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4

A 48 yrs. woman presents with recurrent cystitis. Cystoscopy showed a raised bladder lesion. Biopsies from the lesion reveals Von Hansemann histiocytes, and Michaelis-Gutmann bodies. What is the treatment?

A. sulfonamide for several months

B. TUR of the bladder lesion followed by proper staging

C. radical cystectomy and urinary diversion

D. intravesical installation of mitomycin without irradiation

Correct Answer :

A. sulfonamide for several months


the diagnosis is malakoplakia. Sulphonamide for several months is the preferred treatment.

Related Questions

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4

What condition causes sterile pyuria?

A. urethral infection with trichomonas vaginalis

B. bladder infection with adenovirus

C. Kawasakis disease

D. all of the above

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4

Which of the following is NOT a first-choice antimicrobial agent for uncomplicated acute cystitis in women?

A. nitrofurantoin monohydrate/macrocrystals

B. trimethoprim-sulfamethoxazole

C. ampicillin

D. fosfomycin

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4

What are the commonest organisms causing acute epididymitis in males younger than 35 yrs.?

A. N. gonorrhea and C. trachomatis

B. E. coli and Pseudomonas species

C. Mycoplasma genitalium and Ureaplasma species

D. Trichomonas vaginalis and Gardnerella vaginalis

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4

What is true regarding nephrogenic adenoma of the bladder?

A. results from ectopic nephrogenic blastema cells in the detrusor muscle

B. might undergo malignant transformation in 15 40% of the cases

C. on cystoscopy, it appears as a bladder mucosal irregularity or large intramural mass

D. the preferred treatment is cystectomy and urinary diversion

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4

What is the preferred antibiotic for BPS/IC cases?

A. rifampicin

B. doxycycline

C. azithromycin

D. none of the above

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4

What is false concerning post UTI renal scarring in pediatrics?

A. the incidence of scarring following a single episode of febrile UTI is 4.5%

B. intra-renal reflux is common in convex papillae

C. scarring and chronic pyelonephritis lead to hypertension in 10-20%

D. scarring is best detected and followed up by DMSA

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4

What is the most significant complication of papillary necrosis?

A. ureteral obstruction

B. proteinuria

C. stone formation

D. renal scarring

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4

What is false concerning HIV infection?

A. AIDS patients in active infection show low CD4 + T-cell count

B. the diagnosis is confirmed by positive anti-HIV-1, anti-HIV-2 antibodies

C. patients receiving antiviral therapy could still be infectious

D. herpes simplex virus increases HIV replication in infected persons

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4

What is false regarding Herpes simplex (HSV) infection?

A. characterized by neurovirulence

B. the incubation period of primary genital herpes is 2 3 weeks

C. HSV can be isolated in the urine

D. HSV-1 infection causes urethritis more often than HSV-2 does

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4

What is false concerning urinary catheter-associated UTI (CAUTI)?

A. once a catheter is placed, the daily incidence of bacteriuria is 3-10%

B. on long-term catheterization, over 90% of patients develop bacteriuria

C. the practice of using urinary catheters to control incontinence in bedridden patients should be discouraged

D. urine bags should be placed on the floor to enhance gravity drainage

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4

What is false concerning corpora amylacea of the prostate?

A. are premalignant, and found in 1-6% of prostate biopsies

B. are small hyaline masses of unknown significance found in the prostate gland

C. they are degenerate cells or thickened secretions in the prostate ducts

D. might appear as prostate calcifications on X-ray KUB

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4

What is NOT a complication of mumps orchitis?

A. infertility

B. hypogonadotropic hypogonadism

C. non seminomatous germ cell tumor

D. chronic orchalgia

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4

What is false concerning cystitis glandularis?

A. rarely, the urothelial cell nests show a central lumen lined by glandular epithelium

B. In some cases, it may form polypoid masses that mimic urothelial neoplasms

C. It might appear as multinodular exophytic mass seen on cystoscopy

D. cystitis cystica and cystitis glandularis frequently coexist in the same specimen

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4

Asymptomatic bacteriuria should be treated in the following situations:

A. in the elderly

B. in long-term catheterized patient

C. in pregnancy

D. none of the above

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4

What condition(s) could occur in schistosomal ureter?

A. beading of the lower ureteral segment

B. ureteral fibrosis and calcifications of the distal ureter

C. stricture at the uretero-vesical junction

D. all of the above

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4

What is false concerning acute glomerulonephritis?

A. manifested as a sudden onset of hematuria, proteinuria, oliguria, edema, hypertension, and RBC casts in the urine

B. post-streptococcus GN has an incubation period of 1-3 weeks with specific strains of group A beta-hemolytic streptococcus

C. the triad of sinusitis, pulmonary infiltrates, and nephritis, suggests Wegener granulomatosis

D. C3, C4, ESR and antistreptolysin O titer are increased

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4

What is true concerning malakoplakia?

A. is a premalignant condition

B. it can be locally aggressive and invades surrounding structures causing bone erosions

C. kidneys are the most commonly affected organs

D. characterized by rounded intracellular inclusions (owls-eyes) in large esinophilic histocytes

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4

What is the ideal antibiotic class for self-start therapy on treating recurrent cystitis in a 32 yrs. married woman?

A. aminopenicillins

B. fluoroquinolones

C. aminoglycosides

D. nitrofurantoins

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4

What is the most virulent factor for bacterial adherence?

A. P blood group

B. fimbria

C. pili

D. hemolysin

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4

What is false concerning antiretroviral medications?

A. multiple antiretroviral drugs can be combined into a single pill

B. might cause radiolucent renal stones

C. can lead to a significant rise in the serum level of PDE5 inhibitors, if taken simultaneously

D. have the advantage of structured treatment interruptions (drug holidays)

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4

What is true concerning granulomatous inflammation of the prostate?

A. is a common cause of elevated PSA level

B. might follow BCG treatment

C. is sequelae of untreated type III-b prostatitis

D. shows homogenous enhancement following Gd-DTPA on prostate MRI

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4

A 60 yrs. man underwent TURP for, only, obstructive LUTS. Histology of prostate chips reveals prostatitis. What NIH type of prostatitis would it be?

A. type I

B. type II

C. type III

D. type IV

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4

What is false about urinary catheters?

A. condom catheters carry less risk of UTI if compared to urethral

B. suprapubic catheters carry less risk of UTI if compared to urethral

C. latex catheters carry less risk of UTI if compared to silicon

D. intermittent catheterization carry less risk of UTI if compared to indwelling catheters

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4

What is the proper term to describe high bacterial count in urine without pus?

A. asymptomatic bacteriuria

B. sterile pyouria

C. bacterial colonization

D. unresolved bacteriuria

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4

What is false regarding Gonorrheal STD in women?

A. nucleic acid amplification tests are the preferred to diagnose Gonococcal and Chlamydial infections

B. shows dark yellow, purulent, thick urethral discharge

C. the most common site of the infection is the endocervix

D. the incubation period is 2 3 weeks

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4

What is the percentage of occurrence of Staphylococcus saprophyticus in symptomatic lower UTIs in young sexually active females?

A. 5%

B. 10%

C. 15%

D. 20%

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4

What is true regarding Xanthogranulomatous Pyelonephritis?

A. CT shows the characteristic bear paw sign

B. it is an infected, obstructed, poorly functioning kidney containing stones

C. nephrectomy is the treatment

D. all of the above

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4

In males, HIV infection increases the incidence of the following genitourinary tumors:

A. testicular

B. renal

C. penile

D. all of the above

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4

How should a proper routine urine specimen be collected?

A. early morning sample, after cleansing the perineum and meatus

B. by urethral catheterization under strict aseptic technique

C. a clean catch of midstream voided urine

D. by suprapubic aspiration, as urine is sterile

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4

What is true concerning the treatment of catheter associated bacteriuria?

A. should be flushed frequently, but no antibiotic is advised

B. should be treated if febrile UTI has developed

C. should be treated only if urine culture is positive

D. should be treated once the catheter is removed