>Sodium restriction (C)</p> Signup and view all the answers

What is the adverse effect of Angiotensin Converting Enzyme Inhibitors (ACEi) and Angiotensin Receptor Blockers (ARBs)?

<p>Hyperkalemia (B)</p> Signup and view all the answers

What is crucial for reducing intraglomerular pressures and magnitude of proteinuria in glomerular disease?

<p>RAAS blockade (A)</p> Signup and view all the answers

What is necessary for distinguishing between primary glomerular diseases in glomerular disease diagnosis?

<p>Renal biopsy (B)</p> Signup and view all the answers

What is essential for confirming proteinuria and identifying non-renal causes of hypertension in glomerular disease?

<p>Advanced diagnostics (D)</p> Signup and view all the answers

What helps reduce proteinuria by inhibiting AngII production and blocking its receptor in glomerular disease management?

<p>RAAS blockade (C)</p> Signup and view all the answers

What is essential for successful management of glomerular disease?

<p>Identifying and treating the underlying disease (C)</p> Signup and view all the answers

What may be necessary to distinguish between primary glomerular diseases and look for an underlying cause in glomerular disease diagnosis?

<p>Renal biopsy (B)</p> Signup and view all the answers

What is important for managing proteinuria and its complications in glomerular disease?

<p>Sodium restriction (D)</p> Signup and view all the answers

Which of the following is a negative prognostic indicator for glomerular disease in dogs?

<p>Hypertension (A)</p> Signup and view all the answers

What is the most appropriate drug to prescribe for a 12-year-old male neutered Cocker Spaniel found to be proteinuric (UPC 3.2) and hypertensive (BP 170 mmHg) on routine geriatric panel?

<p>Amlodipine (A)</p> Signup and view all the answers

What are the mild diuretics mentioned in the text for managing fluid accumulation?

<p>Hydrochlorothiazide (D)</p> Signup and view all the answers

Which factor Xa inhibitor is mentioned in the text for the management of hypercoagulability?

<p>Rivaroxaban (A)</p> Signup and view all the answers

What is the recommended monitoring interval for primary glomerulopathies initially?

<p>Every 2-4 weeks (A)</p> Signup and view all the answers

Which drug is mentioned in the text as an immunosuppressive protocol for glomerulopathies?

<p>Mycophenolate mofetil (D)</p> Signup and view all the answers

What is the most common cause of pyelonephritis?

<p>E. coli (C)</p> Signup and view all the answers

Which antiplatelet drug is generally used in the management of hypercoagulability?

<p>Clopidogrel (B)</p> Signup and view all the answers

What is the hallmark of glomerular disease?

<p>Proteinuria (A)</p> Signup and view all the answers

What is the screening test for proteinuria in diagnosing glomerular disease?

<p>Urine protein:creatinine ratio (UPC) (C)</p> Signup and view all the answers

What is the most common complication of glomerular disease?

<p>Thromboembolism (C)</p> Signup and view all the answers

Which medication helps reduce proteinuria by inhibiting AngII production and blocking its receptor?

<p>Angiotensin Receptor Blockers (ARBs) (C)</p> Signup and view all the answers

What is the essential diagnostic test for distinguishing between primary glomerular diseases?

<p>Renal biopsy (C)</p> Signup and view all the answers

What is crucial for reducing intraglomerular pressures and magnitude of proteinuria?

<p>RAAS blockade (D)</p> Signup and view all the answers

What is an adverse effect of Angiotensin Converting Enzyme Inhibitors (ACEi) and Angiotensin Receptor Blockers (ARBs)?

<p>Hyperkalemia (D)</p> Signup and view all the answers

What is important for confirming proteinuria and identifying non-renal causes of hypertension?

<p>Serial monitoring (A)</p> Signup and view all the answers

What is more common in middle-aged to older dogs with breed predispositions and a poorer prognosis?

<p>Protein-losing nephropathy (PLN) (D)</p> Signup and view all the answers

What is a characteristic of protein-losing nephropathy (PLN)?

<p>Hypoalbuminemia (D)</p> Signup and view all the answers

What is crucial for successful management of glomerular disease?

<p>Protein restriction (D)</p> Signup and view all the answers

What is the mild antihypertensive mentioned in the text for managing hypertension in glomerular disease?

<p>Calcium channel blockers (B)</p> Signup and view all the answers

Which type of proteinuria results from diseases affecting the proximal tubules?

<p>Renal proteinuria (A)</p> Signup and view all the answers

What is the most common type of glomerular disease, causing damage to the glomerular filtration apparatus?

<p>Immune-complex glomerulonephritis (ICGN) (D)</p> Signup and view all the answers

What can be the consequence of untreated glomerular diseases?

<p>Hypertension (C)</p> Signup and view all the answers

What is the cause of glomerular (renal) proteinuria?

<p>Abnormal filtration by the glomerulus (B)</p> Signup and view all the answers

What are the potential complications of glomerular diseases?

<p>Hypertension, hypercoagulability, and fluid accumulation (C)</p> Signup and view all the answers

What is the most common cause of glomerular (renal) proteinuria?

<p>Abnormal filtration by the glomerulus (D)</p> Signup and view all the answers

What type of glomerular disease is due to abnormal filtration by the glomerulus?

<p>Immune-complex glomerulonephritis (ICGN) (A)</p> Signup and view all the answers

Which factor Xa inhibitor is mentioned in the text for the management of hypercoagulability?

<p>Rivaroxaban (A)</p> Signup and view all the answers

What are the types of glomerular diseases?

<p>Functional and structural (D)</p> Signup and view all the answers

What is the appropriate initial treatment time for reinfection of bacterial cystitis?

<p>7 days (B)</p> Signup and view all the answers

What should be considered before selecting a drug for multi-drug resistant organisms causing UTI?

<p>Urine culture and sensitivity results (B)</p> Signup and view all the answers

In the treatment of underlying glomerular disease, how often should monitoring be conducted initially?

<p>Every 6 months (C)</p> Signup and view all the answers

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Study Notes

Proteinuria and Glomerular Disease Overview

  • Proteinuria defined as abnormal amount of protein in urine
  • Proteinuria can be pre-renal, renal, or post-renal
  • Pre-renal proteinuria results from excess plasma proteins exceeding resorption in proximal renal tubules
  • Renal proteinuria is caused by diseases affecting the proximal tubules
  • Glomerular (renal) proteinuria is due to abnormal filtration by the glomerulus
  • Glomerular diseases can be functional or structural, with functional changes possibly progressing to structural damage
  • Post-renal proteinuria results from inflammation below the collecting duct
  • Glomerular diseases cause damage to the glomerular filtration barrier
  • Immune-complex glomerulonephritis (ICGN) is the most common glomerular disease, causing damage to the glomerular filtration apparatus
  • Glomerulosclerosis, amyloidosis, and hereditary nephropathies are other types of glomerular diseases
  • Glomerular diseases can lead to complications such as hypertension, hypercoagulability, and fluid accumulation
  • Hypertension is a common complication of glomerular diseases and can lead to end-organ damage

Proteinuria and Glomerular Disease Overview

  • Proteinuria defined as abnormal amount of protein in urine
  • Proteinuria can be pre-renal, renal, or post-renal
  • Pre-renal proteinuria results from excess plasma proteins exceeding resorption in proximal renal tubules
  • Renal proteinuria is caused by diseases affecting the proximal tubules
  • Glomerular (renal) proteinuria is due to abnormal filtration by the glomerulus
  • Glomerular diseases can be functional or structural, with functional changes possibly progressing to structural damage
  • Post-renal proteinuria results from inflammation below the collecting duct
  • Glomerular diseases cause damage to the glomerular filtration barrier
  • Immune-complex glomerulonephritis (ICGN) is the most common glomerular disease, causing damage to the glomerular filtration apparatus
  • Glomerulosclerosis, amyloidosis, and hereditary nephropathies are other types of glomerular diseases
  • Glomerular diseases can lead to complications such as hypertension, hypercoagulability, and fluid accumulation
  • Hypertension is a common complication of glomerular diseases and can lead to end-organ damage

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