Name: Lance Holman

Theme: GU disease 2

OPTION LIST

A	Acute Prostatis	I	Escherichia coli
B	Acute Pyelonephritis	J	Intrarenal Abscess
C	Amoxycillin or Trimethoprim	K	Oral cephalosporins or quinolones
D	Candida	L	Perinephric Abscess
E	Cephalexin or Nitrofurantoin	M	Renal Tuberculosis
F	Chronic Prostatitis	N	Staphylococcus saprophyticus
G	Co-amoxyclav or Ciprofloxacin	O	Urethral syndrome
H	Cystitis	P

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

1. A previously healthy 65 year old woman presents to A&E with fever, rigors, occasional vomiting and flank pain. Further questioning reveals she is also suffering from dysuria, frequency and urgency. She has a past history of renal stones. She denies any suprapubic tenderness. Urine cultures reveal bacteriuria with a concentration >10⁵ per ml.

2. A 19 year old female student has recently returned from a holiday in Magaluf and is diagnosed with a UTI. What is the organism most likely to have caused the infection?

3. A patient recently admitted for a UTI has not responded to a conventional 5-day course of antibiotics. What second line antibiotics should now be considered?

4. A 30 year old woman presents to A&E with sudden onset dysuria, frequency and urgency. Urine cultures reveal a bacteriuria with a concentration <10⁵per ml.

5. A 60 year old man presents to A&E with a high fever and symptoms of a UTI. Further questioning reveals he is also suffering from a lower back ache that he has not noticed before. He denies any urgency, frequency or dysuria.

ANSWERS

1. B

2. D

3. I

4. N

5. J