MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A client with a spinal cord injury says he has difficulty recognizing the symptoms of urinary tract infection (UTI). Which symptom is an early sign of UTI in a client with a spinal cord injury?

A	Lower back pain
B	Fever and change in urine clarity
C	Frequency of urination
D	Burning sensation on urination

Explanation:

Detailed explanation-1: -In patients with spinal cord injury, signs and symptoms suggestive of a urinary tract infection are malodorous and cloudy urine, muscular spasticity, fatigue, fevers, chills, and autonomic instability.

Detailed explanation-2: -Most patients with spinal cord injury have urinary stasis due to neurogenic bladder, which promotes bacterial colonization and impairs the phagocytic ability of epithelial cells that line the bladder, making them prone to urinary tract infections.

Detailed explanation-3: -As bacteria seem to be more resistant during the acute phase of SCI, the authors recommend treatment with fluoroquinolones or cefuroxime, whereas in patients with chronic SCI, nitrofurantoin or trimethoprim are first-choice agents, and fluoroquinolones are regarded as second choice.

Detailed explanation-4: -Is UTI common after spinal cord injury (SCI)? Yes. Here are 3 of the more common reasons people with SCI develop UTIs.

There is 1 question to complete.