Pyelonephritis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

Learning videos

Flashcards

Expert reviewed

Spaced Repetition

Mobile app

Custom Quizzes

1 of 4

A 46-year-old woman presents to the emergency department for evaluation of burning with urination for the past three days. Yesterday, the patient also developed right-sided flank pain and chills. She has no significant past medical history and takes no medications. Temperature is 38.2 ºC (100.8 ºF), pulse is 110/min, blood pressure is 95/50 mmHg, respirations are 14/min, and oxygen saturation is 100% on room air. On physical examination, there is tenderness to indirect percussion at the right costovertebral angle. The abdomen is soft and nondistended. Pregnancy test is negative. The serum leukocyte count is 18,000/mm3 (4,500–11,000/mm3) and serum creatinine is 0.8 mg/dL (0.6–1.2 mg/dL). Urinalysis, urine culture, and blood cultures are obtained. Urinalysis is shown below. IV fluids are administered. Which of the following is the most appropriate next step in management?

Urinalysis Test
Result
Reference Range
pH
5.0
5.0–7.0
Leukocyte esterase
Positive
Negative
Nitrites
Positive
Negative
Bacteria
Moderate
None
WBC
20–30/hpf
0–5/hpf
RBC
0–1/hpf
0–5/hpf
Squamous epithelial cells
0–1/hpf
<20/hpf

Elimination tool

Choose an option: