繼續教育考題
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1.
(A) |
Which of the following
statement regarding to UTI in children is NOT TRUE? |
A | UTI occurs in as many as 5% of
male and 1-2% of female children, |
B | Vesicoureteral reflux is the
most common abnormality, |
C | Premature infants, children
with systemic or immunologic diseases, urinary tract abnormality are
high risk groups, |
D | Girls younger than 5 years
with a previous history of UTI should be evaluated for the
underlying etiology. |
2.
(D) |
Which of the following
statement regarding to UTI in children is TRUE? |
A | Etiology is essentially the
same as in adults, with 80% due to E. coli, |
B | Patients with recurrent
infections or underlying structural abnormalities are more likely to
demonstrate other pathogens over time (such as Klebsiella,
Pseudomonas spp.), |
C | Bacteriuria in neonates and
infants, and in boys beyond infancy, is associated with a high
incidence of urinary tract abnormalities and necessitated prompt
diagnosis and early treatment. |
D | All of the above |
3.
(E) |
Which of
the following statement regarding to indications of radiographic study in UTI in children is
TRUE? |
A | Any male or female child
younger than 5 years with asymptomatic UTI or bacteriuria, |
B | Any male child with a first
episode of UTI or asymptomatic bacteriuria, |
C | Recurrent UTI in female
children, and any children with pyelonephritis, |
D | A children with first UTI and a
family history of UTI. |
E | All of the above |
4.
(B) |
Which of the following
statement regarding to radiographic study in UTI in children is NOT
TRUE? |
A | Voiding cystourethrography
(VCUG) will detect VU reflux and provide anatomic and functional
information of lower urinary tract, |
B | Direct radionuclide voiding
cystography will detect reflux with increased gondal radiation when
compared to VCUG, |
C | Tc-99m DTPA provides
glomerular filtration and excretory function, and when combined
furosemide, it could be differentiated the mechanical or
non-mechanical obstruction of hydronephrosis, |
D | Tc-99m DMSA accumulates in
functional renal cortex and is useful in demonstrating acute
pyelonephritis and evaluating focal parenchymal scarring. |
5.
(A) |
Which of the following
statement regarding to approach to UTI in children is NOT TRUE? |
A | Renal sonography can reveal
anatomic information, and most of time it is sufficient to make the
correct diagnosis, |
B | Immediate renal sonography can
be done in the acutely ill child to exclude the obstruction, |
C | Transient reflux can be masked
or overestimated during an acute UTI, therefore the optimal timing
of VCUG is debated, however, it is reasonable to conduct during the
initial hospital administration, |
D | Mild to moderate reflux might
disappear with increasing age. Follow-up studies are indicated. |
6.
(C) |
Which of the following
statement regarding to sequelae of UTI in children is NOT
TRUE? |
A | As many as 80% of children will
recur, |
B | Parenchymal scarring is found
in 10-15% of children with UTIs, |
C | Patients with mild to moderate
VU reflux should receive surgical intervention when recurrent UTIs, |
D | Continuous use of prophylactic
antibiotics is suggested in children with structural abnormalities,
especially VU reflux. |
7.
(B) |
Which of the following
statement regarding to diagnosis of UTIs NOT TRUE? |
A | Renal abscesses present with
identical signs and symptoms to pyelonephritis, and should be
considered if fever persists beyond 48-72 hours despite appropriate
antibiotics, |
B | Hematuria is uncommon in acute
cystitis in women, |
C | 30-40% of patients with acute
pyelonephritis will have positive blood cultures. |
D | In older man, persistent
or recurrent bacteriuria is associated with prostate enlargement or
chronic prostatitis. |
8.
(A) |
Which of the following
statement regarding to treatment of UTIs is NOT TRUE? |
A | Asymptomatic bacteriuria in
diabetes without anatomic abnormalities is not indicated to
antibiotic treatment, |
B | Pregnant women should be
screened for presence of bacteriuria, and should be treated. |
C | In pyelonephritis, total
of 14 days treatment are usually given, |
D | Painless complicated
pyelonephritis can be observed in diabetics, renal transplant
patients and alcoholics |
9.
(E) |
Which of the following statement regarding
to catheter- associated UTI is TRUE? |
A | The most common nosocomial
infection, |
B | With long-term catheterization
(>30 days), many patients have at least two bacterial
strains, |
C | Asymptomatic colonization and
symptomatic infection is difficult to differentiate, however, pyuria
accompanies most of symptomatic infection, |
D | Asymptomatic bacteriuria should
not routinely be treated. |
E | All of the above. |
10.
(D) |
Which of the following
statement in UTIs is FALSE? |
A | When fever is present in a
child, the diagnosis of UTI should routinely be considered, |
B | Prolonged fever in patients
with acute pyelonephritis, atypical pathogens (such as TB, sexual
transmitted disease) or complications (such as abscesses) should be
considered, |
C | E.coli is the most common
pathogen, |
D | In elderly, pyuria always
accompanies with bacteriuria. |