Practice Quiz

COMLEX Osteopathic Medicine

Category - Genitourinary

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As a provider, your receive a urinalysis report on a female patient stating that the clarity was turbid, there was 2+ leukocyte esterase, and a microscopic evaluation that showed many bacteria. What could cause this report?
  1. There was contamination of normal flora.
  2. A bacterial urinary tract infection
  3. Both A and B
  4. Neither A nor B
Explanation
Answer - B - The presence of 2+ leukocyte esterase, turbidity, and many bacteria indicate a bacterial urinary tract infection. The presence of leukocyte esterase indicates the presence of white blood cells in the urinary tract to help fight off infection. Bacterial contamination might be an issue if the patient was asymptomatic and had no leukocyte esterase. A urine culture should be performed to ensure that the proper antibiotic is prescribed.
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