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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

Correct Answer :

D. type IV


as the pre-operative symptoms were only obstructive because of BPH, asymptomatic prostatitis is type IV.

Related Questions

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4

What is false regarding prostatic abscesses?

A. clinically, cannot be differentiated from acute bacterial prostatitis

B. medical management is often unsuccessful

C. it harbors prostate cancer in approximately 4.3% of cases

D. management include suprapubic urinary diversion

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4

Which treatment modality has NO proven efficacy in CP/CPPS?

A. selective nerve block

B. balloon dilation

C. botulinum A toxin injection

D. ESWL

What is the correct answer?

4

What is the best statement that describes the action of antiproliferative factor?

A. inhibits bladder epithelial cell proliferation

B. inhibits the bladder proliferative growth factors

C. stimulates the proliferation inhibitory factors

D. none of the above

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4

No need for radiologic studies for recurrent UTI in:

A. children

B. the elderly

C. men

D. women

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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

Which statement best defines reinfection?

A. a new episode of UTI caused by different species or occurring at long intervals

B. recurrent UTIs caused by the same organism in each instance, classically, at close intervals

C. recurrent UTIs due to failure of medical therapy to eradicate the infection

D. recurrent UTIs due to a persistent pathology that is obstinate to surgery

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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

What is false in the treatment and prevention of STDs?

A. antibiotic therapy is recommended for affected individuals with documented trichomonal infection and sexual partners even if asymptomatic

B. empirical treatment for gonococcal urethritis should cover chlamydia trachomatis

C. consistent and proper usage of condoms is estimated to prevent HIV transmission by approximately 80 to 95%

D. vaccinations are available for the prevention of human papillomavirus, N. gonorrhea, chlamydia trachomatis

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4

What could cause scrotal sinus?

A. improperly drained hair follicle scrotal abscess

B. syphilitic orchitis

C. tuberculous epididymitis

D. all of the above

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4

What is the average age of onset of BPS/IC patients?

A. 30

B. 40

C. 50

D. 60

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4

What is false concerning epididymitis?

A. should be distinguished from testicular torsion in the emergency setting

B. viral epididymitis is commoner in the elderly

C. chronic epididymitis might complicate BPH

D. chronic epididymitis might require epididymectomy

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4

What is false concerning esinophilic cystitis?

A. probably due to antibody/antigen reaction

B. has no diagnostic findings on cystoscopy

C. has no specific medical therapy

D. on histology, Von Brunn`s nests appear invaginating the urothelium into the lamina propria

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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 false concerning genitourinary TB?

A. is the commonest extra-pulmonary site of infection

B. bladder TB is secondary to renal TB, and usually begins at the ureteral orifices

C. in the kidneys, TB is typically bilateral, cortical, and adjacent to the glomeruli; they may remain dormant for ages

D. epididymal TB might occur by hematogenous or direct spread from the urinary tract

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4

What is true concerning ovarian vein syndrome?

A. manifests as recurrent renal colics due to ureteral obstruction

B. treatment is surgical mobilization of ureter and ligation of the vein

C. commonly, occurs at the left side

D. the pain worsens on sitting upright and during pregnancy

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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 is essential on diagnosing bladder pain syndrome BPS/IC?

A. sterile pyuria on 3 consecutive cultures

B. the presence of glomerulations and/or Hunner`s ulcer on endoscopy

C. pain and discomfort related to the bladder

D. urgency and frequency with no documented infection

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4

What is false concerning foreign body cystitis?

A. most commonly due to indwelling catheters

B. the areas of inflammation are usually confined to the lateral walls or the dome of the bladder

C. radiographic changes are nonspecific or present as bullous edema

D. indwelling catheters are associated with squamous cell carcinoma of the bladder

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4

What is the laboratory differentiation between type III-a and type III-b prostatitis?

A. the cytological examination of the urine and/or EPS

B. transrectal ultrasonographic examination

C. the presence of ≥10 WBCs/HPF in the urine with negative culture in type III-b

D. the positive urine culture, and negative EPS support type III-a

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4

What is false regarding the etiology and treatment of orchialgia syndrome?

A. small indirect inguinal hernia may irritate the genital branch of genitofemoral nerve causing orchialgia

B. might respond to a selective nerve block

C. the recommended treatment is orchiectomy with implantation of a testicular prosthesis

D. psychotherapy and stress management might alleviate the pain

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4

What are the diagnostic findings on cystometrogram for BPS/IC?

A. discomfort on placing urethral catheter and pain on bladder filling

B. difficulty in zeroing the pressure and diminished response to first cough

C. low filling pressure but high voiding pressure

D. uninhibited bladder contractions with a relative bladder hypotonia

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4

When comparing nosocomial to community-acquired UTI, the latter is:

A. 45% are caused by E. coli

B. related to an indwelling urinary catheter in approximately 40% of cases

C. responds fairly to oral antibiotics

D. tends to report higher antibiotic resistance

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4

What is NOT a poor clinical practice on caring for urethral catheters?

A. taking urine samples by draining the urine bag

B. daily cleansing the external meatus

C. placing the urine bag on the floor

D. changing the urine bag once it is full

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4

HIV infection increases the incidence of the following cancers, EXCEPT:

A. Kaposi sarcoma,

B. Hodgkin lymphoma

C. non-Hodgkin lymphoma

D. cervical cancer

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4

Using low-dose prophylactic or suppressive antimicrobials might be an option in treating the following type of prostatitis:

A. acute bacterial prostatitis presenting with abscess formation

B. recurrent or refractory chronic bacterial prostatitis

C. asymptomatic prostatitis with pyuria resistant to common antimicrobials

D. curiously, chronic inflammatory prostatitis could respond to low-dose suppressive antibiotic

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4

What is the earliest clinical finding of urosepsis?

A. elevated body temperature

B. dropped blood pressure

C. elevated heart rate

D. reduced urine output

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4

UPOINT system for phenotype categorization:

A. categorizes CP-CPPS, IC, and painful bladder syndrome based on 5 etiological principles

B. meant to classify CP-CPPS and IC patients into 6 domains

C. helps establish a reliable diagnosis of CP/CPPS or IC

D. the diagnostic scores of UPOINT depend on cystoscopy, TRUS, urine analysis and culture of uncommon microbes

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4

Which of the following does NOT cause sterile pyouria?

A. inadequately treated UTI

B. renal papillary necrosis

C. acute emphysematous pyelonephritis

D. urinary tract tuberculosis

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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 is false regarding schistosomal cystitis?

A. an esinophilic immune reaction is generated in response to the eggs

B. chronic schistosomiasis can eventually result in small bladder and the development of cancers

C. schistosoma mansoni often causes urinary tract infections

D. could cause inflammatory polys and recurrent hematuria