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</p> Signup and view all the answers

    An infection of the urethra is specifically referred to as:

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

    What is the most common cause of pyelonephritis in women?

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

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

    <p>Polyuria</p> Signup and view all the answers

    What is the first-line treatment for pyelonephritis?

    <p>Broad spectrum antibiotics</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.</p> Signup and view all the answers

    Which of the following is a potential complication of pyelonephritis?

    <p>Pyonephrosis</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</p> Signup and view all the answers

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

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

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

    <p>Prostatitis</p> Signup and view all the answers

    Which symptom is NOT typically associated with cystitis?

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

    What is the primary method for diagnosing cystitis?

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

    What is a recommended preventative measure for UTIs?

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

    Which of the following is a common cause of urethritis?

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

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

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

    What is the term for urethritis not caused by gonorrhea?

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

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

    <p>Urethritis</p> Signup and view all the answers

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

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

    Which diagnostic method is generally considered NOT useful for urethritis?

    <p>Urinalysis</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</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</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</p> Signup and view all the answers

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

    <p>Cholesterol</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</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</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</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</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</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</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</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</p> Signup and view all the answers

    Which treatment approach is NOT typically used in managing glomerulonephritis?

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

    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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    Description

    Test your knowledge on urinary tract infections (UTIs) with this quiz. Explore various types, causes, and symptoms associated with UTIs. Improve your understanding of this common medical condition and its management.

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