题目内容

The most common pathogen involved in community-acquired UTIs isSelect one

A. Pseudomonas aeruginosa
B. Escherichia coli
Candida glabrata
D. Staphylococcus saprophyticus

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A 73 year old female is admitted to hospital for a heart failure exacerbation An indwelling urinary catheter is inserted at the time of admission to monitor urine output. Her admission is complicated by non-medical issues related to nursing home placement and inability to cope at home. She has been afebrile and medically stable for the past week. A routine urine culture is collected and the cultures are positive for Enterococcus faecalis after 12 days of admission. She is not experiencing any urinary symptoms. The most appropriate recommendation is: Select one

A. Treat the patient with amoxicillin 500 mg po TID X 7 days
B. Remove the indwelling urinary catheter if possible or change it
C. Treat with amoxicillin/clavulanate 875 mg/125 mg po TID x 7 days
D. Treat with nitrofurantoin 100 mg po BID x 5 days

A 24-year-old woman would like to know what she can do for her frequent UTIs. She notices that she mainly gets them after sexual intercourse.What would be the best recommendation to try first for this patient?

A. Drink cranberry juice daily
B. Levofloxacin 500 mg daily for 1 year
C. Topical estrogen cream
D. Urine voiding after intercourse

A 54-year-old man is diagnosed with acute bacterial prostatitis for the first time. He is an otherwise healthy male with a documented allergy to trimethoprim–sulfamethoxazole. Which of the following is the most appropriate therapy for this patient?

A. Ciprofloxacin 500 mg orally twice daily for 3 days
B. Trimethoprim–sulfamethoxazole double strength, one tablet orally twice daily for 4 weeks
Ciprofloxacin 500 mg orally twice daily for 4 weeks
D. Nitrofurantoin 100 mg orally twice daily for 5 days

A 50-year-old woman is admitted to the ICU with severe pyelonephritis. She has a history of anaphylaxis with penicillin. What would be the most appropriate empiric treatment?

A. Trimethoprim–sulfamethoxazole double strength, 1 tablet orally twice daily for 3 days
B. Nitrofurantoin 100 mg orally twice daily for 7 days
Cipofloxacin 400 mg IV twice daily for 3 days, followed by 500 mg orally twice daily for 11 days
D. Piperacillin/tazobactam 3.375 gm IV q6 hr x 14 days

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