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4

Management of acute epididymo-orchitis in hospitalized patients includes all of the following, EXCEPT:

A. scrotal support and elevation

B. ice packs

C. non-steroidal anti-inflammatory agents

D. urethral catheterization

Correct Answer :

D. urethral catheterization


urethral catheterization and instrumentation should be avoided.

Related Questions

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4

What is (are) the cause(s) of recurrent community acquired UTI in women?

A. uncontrolled DM

B. sexual activity with multiple partners

C. high vaginal receptivity to bacterial adherence

D. all of the above

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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 false regarding pediatric renal parenchyma scarring?

A. chronic pyelonephritis and HTN lead to ESRD in 10% of the cases

B. neonatal symptoms of UTI are vague and non-specific, that delay the diagnosis and end in more scarring

C. despite adequate treatment, scarring continues after an attack of pyelonephritis as a chronic immune reaction against renal tubules

D. neonates have low intrarenal pelvic pressure, that predisposes to ascending infections

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4

Which of the following does NOT cause unresolved bacteriuria?

A. giant staghorn stone

B. perivesical abscess with fistula to the bladder

C. bacterial resistance

D. self-inflicted infection

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4

What is false regarding Fournier`s gangrene?

A. is defined as a polymicrobial chronic infection of the perineal, perianal, or genital areas

B. as the disease progresses, branches from the inferior epigastric, deep circumflex iliac, and external pudendal arteries get thrombosed

C. presents as a dark skinned-scrotum, subcutaneous crepitation, and foul smell

D. surgical debridement often spares the testes

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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

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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 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

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 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

The relative risk of prostate cancer in men with HIV compared to uninfected individuals is:

A. greater than 8 fold

B. greater than 6 fold

C. greater than 4 fold

D. comparable

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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

During the initial 3-month period of HIV infection, what would be the best diagnostic lab test?

A. viral load assay

B. western blot analysis

C. southern blot analysis

D. HIV-1/HIV-2 serology assay

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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 false concerning UTI in long-term care facilities?

A. in catheterized individuals, entry of bacteria into the bladder is facilitated by the bacterial glycocalyx biofilm

B. infection cannot be reliably distinguished from bacteriuria by lab tests

C. co-trimoxazole is the preferred antibiotic for empiric therapy

D. symptomatic UTI may be a diagnosis of exclusion

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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

Epididymal cysts are common in the following conditions,
EXCEPT:

A. von Hippel-Lindau disease

B. tuberous sclerosis

C. cystic fibrosis

D. autosomal dominant polycystic kidney disease

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4

What antimicrobial agent treats UTI and does NOT alter the gut flora?

A. trimethoprim- sulfamethoxazole

B. fluoroquinolones

C. aminoglycosides

D. nitrofurantoins

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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 is false concerning Chlamydia trachomatis urethritis in males:

A. produces yellow whitish, scanty, frothy urethral discharge

B. shows gram (+), extracellular diplococcic

C. infection could be contracted from the spouses eyes

D. responds fairly to azithromycin

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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 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

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

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

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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

Which of the following is NOT a treatment option for BPS/IC?

A. substitution cystoplasty and continent diversion

B. fulguration of a Hunner`s ulcer or hydrodistention

C. intravesical installation of silver nitrate or dimethyl sulfoxide

D. low dose external beam irradiation

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4

What is false regarding urethral syndrome in postmenopausal women?

A. pH of vaginal secretions increases after menopause

B. estrogen deficiency manifests as trophic urethritis and atrophic vaginitis

C. topical conjugated estrogen replacement carries a significant risk of breast and endometrial cancers

D. manifestations might include obstructive symptoms and non-infectious cystitis

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4

What is the least important measure in indwelling catheter care?

A. cleansing the urethral meatus with aseptic agent

B. careful aseptic insertion of the catheter

C. maintenance of a closed drainage system

D. maintaining a dependant drainage system

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4

What is the most important pharmacokinetic property of a drug to cure UTI?

A. mode of administration

B. level in the serum

C. level in the urine

D. dosage

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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