Renal pathology part 2, Study Guides, Projects, Research of Pathology

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QUESTION 1 A 26-year-old woman presents to her physician complaining of a two-day history of increased urinary frequency, dysuria, burning and a sensation of incomplete voiding. She does not have fever, chills, vaginal discharge or flank pain. She is otherwise healthy, takes no medications, and is sexually active. Physical examination is unremarkable including a normal pelvic examination. Her urinalysis report shows numerous white blood cells/hpf and few RBCs. Urine culture grows >10° CFU/ml of a bacterium. Images of the culture and the Gram stain of the colony is attached. Which of the following virulence factors is responsible for the pathogenesis of the patient's illness? Endotoxin Exotoxin-A Flagella P- fimbriae Urease