FISDAP OB-GYN Practice Test 2026 – Comprehensive Exam Prep Resource

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What condition is suspected in a febrile 64-year-old female with suprapubic tenderness and cloudy urine from a Foley catheter?

Kidney stones

Urinary tract infection

In this scenario, the presence of fever, suprapubic tenderness, and cloudy urine strongly suggests a urinary tract infection (UTI).

A urinary tract infection is characterized by the invasion of pathogens in the urinary system, which often leads to symptoms such as fever, increased urgency or frequency of urination, dysuria (painful urination), and cloudy urine due to the presence of pus or bacteria. In this case, the patient has a Foley catheter in place, which increases the risk of developing a UTI due to catheter-associated infections. The suprapubic tenderness indicates that there is likely inflammation and irritation of the bladder, common in UTIs.

While conditions like kidney stones or cancers can have overlapping symptoms, the combination of fever, suprapubic tenderness, and cloudy urine specifically points toward a urinary tract infection as the most likely diagnosis.

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Bladder cancer

Ovarian cancer

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