A 27-year-old female complains of dysuria and urinary frequency. Urinalysis reveals 1020 WBCs per high- power field and numerous gram-negative bacteria. She denies fevers, chills, and has no flank pain or tenderness.Which of the following statements concerning urinary tract infections is true?
Answer(s): A
Urinary tract infections are extremely common in young women. For simple infections uncomplicated by fever, chills, or flank pain, a single dose of an antibiotic may be curative. In the presence of symptoms suggesting renal parenchymal infection (i.e., pyelonephritis), treatment should continue for as long as 2 weeks, and parenteral antibiotics may be required (e.g., fluoroquinolone). Bacteriuria in pregnant women should be treated regardless of symptoms; whereas, bacteriuria in patients with indwelling catheters should probably be treated only in the presence of symptoms. Chronic suppressive antibiotic therapy in the latter group has not been shown to be useful. Radiologic investigation for underlying anatomic abnormalities should be undertaken in girls up to age 6, in all males after their first infection, and in women of any age with recurrent urinary tract infections. The most common pathogen is E. coli, accounting for greater than 80% of infections. Other organisms frequently encountered include Klebsiella, Proteus, and Enterobacter species.
A 27-year-old female complains of dysuria and urinary frequency. Urinalysis reveals 1020 WBCs per high- power field and numerous gram-negative bacteria. She denies fevers, chills, and has no flank pain or tenderness.Which of the following bacteria is most likely responsible for this patient's urinary tract infection?
Answer(s): C
A 49-year-old woman with a history of migraine headaches reports 6 days of persistent headache, nausea, and recurrent vomiting. On examination, the patient is orthostatic. Electrolytes show a bicarbonate of 42 and a blood gas is obtained revealing a pH of 7.53, carbon dioxide of 53, and PO2 of85. What is the underlying acid-base abnormality?
Answer(s): B
The pH of 7.53 indicates alkalosis as the primary disorder (normal pH is 7.40). A high bicarbonate is consistent with a metabolic cause of the alkalosis. The high carbon dioxide of 53 (normal is 40) is compensating for the primary disorder (alkalosis) in an attempt to bring the pH closer to normal. Metabolic alkalosis results from renal bicarbonate reabsorption. Processes which maintain persistent high reclamation of bicarbonate include dehydration, hypokalemia, hypercapnea, and mineralocorticoid excess.
A 28-year-old man has the acute onset of colicky pain in the left costovertebral angle radiating into the groin, as well as gross hematuria. Abdominal x-ray discloses a stone in the left ureter. Which of the following is true concerning this disease?
More than 90% of renal stones are visible on a plain abdominal x-ray, and the majority contain calcium oxalate. Staghorn calculi usually contain magnesium ammonium phosphate (triple phosphate or struvite) and are associated with alkaline urine. This is commonly encountered in chronic urinary tract infections with urea-splitting bacteria. Radiolucent stones often contain urea, which is associated with acidic urine. A small percentage (fewer than 10%) of renal stones contain cystine. The most common cause of calcium stone disease is idiopathic hypercalciuria. Almost half these patients will excrete more than 4 mg of calcium/kg body weight/24 h in the absence of hypercalcemia. Causes of hypercalciuria to be ruled out are sarcoidosis, hyperparathyroidism, and Paget's disease of bone. Idiopathic hypercalciuria is believed to result from either increased GI absorption of calcium, increased calcium resorption from bone, or excessive renal calcium leakage into the urine.
A 28-year-old man has the acute onset of colicky pain in the left costovertebral angle radiating into the groin, as well as gross hematuria. Abdominal x-ray discloses a stone in the left ureter. Which of the following is true concerning this disease?The patient spontaneously passes the stone, which is found to contain calcium oxalate. Which of the following is the most likely cause of this stone?
Answer(s): D
Share your comments for USMLE STEP2 exam with other users:
Pass this exam 3 days ago. The PDF version and the Xengine App is quite useful.
informative for me.
question 134s answer shoule be "dlp"
in 72 the answer must be [sys_user_has_role] table.
i appreciated the mix of multiple-choice and short answer questions. i passed my exam this morning.
great to find this website, thanks
examination questions seem to be relevant.
planning to take psm test
please allow to download
please provide dumps
is the answer to question 15 correct ? i feel like the answer should be b
its getting more technical
i think these questions are what i need.
helpful assessment
i am confused about the answers to the questions. do you know if the answers are correct?
hi, please make the dumps available for my upcoming examination.
good practice
so far it is really informative
hi i want it please please upload it
am preparing for exam ,just nice questions
please upload c_tadm_23 exam
can we get tdvan4 vantage data engineering pdf?
want to clear the exam.
could you please upload the dumps of sap c_sac_2302
asm management configuration is about storage
kool thumb up
just passed the az-500 exam this last friday. most of the questions in this exam dumps are in the exam. i bought the full version and noticed some of the questions which were answered wrong in the free version are all corrected in the full version. this site is good but i wish the had it in an interactive version like a test engine simulator.
i can practice for exam
please i need this exam.
i need the dump
i want it bad, even if cs6 maybe retired, i want to learn cs6
i hate comptia with all my heart with their "choose the best" answer format as an argument could be made on every question. they say "the "comptia way", lmao no this right here boys is the comptia way 100%. take it from someone whos failed this exam twice but can configure an entire complex network that these are the questions that are on the test 100% no questions asked. the pbqs are dead on! nice work
very good materials
thanks for your support.