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Urinary Tract Infection (Lower) – Men (ALL)
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1. Which finding should prompt 2WW referral in a man without UTI?
*
Occasional nocturia
Haematuria
Cloudy urine only
Mild urgency
2. Which symptom would raise suspicion of a lower UTI?
*
Penile discharge
Hesitancy
Nocturia
Suprapubic tenderness
3. What duration of antibiotic therapy is recommended for men with lower UTI?
*
1 day
3 days
7 days
10 days
4. What is the purpose of antibiotic review after culture results
*
Assess renal function
Confirm diagnosis of cystitis
Check blood glucose
Tailor therapy to sensitivity
5. What should be considered in a man with lower UTI and systemic symptoms?
*
Renal cell carcinoma
Upper UTI or prostatitis
Epididymitis
Hydronephrosis
6. Which condition must be excluded in men with persistent or recurrent UTI?
*
Appendicitis
Prostatitis
Cystitis glandularis
Varicocele
7. Which antibiotic is not recommended for empirical use due to resistance risk in uncomplicated UTI?
*
Trimethoprim
Fosfomycin
Ciprofloxacin
Nitrofurantoin
8. What is the most common cause of lower urinary tract infection in men?
*
Escherichia coli
Pseudomonas aeruginosa
Klebsiella oxytoca
Streptococcus pneumoniae
9. What lifestyle advice is appropriate for men with recurrent UTI?
*
Increase dairy intake
Avoid red meat
Use of antiseptic soaps
Hydration and double voiding
10. In which situation is prostate examination indicated?
*
Only in men over 80
Only if retention present
Recurrent UTI or signs of prostatitis
Every case of dysuria
11. When should asymptomatic bacteriuria be treated in men?
*
Only if leukocytes are present
Always •
Before urological procedures
Only in the elderly
12. Which comorbidity increases the risk of complicated UTI in men?
*
Osteoporosis
Asthma
Diabetes mellitus
Migraine
13. What is a first-line empirical treatment for lower UTI in men?
*
Nitrofurantoin
Ciprofloxacin
Doxycycline
Flucloxacillin
14. Which test is most useful for guiding treatment in UTI?
*
Renal ultrasound
Urine culture and sensitivity
Bladder diary
CT KUB
15. When is a urine culture recommended in men with suspected UTI?
*
Always, before starting antibiotics
If haematuria is reported
Only in severe UTI
If fever is present
16. Which is NOT a common feature of uncomplicated lower UTI in men?
*
Urgency
Fever over 38°C
Suprapubic discomfort
Frequency
17. Which symptom should prompt urgent exclusion of pyelonephritis?
*
Mild nocturia
Frequency without fever
Flank pain with fever
Suprapubic pain only
18. Which symptom is most typical of lower UTI in men?
*
Dysuria
Haemoptysis
Scrotal swelling
Scrotal pain
19. What should be avoided when interpreting dipstick in men over 65?
*
Testing proteinuria
Looking for glucose
Testing specific gravity
Assuming UTI based on positive leukocytes alone
20. What role does post-void residual volume play in recurrent UTIs?
*
It rules out prostatitis
It confirms STI
It’s used to monitor antibiotic levels
It may suggest incomplete bladder emptying