MCQ on Urinary Tract Infection

Urinary Tract Infection and microorganisms associated with UTI

1) Which of the following is the least common microorganism isolated from urinary tract infection?
a) Escherichia coli    
b) Streptococcus pyogenes    
c) Proteus vulgaris
d) Enterococcus faecalis

2) A higher percentage of women get UTI compared to men, all of the following statements are possible risk factors for developing the infection, select all the correct answers?
a) Poor hygiene practices during the periods           
b) The anatomy of the urinary system of the women        
c) Change in the size of a uterus in pregnancy      
d) Hormonal changes during menopause        

3) Which of the following term is Not most commonly used for UTI?
a) Endometriosis      
b) Cystitis
c) Pyelonephritis
d) Urethritis   

4) A 53-year-old male visited the hospital with low-grade fever and a history of an episode of painful and frequent urination sometimes with blood in the urine. In 4 months he said it was the second time, he recovered within few days by taking plenty of water and some pain-relieving medicines. Physical examination was done, a CT scan was performed and a urine sample was sent for the lab diagnosis, select all the possible clinical features of the infection?  
a)Inflammation and enlargement of the prostate gland    
b)Presence of bacterial pathogens in a urine sample   
c)Inflammation and damage of the uterus
d)Inflammation and presence of stones in the bladder       

5) Which of the following is the most possible cause of UTI in pregnant women? 
a)Changes in the hormones
b)The changes in the size of the uterus
c) Decreased bladder capacity and urinary retention 
d) All of the above      

6)An elderly 78-year-old diabetic male visited the hospital with pain in the lower abdomen and groin. When examined, he had a fever, and his blood sugar level was found to be in the higher range. Further examination was done, prostatitis was suspected and he was immediately admitted. He was put under observation to manage the sugar levels, after a week the symptoms got worse with recurrent urinary infections. Urine culture was performed, gram-negative colonies and highly motile bacteria appeared in the culture media with no color change in the media. Name the predominant pathogen?
a) Klebsiella oxytoca
b) E. coli
c) Candida albicans
d) Proteus mirabilis          
e) Staphylococcus saprophyticus
f) Lactobacillus acidophilus 

7) All of the following methods are effective preventive methods that can help in reducing the common UTIs in women, Except?
a) A shower after the sexual intercourse
b) Over the counter medicines for the complete recovery           
c) Drink plenty of fluids such as water, cranberry juice
d) Uses of nonirritating feminine products       
 
8)The most causative agents of urinary tract infections are bacteria and fungi
a) TRUE       
b) FALSE 

9) All of the following are the commonly used oral antibiotics in the treatment of febrile UTIs in infants and children under 5 years of age, Except?
a) Gentamicin        
b) Amoxycillin
c) Ciprofloxacin
d) Cephalexin

10) All of the following statements regarding acute pyelonephritis are correct, Except?
a) It is the presence of blood or pus in the urine
b) It is the infection of the bladder     
c) The causative organisms are the fecal pathogens
d) Risks factors are age, diabetes, and kidney stones

11) Which of the following is not the common cause of chronic cystitis?
a) Use of catheters for an extended period of time
b) Infection of adenoviruses
c) Abuse of drugs and toxic chemicals
d) Men are more affected than women      

12) Urinary tract infection may also result due to the infection in the kidneys, the infection is also called................
a) Urethritis
b) Cystitis
c) Acute pyelonephritis
d) Sinusitis

13) Which of the following urine sample collection is the most routine method for the laboratory diagnosis of UTI?
a) Midstream of the urine
b) Endstream of the urine
c) Beginning stream of the urine
d) All of the above

14) Which of the following statements is false regarding 'pyuria' of the urinary tract?
a) Longer use of catheters can lead to sterile pyuria 
b) Detection of white blood cells in the urine sample
c) Pyuria is associated with nonpulmonary tuberculosis
d) Chlamydial infection is the only cause of a pyuria

15)Select the incorrect statement regarding the urine culture procedure done for the isolation and identification of the bacteria
a) First void urine sample is an appropriate and most widely used routine collection method
b)The urine sample is tested for color, chemical composition, and microscopic examination in the lab
c) .01 ml is the standard urine volume taken for the inoculation in culture media
d) Blood culture and MacCokey agar are the routine culture media used for the isolation method






Answers:
1) b)Streptococcus pyogenes    
2) a)Poor hygiene practices during the periods,b)The anatomy of the urinary system of the women, c)Change in the size of a uterus in pregnancy, and (d)Hormonal changes during menopause
3) a)Endometriosis      
4) a), b) and d)
5) d)All of the above
6) d)Proteus mirabilis
7) b)Over the counter medicines for the complete recovery  
8) a)
9) a)Gentamicin
10) b)It is the infection of the bladder (correct answer: infection of the kidneys)
11) d) Men are more affected than women
12- c)Acute pyelonephritis
13- a)Midstream of the urine
14- d)Chlamydial infection is the only cause of a pyuria
15-a)First void urine sample is an appropriate and most widely used routine collection method























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