CHAPTER 27 Urinary tract infections

1. An infant was suffering from urinary tract infection. Semiquantitative culture of urine
collected through suprapubic aspiration yielded 104 CFU/mL. Which of the following
suggests the right interpretation of the test result in this case?
a) Suggestive of urinary tract infection
b) Request for midstream urine sample
c) Sample contaminated, repeat sample after proper collection
d) Request for three days’ consecutive early morning sample

2. All of the following are presumptive methods for detection of significant bacteriuria
EXCEPT:
a) Catalase test
b) Griess nitrite test
c) Dip slide culture
d) Urine microscopy

3. All the following are urinary pathogens EXCEPT:

a) Enterobacter spp.
b) Proteus spp.
c) S. haematobium
d) E. histolytica

4. Which one of the following is an oxidase-positive urinary pathogen?

a) S. saprophyticus
b) P. vulgaris
c) E. coli
d) P. aeruginosa

5. One of the following is FALSE regarding urine culture:

a) Quantitative urine culture is necessary
b) Catheter urine sample is collected from urine bag
c) Three early morning samples are collected for the diagnosis of renal tuberculosis
d) Suprapubic aspiration of urine is suggested in infants

6. A 28-year-old sexually active woman had frequent episodes of urinary tract infections.
Which of the following common novobiocin-resistant bacteria are likely to be associated in
this case?
a) E. coli
b) P. vulgaris
c) P. aeruginosa
d) S. saprophyticus

7. Which among the following is NOT a screening test for UTI?

a) Griess nitrite test
b) Catalase test
c) Rapid urease test
d) Triphenyl tetrazolium chloride test
8. Siderophores are virulence factors present in E. coli strains causing:
a) Meningitis
b) Urinary tract infection
c) Septicemia
d) Diarrhea

9. The FALSE statement about urine culture is:

a) Catheterised sample is not ideal
b) Culture on blood agar is for obtaining bacterial count
c) >105 bacteria/mL is considered significant from a mid-stream sample
d) Any number of bacteria is significant in a catheterised sample