Name: Mark Wills

Theme: Urinary Tract Infections

OPTION LIST

A	Abacterial cystitis	I	Relapse of UTI
B	Acute bacterial cystitis	J	Renal tuberculosis
C	Bacterial prostatitis	K	Schistosomiasis of the bladder
D	Eosinophilic cystitis	L	Urethral syndrome
E	Fungal	M	Viral cystitis
F	Non-infective cystitis	N	Weber’s syndrome
G	Pulmonary tuberculosis	O
H	Recurrent UTI	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 30 year old previously healthy lady presents to her GP complaining of urinary frequency and dysuria for the preceding three days. She uses diaphragm contraception. She is afebrile and has no loin pain, although she has suprapubic tenderness. Microscopy and culture revealed 3 x 10⁵ Escherichia Coli per ml urine.

2. A 63 year old gentleman has a two day history of fever and rigors with lower back pain and discomfort on passing urine. Urine microscopy and culture revealed 2 x 10⁴ Escherichia Coli per ml urine.

3. A 40 year old lady was previously diagnosed with acute UTI and treated with trimethoprim. Ten days later she returns to her GP with the same symptoms of dysuria and frequency, and urine microscopy reveals a positive culture of the same bacteria.

4. Individuals who walk or swim in the river Nile put themselves at risk of developing this condition.

5. A 35 year old Asian gentleman has recently migrated to the United Kingdom. He presents with urinary frequency, dysuria and loin tenderness. Urine culture is negative, however he has pyuria.

ANSWERS

1. B

2. C

3. I

4. K

5. J