Urinary Tract Infection (UTI) Quiz

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Questions and Answers

Which of the following is considered a lower urinary tract infection?

  • Cystitis (correct)
  • Nephritis
  • Pyelonephritis
  • Ureteritis

The most common route of infection for a urinary tract infection involves which mechanism?

  • Hematogenous spread from a distant site
  • Lymphatic dissemination from surrounding tissues
  • Ascension of pathogens through the urethral opening (correct)
  • Direct trauma to the urinary tract

A patient presents with an infection in the kidneys. What type of urinary tract infection is present?

  • Lower UTI
  • Cystitis
  • Pyelonephritis (correct)
  • Urethritis

Which location is least likely to be where a Urinary Tract Infection (UTI) most commonly occurs?

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

An infection of the urethra is specifically referred to as:

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

Which of the following is the most common bacterial cause of lower urinary tract infections (UTIs)?

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

A fungal urinary tract infection (UTI), commonly referred to as a yeast infection, is most frequently caused by which pathogen?

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

Which of these is a risk factor for acquiring a urinary tract infection (UTI)?

<p>Urinary tract obstruction (D)</p> Signup and view all the answers

What is a common viral cause of UTIs, primarily affecting the urethra?

<p>Herpes simplex virus type 2 (HSV-2) (B)</p> Signup and view all the answers

What can be harbored by kidney stones, increasing the risk of a urinary tract infection?

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

What is the most common cause of pyelonephritis in women?

<p>Escherichia coli bacteria (B)</p> Signup and view all the answers

Which of the following is a common symptom of acute pyelonephritis?

<p>Sudden onset of fever, nausea, vomiting, and flank pain (D)</p> Signup and view all the answers

What sign involves striking the patient's back over the kidneys to assess for tenderness?

<p>Murphy's punch sign (D)</p> Signup and view all the answers

Which of these is NOT a typical symptom of pyelonephritis in the elderly?

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

What is the first-line treatment for pyelonephritis?

<p>Broad spectrum antibiotics (C)</p> Signup and view all the answers

Under what circumstances would hospitalization be required for pyelonephritis treatment?

<p>When the patient is experiencing nausea, vomiting, and dehydration. (C)</p> Signup and view all the answers

Which of the following is a potential complication of pyelonephritis?

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

What is the massage recommendation for someone with pyelonephritis?

<p>Massage is a contraindication until the infection is resolved (B)</p> Signup and view all the answers

What demographic is most commonly affected by renal calculi (kidney stones)?

<p>Middle-aged men (A)</p> Signup and view all the answers

Which of the following is NOT listed as a cause of pyelonephritis in the provided content?

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

Which of the following is a risk factor for cystitis in females due to anatomical reasons?

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

In males, what is the most common cause of recurring cystitis?

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

Which symptom is NOT typically associated with cystitis?

<p>High grade fever (A)</p> Signup and view all the answers

What is the primary method for diagnosing cystitis?

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

What is a recommended preventative measure for UTIs?

<p>Post-coital voiding (D)</p> Signup and view all the answers

Which of the following is a common cause of urethritis?

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

What is considered the most important factor when collecting a urine sample for urinalysis?

<p>Midstream clean catch (A)</p> Signup and view all the answers

When are females considered to have a similar risk of UTI as males?

<p>Over 50 years of age (A)</p> Signup and view all the answers

Why is backflow of urine from the bladder into the ureter more likely in children?

<p>Less oblique orientation of ureters (C)</p> Signup and view all the answers

What is the primary goal of fluid intake in preventing UTIs?

<p>To flush bacteria from the urinary tract (A)</p> Signup and view all the answers

Which of the following is the most common cause of urethritis in males?

<p>Gonorrhea or Chlamydia (B)</p> Signup and view all the answers

What is the term for urethritis not caused by gonorrhea?

<p>Non-gonococcal urethritis (NGU) (B)</p> Signup and view all the answers

A client reports painful ejaculation, urethral discharge, and itching. Which condition is most likely?

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

What is a potential complication of untreated or inadequately treated urethritis?

<p>Stricture of the urethra (B)</p> Signup and view all the answers

Which diagnostic method is generally considered NOT useful for urethritis?

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

Why might a physician begin treatment with broad-spectrum antibiotics for urethritis before lab results are confirmed?

<p>Because cultures take days to grow (D)</p> Signup and view all the answers

When is massage considered contraindicated for a client with urethritis?

<p>If the client has not been fever free (D)</p> Signup and view all the answers

Which of the following is a recommended preventative measure against STIs that can cause urethritis?

<p>Safe sex practices using condoms (A)</p> Signup and view all the answers

Which of the following is least likely to be a component of kidney stones?

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

A patient presents with severe, intermittent back and flank pain, along with hematuria. Which condition is most likely?

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

Which dietary modification would be most appropriate for a patient with a history of calcium kidney stones?

<p>Decrease sodium, increase potassium intake (C)</p> Signup and view all the answers

Which of the following is an incorrect statement regarding the etiology of glomerulonephritis?

<p>Chronic glomerulonephritis is caused primarily by diets high in protein (B)</p> Signup and view all the answers

A patient with nephrotic syndrome is likely to exhibit which set of symptoms?

<p>Massive proteinuria, hypoalbuminemia, hyperlipidemia, edema (D)</p> Signup and view all the answers

Which of the following is a primary characteristic of nephritic syndrome, as opposed to nephrotic syndrome?

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

A patient with acute glomerulonephritis (AGN) is most likely to present with which of the following?

<p>Oliguria, edema, and pink or cola-colored urine (A)</p> Signup and view all the answers

Which of the following is the most likely description of chronic glomerulonephritis?

<p>Slow, cumulative damage and scarring of the glomeruli (B)</p> Signup and view all the answers

What is a key finding in a urinalysis that suggests a rapid progression of glomerular disease?

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

Which treatment approach is NOT typically used in managing glomerulonephritis?

<p>High dose anabolic steroids (D)</p> Signup and view all the answers

Regarding Polycystic Kidney Disease (PKD), which statement accurately describes the difference between recessive and dominant forms?

<p>Recessive form is considered more severe with childhood onset, dominant is more mild with adult onset (B)</p> Signup and view all the answers

Which of the following is a contraindication for massage therapy related to kidney disease?

<p>Systemic circulatory massage for patients with edema due to kidney disease (B)</p> Signup and view all the answers

In patients with suspected kidney inflammation, which assessment approach is most important for massage therapists?

<p>Thorough client intake and screening to rule out kidney dysfunction (A)</p> Signup and view all the answers

A patient is diagnosed with kidney stones. Which massage consideration would be most appropriate?

<p>Massage is contraindicated until the kidney stones are resolved (B)</p> Signup and view all the answers

A patient presents with facial and extremity edema, hypertension, and proteinuria with a recent diagnosis of chronic glomerulonephritis. What is the best massage strategy?

<p>Abdominal and CVA massage techniques should be avoided (D)</p> Signup and view all the answers

Flashcards

Pyelonephritis

A bacterial infection of the kidneys, usually caused by an ascending urinary tract infection (UTI). It's more common in women due to their shorter urethras.

Ascending UTI

A common cause of pyelonephritis, particularly in women, where bacteria from the bladder travel upwards to the kidneys.

Escherichia coli (E. coli)

Bacteria commonly responsible for UTIs, particularly in women.

Urinary Tract Blockage

A blockage in the urinary tract that can lead to pyelonephritis. Examples include pregnancy, kidney stones, enlarged prostate, or catheters.

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Symptoms of Pyelonephritis

A sudden onset of chills, fever, nausea, vomiting, and pain in the back or side (flank).

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Costovertebral Tenderness

A sign of pyelonephritis where the kidneys are tender and enlarged when touched.

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Murphy's Punch Sign

A physical exam technique used to assess for kidney tenderness. A sharp blow to the back, over the kidneys.

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Urine Culture

The process of identifying the specific bacteria causing a urinary tract infection.

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Renal Calculi (Kidney Stones)

Hard masses that form in the urinary tract, causing obstruction and pain.

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Renal Calculi Epidemiology

The condition of having kidney stones, affecting approximately 1 in 1000 people each year.

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Cystitis

An infection of the bladder, being one of the two lower UTI types.

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Urethritis

An infection of the urethra, being one of the two lower UTI types.

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Ascending Infection

The most common way a UTI starts. Bacteria travel up the urethra, possibly reaching the bladder, ureters, and kidneys.

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Unilateral vs Bilateral UTIs

UTIs can affect one or both kidneys, ureters, or bladders, depending on whether the organ is paired or not.

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Herpes Simplex Virus 2 (HSV-2)

A viral cause of urinary tract infections (UTIs), usually in the urethra, leading to painful urination and difficulty emptying the bladder.

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Fungal UTIs

Fungal infections of the urinary tract, often called yeast infections, usually occurring in people with weakened immune systems. Candida albicans is a common yeast responsible for these infections.

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Kidney Stones & UTIs

Kidney stones are mineral deposits that can develop in the kidneys, potentially serving as a breeding ground for Proteus bacteria, which can cause urinary tract infections (UTIs).

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Parasites and UTIs

A range of parasites, including certain types of worms, can infect the urinary tract.

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E. coli

The most common cause of UTIs, especially in women, these bacteria are found in the lower intestine.

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Non-gonococcal Urethritis (NGU)

Urethritis that is not caused by gonorrhea, a common STI.

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STI-related Urethritis

A common cause of urethritis in men, often caused by sexually transmitted infections like gonorrhea or chlamydia.

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Urethral Stricture

Inflammation or narrowing of the urethra due to scar tissue formation, potentially caused by untreated urethritis.

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Kidney Infection

A serious complication of untreated urethritis that can lead to kidney infection.

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Murphy's Punch

A physical assessment technique used to check for tenderness in the kidney region.

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Urethral Discharge Swab

A sample of urethral discharge is taken and tested to identify the specific organism causing the infection.

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What are kidney stones?

Kidney stones are solid masses that form in the kidneys. They can be made of different substances, including calcium, uric acid, struvite, and cystine. They are usually asymptomatic until they block urine flow.

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What are common symptoms of kidney stones?

Kidney stones may cause severe, intermittent pain in the back and flanks, called renal colic. Other symptoms are hematuria (blood in urine), frequency, urgency, dysuria (painful urination), urinary retention, nausea, vomiting, sweating, chills, and fever (if infection is present).

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What are uric acid stones?

Uric acid stones are a type of kidney stone that form due to high uric acid levels in the urine. This can be caused by factors like high protein intake, dehydration, gout, and certain medications.

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What are struvite stones and what causes them?

Struvite stones are a type of kidney stone that form in the presence of a urinary tract infection (UTI). They are also known as "infection stones" because they are closely linked to infections.

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What are calcium oxalate stones?

Calcium oxalate stones are the most common type of kidney stone, accounting for about 80% of cases. They are formed from calcium and oxalate, which is found in many foods.

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What is glomerulonephritis?

Glomerulonephritis is a disorder of the glomeruli, the filtering units in the kidneys. It causes damage to the glomeruli, affecting their ability to filter blood. This can lead to various complications, including nephrotic and nephritic syndromes.

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What is nephrotic syndrome?

Nephrotic syndrome is a type of glomerulonephritis characterized by significant protein leakage from the kidneys due to damaged glomeruli. This results in proteinuria (protein in urine), hypoalbuminemia (low blood albumin), hyperlipidemia (high blood lipids), and edema (swelling).

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What is nephritic syndrome?

Nephritic syndrome is another type of glomerulonephritis characterized by inflammation and damage to the glomeruli. This leads to blood leakage from the kidneys, resulting in hematuria (blood in urine), oliguria (reduced urine output), and other complications.

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What is acute glomerulonephritis?

Acute glomerulonephritis (AGN) is a sudden inflammation of the glomeruli. It usually presents as nephritic syndrome and is often linked to recent infections, particularly strep infections.

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What is chronic glomerulonephritis?

Chronic glomerulonephritis is a long-term inflammation of the glomeruli. It can be caused by several factors, including untreated AGN, certain systemic diseases, and hereditary conditions. It progresses slowly and can lead to kidney failure.

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What is polycystic kidney disease?

Polycystic kidney disease (PKD) is a genetic disorder that causes cysts to form in the kidneys, gradually damaging them over time. It causes the kidneys to enlarge while reducing their function. It can be autosomal dominant or recessive, with different severity.

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What are the massage contraindications for kidney disorders?

Massage is contraindicated for acute glomerulonephritis and polycystic kidney disease (PKD) during active stages due to possible complications. However, for chronic glomerulonephritis, gentle massage may be beneficial with careful consideration of specific conditions and patient's overall health.

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Why is understanding kidney pathologies important for massage therapists?

Early recognition of kidney disorders is crucial for appropriate treatment and patient safety. Practitioners should be aware of common symptoms and contraindications related to kidney issues to avoid inappropriate massage techniques.

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How can kidney problems be confused with muscular issues?

Kidney inflammation often presents with lower thoracic and upper lumbar pain, which can be mistaken for muscle strain. Careful screening should be done to rule out kidney issues before attributing pain solely to muscular imbalances.

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How does edema and recovery impact massage in kidney disorders?

Individuals with edema due to kidney disorders should avoid systemic circulatory massage as it can further stress the kidneys. Massage can be beneficial for post-acute kidney patients with guarded back and core muscles to ease muscle tension and promote relaxation.

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Study Notes

Urinary System Notes

  • Kidney Infections: Ascending bacterial infections are common, particularly E. coli in women. Symptoms include painful, enlarged kidneys, costovertebral angle tenderness, and symptoms of a urinary tract infection (fever, pain, increased frequency/urgency).
  • Renal Calculi: Kidney stones. Increasing fluid intake can aid in their passage. Medications (alpha-adrenergic blockers) can also be used. Diagnosis through imaging (US, CT) to determine location of stones.
  • Glomerulonephritis: Inflammation of the glomerulus in the kidney; can be caused by strep infection, hypersensitivity reactions, or hypertension. Symptoms include edema, hypertension, proteinuria, hematuria, RBC casts. Types are Nephritic and Nephrotic, with distinct onset patterns and lab findings.
    • Acute glomerulonephritis: Characterized by abrupt onset, increased blood pressure, proteinuria, and hematuria.
    • Nephrotic syndrome: Insidious onset, normal blood pressure, proteinuria, and hypoalbuminemia.
  • Chronic Kidney Disease: A progressive condition that can develop due to various factors. Symptoms range from mild discomfort to acute symptoms like kidney stones, etc. May require treatment such as dialysis or kidney transplantation.
  • Urinary Tract Infections (UTIs): Infections affecting the urinary tract (kidneys, bladder, urethra). Symptoms include frequent and painful urination with urgency and in males, painful ejaculation. Common causes include bacteria (e.g., E. coli). Diagnosis primarily based on symptoms and urine analysis.
  • Urethritis: Inflammation of the urethra; often sexually transmitted (e.g., gonorrhea, chlamydia, or other STIs). May involve discharge and painful/frequent urination.
  • Urinary System Malignancies: Renal cell carcinoma (RCC) is the most common. Other cancers can involve the bladder and ureters. Symptoms can range from abdominal pain to visible blood in the urine. Diagnosis may include imaging like CT scan or cystoscopy, with biopsy to confirm the diagnosis.
  • Renal Cell Carcinoma (RCC) Prognosis: RCC, if caught early, can be treated by surgical tumor removal. Other factors like location, staging, and potential metastasis influence the outlook, impacting its effectiveness over a long period. Potential for chemotherapy/radiation.

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