Question 1

Along with an antibiotic prescription, lifestyle education for a nonpregnant adult female who has had a urinary tract infection includes:

Accepted Answer

A)  Increasing her intake of vitamin C-containing orange juice 
B)  Voiding 10 to 15 minutes after intercourse 
C)  Avoiding ingesting urinary irritants, such as asparagus 
D)  All of the above 
A)  Increasing her intake of vitamin C-containing orange juice 
B)  Voiding 10 to 15 minutes after intercourse 
C)  Avoiding ingesting urinary irritants, such as asparagus 
D)  All of the above B

Question 2

The treatment goals when treating urinary tract infection (UTI) include:

Accepted Answer

A)  Eradication of infecting organism 
B)  Relief of symptoms 
C)  Prevention of recurrence of the UTI 
D)  All of the above 
A)  Eradication of infecting organism 
B)  Relief of symptoms 
C)  Prevention of recurrence of the UTI 
D)  All of the above D

Question 3

Monitoring for a pregnant woman who has had a urinary tract infection is:

Accepted Answer

A)  Symptom resolution in 48 hours 
B)  Follow-up urine culture at completion of therapy 
C)  "Test of cure" urinary analysis at completion of therapy 
D)  Follow-up urine culture every 2 weeks until delivery 
A)  Symptom resolution in 48 hours 
B)  Follow-up urine culture at completion of therapy 
C)  "Test of cure" urinary analysis at completion of therapy 
D)  Follow-up urine culture every 2 weeks until delivery D

Question 4

Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with no use of antibiotics in the previous 6 months and no drug allergies. An appropriate first-line antibiotic choice for her would be:

Accepted Answer

A)  Azithromycin 
B)  Trimethoprim/sulfamethoxazole 
C)  Ceftriaxone 
D)  Levofloxacin 
A)  Azithromycin 
B)  Trimethoprim/sulfamethoxazole 
C)  Ceftriaxone 
D)  Levofloxacin

Question 5

Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give her would be:

Accepted Answer

A)  Sixteen ounces per day of cranberry juice cocktail will prevent UTIs. 
B)  100% cranberry juice or cranberry juice extract may decrease UTIs in some patients. 
C)  There is no evidence that cranberry juice helps prevent UTIs. 
D)  Cranberry juice only works to prevent UTIs in children. 
A)  Sixteen ounces per day of cranberry juice cocktail will prevent UTIs. 
B)  100% cranberry juice or cranberry juice extract may decrease UTIs in some patients. 
C)  There is no evidence that cranberry juice helps prevent UTIs. 
D)  Cranberry juice only works to prevent UTIs in children.

Question 6

Monitoring for a healthy, nonpregnant adult patient being treated for a urinary tract infection is:

Accepted Answer

A)  Symptom resolution in 48 hours 
B)  Follow-up urine culture at completion of therapy 
C)  "Test of cure" urinary analysis at completion of therapy 
D)  Follow-up urine culture 2 months after completion of therapy 
A)  Symptom resolution in 48 hours 
B)  Follow-up urine culture at completion of therapy 
C)  "Test of cure" urinary analysis at completion of therapy 
D)  Follow-up urine culture 2 months after completion of therapy

Question 7

Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy and has no drug allergies. Appropriate initial therapy for her UTI would be:

Accepted Answer

A)  Azithromycin 
B)  Trimethoprim/sulfamethoxazole 
C)  Ceftriaxone 
D)  Ciprofloxacin 
A)  Azithromycin 
B)  Trimethoprim/sulfamethoxazole 
C)  Ceftriaxone 
D)  Ciprofloxacin

Question 8

Monitoring for a child who has had a urinary tract infection is:

Accepted Answer

A)  Symptom resolution in 48 hours 
B)  Follow-up urine culture at completion of therapy 
C)  "Test of cure" urinary analysis at completion of therapy 
D)  Follow-up urine culture 2 months after completion of therapy 
A)  Symptom resolution in 48 hours 
B)  Follow-up urine culture at completion of therapy 
C)  "Test of cure" urinary analysis at completion of therapy 
D)  Follow-up urine culture 2 months after completion of therapy

Question 9

Which of the following patients may be treated with a 3-day course of therapy for their urinary tract infection?

Accepted Answer

A)  Juanita, a 28-year-old pregnant woman 
B)  Sally, a 16-year-old healthy adolescent 
C)  Jamie, a 24-year-old female 
D)  Suzie, a 26-year-old diabetic 
A)  Juanita, a 28-year-old pregnant woman 
B)  Sally, a 16-year-old healthy adolescent 
C)  Jamie, a 24-year-old female 
D)  Suzie, a 26-year-old diabetic

Question 10

Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed with a lower urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI would be:

Accepted Answer

A)  Azithromycin 
B)  Trimethoprim/sulfamethoxazole 
C)  Amoxicillin 
D)  Ciprofloxacin 
A)  Azithromycin 
B)  Trimethoprim/sulfamethoxazole 
C)  Amoxicillin 
D)  Ciprofloxacin

Question 11

Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only drug allergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her would be:

Accepted Answer

A)  Azithromycin 
B)  Trimethoprim/sulfamethoxazole 
C)  Ceftriaxone 
D)  Ciprofloxacin 
A)  Azithromycin 
B)  Trimethoprim/sulfamethoxazole 
C)  Ceftriaxone 
D)  Ciprofloxacin

Exam 47: Urinary Tract Infections

Along with an antibiotic prescription, lifestyle education for a nonpregnant adult female who has had a urinary tract infection includes:

The treatment goals when treating urinary tract infection (UTI) include:

Monitoring for a pregnant woman who has had a urinary tract infection is:

Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with no use of antibiotics in the previous 6 months and no drug allergies. An appropriate first-line antibiotic choice for her would be:

Lisa is a healthy nonpregnant adult woman who recently had a urinary tract infection (UTI). She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer to give her would be:

Monitoring for a healthy, nonpregnant adult patient being treated for a urinary tract infection is:

Nicole is a 4-year-old female with a febrile urinary tract infection (UTI). She is generally healthy and has no drug allergies. Appropriate initial therapy for her UTI would be:

Monitoring for a child who has had a urinary tract infection is:

Which of the following patients may be treated with a 3-day course of therapy for their urinary tract infection?

Juanita is a 28-year-old pregnant woman at 38 weeks' gestation who is diagnosed with a lower urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI would be:

Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only drug allergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her would be:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Rational Drug Selection

Legal and Professional Issues in Prescribing

Adverse Drug Reactions

Factors That Foster Positive Outcomes

Cultural and Ethnic Influences in Pharmacotherapeutics

An Introduction to Pharmacogenomics

Nutrition and Nutraceuticals

Herbal Therapy and Nutritional Supplements

Information Technology and Pharmacotherapeutics

Pharmacoeconomics

Over-The-Counter Medications

Drugs Affecting the Autonomic Nervous System

Drugs Affecting the Central Nervous System

Drugs Affecting the Cardiovascular and Renal Systems

Drugs Affecting the Respiratory System

Drugs Affecting the Hematopoietic System

Drugs Affecting the Immune System

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Drugs Used in Treating Infectious Diseases

Drugs Used in Treating Inflammatory Processes

Drugs Used in Treating Eye and Ear Disorders

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Chronic Stable Angina and Low-Risk Unstable Angina

Anxiety and Depression

Asthma and Chronic Obstructive Pulmonary Disease

Contraception

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Diabetes Mellitus

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Human Immunodeficiency Virus Disease and Acquired Immunodeficiency Syndrome

Hormone Replacement Therapy and Osteoporosis

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Smoking Cessation

Sexually Transmitted Infections and Vaginitis

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Women As Patients

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Pain Management: Acute and Chronic Pain

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