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Current Affairs January 2024

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4

Histologically, the pathognomonic finding of Fournier gangrene include:

A. necrosis of the superficial and deep fascial planes

B. fibrinoid thrombosis of the nutrient arterioles

C. polymorphonuclear cell infiltration

D. all of the above

Correct Answer :

D. all of the above


self-explanatory.

Related Questions

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4

What is true regarding acute pyelonephritis?

A. a cause of obstruction should be sought

B. PCN is placed to decompress the kidney and preserve renal function

C. blood-born staphylococci are commoner than ascending E.coli infections

D. blood and urine cultures must dictate the antibiotic choice from day 1

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4

What is the mortality rate of emphysematous pyelonephritis?

A. 43%

B. 53%

C. 63%

D. 73%

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4

What is true regarding contrast CT imaging for a renal abscess?

A. abscess appears as a low attenuation cystic cavity containing gas

B. renal parenchyma around the abscess cavity may show hypo enhancement in nephrogram phase

C. associated fascial and septal thickening are seen with obliteration of perinephric fat

D. all of the above

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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 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 concerning chronic orchialgia syndrome?

A. it is a constant or intermittent pain of testes for more than 3 months

B. could be due to appendix testis torsion-detorsion

C. could be due to radiculitis resulting from a degenerative lesion in the thoraco-lumber vertebrae

D. could be a result of entrapment neuropathy of ilioinguinal or genitofemoral nerve

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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 false concerning renal hydatid cysts?

A. might rupture into the collecting system causing (hydatiduria)and renal colic

B. are formed by the eggs of the tapeworm Echinococcus granulosus

C. most cysts are asymptomatic but might manifest as flank mass, dull pain, or hematuria

D. the most reliable diagnostic test uses partially purified hydatid arc 5 antigens in a double-diffusion test

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4

What virus(s) could cause orchitis?

A. Coxsackie B

B. Epstein-Barr

C. varicella

D. all of the above

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4

What is the most commonly affected organ by genitourinary Brucellosis?

A. kidneys

B. bladder

C. prostate

D. epididymis

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4

What is false regarding malakoplakia?

A. is an uncommon granulomatous disease that affect the skin and/or urinary bladder

B. it might be due to a disturbed function of B lymphocytes

C. characterized by the presence of basophilic inclusion structure (Michaelis-Gutmann body)

D. it might be due to a defective phagolysosomal activity of monocytes or macrophages

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4

All of the following etiologies for interstitial cystitis have been theorized, EXCEPT:

A. allergic, type I hypersensitivity response

B. pelvic floor dysfunction

C. up-regulation of histaminergic and muscarinic neuro-receptors

D. neural hypersensitivity

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4

What are the most commonly affected organs by genitourinary schistosomiasis?

A. kidneys and adrenals

B. bladder and ureters

C. prostate and vasa

D. testes and epididymi

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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

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

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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

What is false concerning acute pyelonephritis?

A. CBC reveals leucocytosis with predominance of neutrophils

B. contrast CT reveals one or more focal wedge-like swollen regions of the kidney parenchyma, sparing the cortex, and demonstrating reduced enhancement rim sign

C. in children, recurrent acute pyelonephritis might lead to renal scarring

D. in pregnancy, recurrent acute pyelonephritis might lead to preterm labor

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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

What is the most significant biological difference in women susceptibility to UTI?

A. adherence of bacteria to vaginal cells

B. vaginal dryness

C. O serogroup

D. vaginal pH

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4

What is the estimated risk of untreated Chlamydial infections in producing pelvic inflammatory disease?

A. 1 2.7%

B. 5 9%

C. 10 27%

D. 30 47%

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4

What is the likelihood of contracting gonorrheal disease following a single intercourse with an infected woman?

A. 1.7%

B. 7%

C. 17%

D. 71%

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4

What are the most commonly affected organs by genitourinary tuberculosis?

A. kidneys, prostate and epididymi

B. bladder, ureters and renal pelvis

C. vasa, scrotum and adrenals

D. testes, bladder neck and seminal vesicles

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4

Under which surgical wound classification, does diagnostic cystoscopy under sterile technique fit?

A. dirty - infected

B. contaminated

C. clean - contaminated

D. clean

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4

What condition does NOT present as an acute loin pain with fever and marked flank tenderness?

A. ascending UTI causing acute lobar nephronia

B. acute pyelonephritis in a transplanted kidney

C. infected renal subcapsular hematoma

D. perinephric abscess causing septicemia

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4

What is true regarding honeymoon cystitis?

A. is a self-limiting infection where antibiotics are not required

B. is exclusively for UTI experienced by a girl after sexual intercourse on her wedding night

C. post-coital voiding has no value in the occurrence of the infection

D. self-initiated medication helps control the infection

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4

Why could pyuria be sterile?

A. because standard laboratory culture specifications might not be favorable for growth of atypical organisms

B. because UTI could show fewer than 10 white cells/mm3 in urine

C. because laboratories may not report significant growth of a defined urinary pathogen

D. all of the above

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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 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

What are the target immune cells for HIV?

A. phagocytes

B. CD4 T cells

C. B lymphocytes

D. natural killer cells

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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