Urinary Tract Infection MCQ Quiz | Urology

Welcome to the Urology quiz on Urinary Tract Infections (UTIs), specifically designed for MBBS students. This quiz will test your understanding of the etiology, pathogenesis, clinical features, diagnosis, and management of UTIs, covering both uncomplicated and complicated cases. It includes questions on special populations like pregnant women and patients with catheters. There are 25 multiple-choice questions to challenge your knowledge and help you prepare for your examinations. After submitting your answers, you will see your score and a detailed review of each question. You can also download a PDF copy of all the questions along with their correct answers for your offline study and revision. Good luck!

1. What is the most common causative organism for uncomplicated urinary tract infections (UTIs)?

2. A urinary tract infection in an adult male patient is generally considered to be:

3. The presence of which of the following on a urine dipstick is most specific for a UTI?

4. Which symptom is LEAST characteristic of acute uncomplicated cystitis and more indicative of pyelonephritis?

5. The classical definition of significant bacteriuria in a mid-stream urine sample from a symptomatic woman is:

6. The primary route of bacterial entry leading to most UTIs is:

7. How should asymptomatic bacteriuria in a pregnant woman be managed?

8. Which of the following conditions would classify a UTI as ‘complicated’?

9. The most significant risk factor for developing a catheter-associated UTI (CAUTI) is:

10. A positive leukocyte esterase test on a urine dipstick is an indirect indicator of:

11. Which antibiotic is generally contraindicated in the first and third trimesters of pregnancy for treating UTI?

12. Recurrent UTIs are defined as:

13. In which patient population is screening and treatment for asymptomatic bacteriuria NOT routinely recommended?

14. Emphysematous pyelonephritis, a severe necrotizing infection with gas formation in the renal parenchyma, is most commonly seen in patients with:

15. The presence of white blood cells in urine with a negative standard urine culture (sterile pyuria) should raise suspicion for which organism?

16. Which organism is known for producing urease, leading to the formation of alkaline urine and struvite stones?

17. A 30-year-old male presents with dysuria, perineal pain, fever, and a tender, swollen prostate on digital rectal examination. What is the most likely diagnosis?

18. The proposed mechanism of action for cranberry products in preventing UTIs is:

19. Which of the following is a first-line treatment for uncomplicated cystitis in a non-pregnant woman in an area with low E. coli resistance?

20. What is the classic triad of symptoms for acute pyelonephritis?

21. In which situation is imaging (e.g., ultrasound or CT) most clearly indicated for a first-episode UTI?

22. What is the most appropriate method for collecting a urine specimen for culture in a non-toilet-trained infant?

23. Which of the following is NOT a common risk factor for UTIs in women?

24. What is the appropriate initial management for a hemodynamically stable patient with mild to moderate acute pyelonephritis who can tolerate oral intake?

25. A perinephric abscess is a complication most commonly associated with: