In which segmented voided bladder (VB) specimen, the diagnosis of chronic prostatitis is confirmed?
VB1 and VB3
prostatic secretions and the VB3
prostatic secretions and the VB2
prostatic secretions and the VB1
Correct Answer :
B. prostatic secretions and the VB3
bacterial prostatitis is confirmed by the presence of bacteria in the prostatic secretions and in the VB3 (post-prostatic massage) urine sample in numbers greatly exceeding the bacterial counts of the VB1 and VB2 urine samples.
Related Questions
What is false concerning radiation cystitis?
the average time from the beginning of radiation therapy to initial symptoms could be 2 4 weeks
treatment with stationary radiation, portals carry a higher risk of morbidity than treatment with rotating portals do
it occurs in about 10% of patients treated with definitive irradiation therapy for prostate cancer after 10 years
most cases are mildly affected and require no specific therapy
What condition(s) could occur in schistosomal ureter?
beading of the lower ureteral segment
ureteral fibrosis and calcifications of the distal ureter
stricture at the uretero-vesical junction
all of the above
What is true regarding genitourinary TB?
commonly, TB enters the urinary tract via intravesical instillation of attenuated live BCG to treat bladder cancer
CT urography may show infundibular stricture with or without hydrocalicosis
renal ultrasonography reveals calyceal erosions moth-eaten calyx
TB of the vas appears, clinically, as a thin hard strictured tube
What is false concerning acute pyelonephritis?
CBC reveals leucocytosis with predominance of neutrophils
contrast CT reveals one or more focal wedge-like swollen regions of the kidney parenchyma, sparing the cortex, and demonstrating reduced enhancement rim sign
in children, recurrent acute pyelonephritis might lead to renal scarring
in pregnancy, recurrent acute pyelonephritis might lead to preterm labor
The relative risk of prostate cancer in men with HIV compared to uninfected individuals is:
greater than 8 fold
greater than 6 fold
greater than 4 fold
comparable
What is false concerning Xanthogranulomatous Pyelonephritis?
is most commonly associated with Proteus or E. coli infection
is characterized by lipid-laden foamy macrophages
the overall prognosis is poor
it might involve adjacent structures or organs
What is the preferred antimicrobial prophylaxis for transrectal prostate biopsy?
aminoglycoside
fluoroquinolone
2nd generation cephalosporin
doxycycline
Which of the following has NO role in bacterial colonization in the prostate?
intra-prostatic ductal reflux
paraphimosis
specific blood groups
unprotected anal intercourse
What is false concerning emphysematous cystitis?
the hallmark in the diagnosis is the cystoscopic findings
risk factors include transplant recipients
CT shows intramural and/or intraluminal gas in the bladder
requires surgical debridement and probably cystectomy
What is false regarding pediatric renal parenchyma scarring?
chronic pyelonephritis and HTN lead to ESRD in 10% of the cases
neonatal symptoms of UTI are vague and non-specific, that delay the diagnosis and end in more scarring
despite adequate treatment, scarring continues after an attack of pyelonephritis as a chronic immune reaction against renal tubules
neonates have low intrarenal pelvic pressure, that predisposes to ascending infections
No need for radiologic studies for recurrent UTI in:
children
the elderly
men
women
What is false regarding the etiology and treatment of orchialgia syndrome?
small indirect inguinal hernia may irritate the genital branch of genitofemoral nerve causing orchialgia
might respond to a selective nerve block
the recommended treatment is orchiectomy with implantation of a testicular prosthesis
psychotherapy and stress management might alleviate the pain
What is true concerning granulomatous inflammation of the prostate?
is a common cause of elevated PSA level
might follow BCG treatment
is sequelae of untreated type III-b prostatitis
shows homogenous enhancement following Gd-DTPA on prostate MRI
What are the diagnostic findings on cystometrogram for BPS/IC?
discomfort on placing urethral catheter and pain on bladder filling
difficulty in zeroing the pressure and diminished response to first cough
low filling pressure but high voiding pressure
uninhibited bladder contractions with a relative bladder hypotonia
What is false regarding Herpes simplex (HSV) infection?
characterized by neurovirulence
the incubation period of primary genital herpes is 2 3 weeks
HSV can be isolated in the urine
HSV-1 infection causes urethritis more often than HSV-2 does
What are the most commonly affected organs by genitourinary schistosomiasis?
kidneys and adrenals
bladder and ureters
prostate and vasa
testes and epididymi
Which of the following factors increases the risk of UTI due to promotion of microbial colonization?
neurogenic bladder
the use of spermicide
urinary catheterization
fecal incontinence
What is true concerning the treatment of catheter associated bacteriuria?
should be flushed frequently, but no antibiotic is advised
should be treated if febrile UTI has developed
should be treated only if urine culture is positive
should be treated once the catheter is removed
Ureteral dilation in schistosomiasis could be due to:
vesicoureteral reflux
stenosis of the lower ureter
edematous ureteral wall causing deficient peristalsis
any of the above
What is false concerning epididymitis?
should be distinguished from testicular torsion in the emergency setting
viral epididymitis is commoner in the elderly
chronic epididymitis might complicate BPH
chronic epididymitis might require epididymectomy
What is true regarding acute pyelonephritis?
a cause of obstruction should be sought
PCN is placed to decompress the kidney and preserve renal function
blood-born staphylococci are commoner than ascending E.coli infections
blood and urine cultures must dictate the antibiotic choice from day 1
What factor(s) increase(s) the risk of bacterial colonization in the prostate?
acute epididymitis
indwelling urethral catheters
transurethral surgery
all of the above
What is false regarding cystitis cystica?
most cysts appear as filling defects on cystography
most often found in the trigone area
the cyst lumens contain esinophilic secretions that may have a few inflammatory cells
cystitis cystica and cystitis glandularis are reactive urothelial changes
What is true regarding contrast CT imaging for a renal abscess?
abscess appears as a low attenuation cystic cavity containing gas
renal parenchyma around the abscess cavity may show hypo enhancement in nephrogram phase
associated fascial and septal thickening are seen with obliteration of perinephric fat
all of the above
What is false concerning HIV infection?
AIDS patients in active infection show low CD4 + T-cell count
the diagnosis is confirmed by positive anti-HIV-1, anti-HIV-2 antibodies
patients receiving antiviral therapy could still be infectious
herpes simplex virus increases HIV replication in infected persons
What is false regarding biopsy-taking from interstitial cystitis bladder?
no pathognomonic histology for interstitial cystitis
basically, biopsies are performed to exclude carcinomas and other varieties of cystitis
diagnostic biopsies include the presence of discrete micro-ulcers and increased numbers of mast cells in the detrusor muscle or submucosa
none of the above
What is (are) the prominent clinical finding(s) in the diagnosis of acute pyelonephritis?
fever, chills, abdominal pain
costovertibral angle tenderness
hypogastric and loin pain
flank pain, dysuria
What is the commonest intra-scrotal pathology in AIDS patients?
beaded vas deferens
testicular micrilithiasis
testicular atrophy
epididymal granuloma
What condition causes sterile pyuria?
urethral infection with trichomonas vaginalis
bladder infection with adenovirus
Kawasakis disease
all of the above
What could cause unresolved bacteriuria?
drug resistance
non-compliance
the presence of persistent pathology
all of the above