Pathology EMQ template.

Name: Lianne Warr

Theme: Urinary Tract Infection

OPTION LIST

A	Send urine for MC&S. No treatment until results obtained.	I	Repeat MC&S in one week
B	Replace catheter	J
C	Co-amoxiclav 500/125mg tds PO for 14 days	K
D	Swab for chlamydia trachomatis	L
E	Cephalexin 500mg bd PO for 3 days	M
F	Replace catheter & give fluconazole	N
G	No treatment necessary	O
H	Cephalexin 500mg bd PO for 7 days	P

For each scenario below, choose the most appropriate treatment option from the list above. Each option may be used once, more than once or not at all.

1. 85 year old female is found to have ++ nitrites on urinalysis during a routine check up at the GP. She is asymptomatic.

2. 20 year old female with dysuria, urgency and frequency. Symptoms have been present for 10 days. ++ leucocytes on urinalysis.

3. 70 year old female with indwelling catheter. She has mild suprapubic tenderness.  Candida is present in urine.  

4. A 35 year old female with a temperature of 38.2 °C and nausea. There in pain on firm palpation of the right kidney. On urinalysis, there is ++ blood and +++leucocytes.

5. 20 year old male with dysuria, urgency and frequency. Symptoms have been present for 4 days. ++ leucocytes on urinalysis.

ANSWERS

1.       G

2. H

3. B

4.  C

5. H