Bacterial Cystitis Diagnosis Quiz
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Questions and Answers

What are the cardinal signs of lower urinary tract disease?

  • Dysuria, hematuria, stranguria
  • Polyuria, pollakiuria, incontinence (correct)
  • Proteinuria, glycosuria, ketonuria
  • Anuria, oliguria, polydipsia

What is the definition of pollakiuria?

  • Inability to control urination
  • Increased frequency of urination (correct)
  • Increased volume of urine
  • Presence of blood in urine

Which part of the urinary tract does polyuria localize the disease to?

  • Kidneys (correct)
  • Lower urinary tract
  • Urethra
  • Upper urinary tract

What is the main job when localizing the disease in the upper urinary tract?

<p>To localize the disease to the appropriate part of the urinary tract (C)</p> Signup and view all the answers

Which of the following is a cardinal sign of lower urinary tract disease?

<p>Increased frequency of urination (D)</p> Signup and view all the answers

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

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

Which diagnostic test is definitive for UTI when combined with clinical signs?

<p>Quantitative Urine Culture (A)</p> Signup and view all the answers

What is the term for unconscious, passive voiding of urine?

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

Which condition may lead to impairment of host defenses in the lower urinary tract?

<p>Failure to void normally (A)</p> Signup and view all the answers

What is the term for difficulty urinating?

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

Which organism accounts for approximately 50% of positive cultures in UTIs in cats?

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

What is the term for straining to urinate?

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

Which condition is a manifestation of neuromuscular disease and may lead to incontinence?

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

What is the term for blood in the urine?

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

Which test can detect bacteriuria on sediment and is supportive but not diagnostic for UTI?

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

What is the term for increased frequency of urination?

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

What is the recommended method for diagnosing bacterial cystitis?

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

What is the significance of isolates with less than 1,000 CFUs in urine culture?

<p>They are likely due to contamination, not infection (B)</p> Signup and view all the answers

What is the recommended treatment duration for sporadic bacterial cystitis?

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

What should be considered if an animal is not responding to antibiotic therapy within 48 hours?

<p>Further investigation to confirm UTI presence (D)</p> Signup and view all the answers

Before selecting a drug for treatment, what should be confirmed?

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

What is the recommended follow-up procedure for recurrent bacterial cystitis?

<p>Repeat culture 1-2 weeks after treatment discontinuation (B)</p> Signup and view all the answers

What is the appropriate empiric therapy for a 2-year-old female spayed Bulldog with recurrent UTI episodes caused by E. coli and Klebsiella spp.?

<p>Enrofloxacin for 10 days (C)</p> Signup and view all the answers

What is the recommended treatment time for reinfection in recurrent bacterial cystitis?

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

What is the significance of proanthocyanidins and D-mannose in the prevention of bacterial cystitis?

<p>They are proven to prevent bacterial adherence (D)</p> Signup and view all the answers

What should be considered before using antibiotics for complicated cases of UTI?

<p>Extended susceptibility pattern confirmation (B)</p> Signup and view all the answers

When should empiric antibiotics be considered for treatment of recurrent bacterial cystitis?

<p>Only after obtaining culture and sensitivity results (D)</p> Signup and view all the answers

What is the most likely cause of the bacteriuria in the 5 yo MC DSH with concentrated urine, 0-1 WBC/hpf, and 3+ cocci in urinalysis?

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

What is the definitive diagnostic test for pyelonephritis?

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

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

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

What is the initial treatment for pyelonephritis after collecting a culture?

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

What can evidence of comorbidities or predisposing factors be found in during diagnostics of pyelonephritis?

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

What can be evidence of renal tubular damage in urinalysis for pyelonephritis?

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

What is a potential cause for false negatives in pyelocentesis for pyelonephritis?

<p>Chronic kidney changes (C)</p> Signup and view all the answers

What is the prognosis for pyelonephritis if caught early and treated appropriately?

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

What is the treatment duration for pyelonephritis if signs of systemic illness are present?

<p>10-14 days (C)</p> Signup and view all the answers

When should a patient with pyelonephritis be hospitalized for fluid and supportive therapy?

<p>All of the above (D)</p> Signup and view all the answers

What can occur if pyelonephritis progresses to CKD?

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

What is a potential cause of pyelectasia on abdominal ultrasound?

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

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