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Chapter 79. Urinary Tract Infections

The preferred treatment option for an initial UTI episode in a 22-year-old female patient with normal renal function is:

A. Trimethoprim-sulfamethoxazole

B. Cefuroxime

C. Nitrofurantoin

D. Amoxicillin

E. Ciprofloxacin

Which of the following treatments options may be used in patients with uncomplicated cystitis as a single-dose therapy:

A. Ciprofloxacin

B. Amoxicillin/clavulanate

C. Gentamicin

D. Fosfomycin

E. Methenamine

The preferred antibiotic regimen in a male patient with pyelonephritis and concomitant urosepsis due to Pseudomonas aeruginosa is:

A. Ertapenem

B. Amoxicillin-clavulanic acid

C. Fosfomycin

D. Piperacillin-tazobactam

E. Gentamicin

The preferred regimen for patients requiring a single-dose intravenous antibiotic as supplemental therapy for treatment of pyelonephritis due to fluoroquinolone resistant E. coli is:

A. Trimethoprim-sulfamethoxazole

B. Ceftriaxone

C. Ampicillin/sulbactam

D. Ceftazidime

E. Ciprofloxacin

Which of the following fluoroquinolone antibiotics should not be used for UTIs due to its limited urinary excretion?

A. Moxifloxacin

B. Ofloxacin

C. Levofloxacin

D. Ciprofloxacin

E. Norfloxacin

Decreases in a patient’s glomerular filtration rate can significantly decrease urine concentrations of all of the following antibiotics except:

A. Gentamicin

B. Levofloxacin

C. Minocycline

D. Nitrofurantoin

E. Trimethoprim-sulfamethoxazole

A 29-year-old woman who is 20 weeks pregnant has a routine clean-catch urine growth E. coli at a scheduled visit. The following are treatment options for this patient except:

A. Amoxicillin-clavulanate

B. Cephalexin


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