A 30-year-old female patient presents with symptoms of dysuria, urgency, and frequency. A urinalysis is performed. Which of the following findings would most likely confirm a diagnosis of a urinary tract infection (UTI)?
Elevated ketones in the urine
Presence of nitrites in the urine
Low specific gravity
Presence of glucose in the urine
The Correct Answer is B
A. Elevated ketones in the urine can indicate diabetic ketoacidosis or starvation but is not specific to a UTI.
B. Nitrites are commonly found in the urine of patients with UTIs due to bacterial conversion of urinary nitrates to nitrites. This is a hallmark finding of a UTI.
C. Low specific gravity indicates diluted urine, which is not a direct indicator of a UTI.
D. Glucose in the urine could indicate diabetes but is not a typical finding for a UTI.
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Related Questions
Correct Answer is C
Explanation
A. A troponin level is used to diagnose cardiac injury, not multiple sclerosis. It does not help in confirming MS.
B. A myelogram is a diagnostic test for spinal cord disorders, but it is not typically used to diagnose multiple sclerosis.
C. A lumbar puncture is commonly performed to help diagnose multiple sclerosis. It can show abnormalities such as oligoclonal bands in the cerebrospinal fluid, which is suggestive of MS.
D. Brain natriuretic peptide (BNP) is a marker for heart failure and is unrelated to the diagnosis of multiple sclerosis.
Correct Answer is C
Explanation
A. Airway obstruction in asthma is not caused by thinning mucus. It is primarily due to bronchospasm, inflammation, and thickening of the mucus.
B. Decreased mucus production does not contribute to airway constriction in asthma. In fact, excessive mucus production is a key feature of asthma, leading to obstruction of the airways.
C. Bronchospasm in asthma involves inflammation, edema, and excess mucus production. These factors cause narrowing of the airways, leading to difficulty breathing.
D. Inflammation leads to airway narrowing, but it does not reduce the airway diameter in the sense of preventing bronchospasm. Bronchospasm occurs as a result of inflammation and muscle contraction.
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