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Gynaecology & Obstetrics General 8bb86fc4

Asymptomatic UTI in pregnancy, true is:a) Most are usually asymptomatic in pregnancyb) If untreated, progresses to pyelonephritisc) Early and prompt treatment prevents abnormalities in fetusd) Increase chance of premature infante) Increase risk of chronic renal lesion

A
abcd
B
bcde
C
acde
D
abde
High-Yield Explanation
Asymptomatic Bacteriuria: This refers to persistent, actively multipliying bacteria within the urinary ract in an asymptomatic woman. It is diagnosed when bacterial count of the same species is over 105/ml in mid stream clean catch specimen of urine on 2 occasions without symptoms of urinary infection Counts < 104/ml indicate contamination of urine from the urethra or external genitalia M/C offending organism = E. coli (90% cases) Incidence is similar in both non-pregnant and pregnant women, i.e. 1 to 10% Risk factors for developing asymptomatic bacteriuria Low social economic status Multiparity ↑Age Faulty sexual practices Maternal diabetes Sickle cell trait

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