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4

Screening for bacteriuria is mostly indicated for:

A. seniors house residents

B. ICU patients with indwelling urinary catheters

C. pregnant women

D. neurogenic bladder patients on CIC

Correct Answer :

C. pregnant women


pregnant ladies with asymptomatic bacteriuria are the most significant class of patients.

Related Questions

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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

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 false concerning sepsis syndrome?

A. poor tissue perfusion manifests as hyperlactemia and decreased capillary refill

B. acute oliguria indicates an organ dysfunction and circulatory collapse

C. septic shock is an extreme form of sepsis when hypotension persists despite adequate fluid resuscitation

D. hypotension is a sign of hyperdynamic circulation at an early septic shock

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4

A 44 yrs. male presents with recurrent left pyelonephritis and Proteus infection. His kidney is dilated and contains a stone. A renal biopsy showed foamy macrophages with neutrophils and cellular debris. What is the treatment?

A. PCNL after treating the infection

B. cystoscopy and placing a retrograde ureteral stent followed by ESWL

C. perc. nephrostomy and placing antegrade ureteral stent

D. nephrectomy

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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 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 false concerning the management of genitourinary TB?

A. prostatic TB is better drained per rectum before initiating the medications

B. renal TB may require nephroureterectomy

C. peripheral neuritis is a known side effect of isoniazid

D. moxifloxacin might result in tendon rupture

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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 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 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 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

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 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 commonest intra-scrotal pathology in AIDS patients?

A. beaded vas deferens

B. testicular micrilithiasis

C. testicular atrophy

D. epididymal granuloma

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4

What is true concerning the definition of UTI in women, based on culture results from a suprapubic aspirate of urine?

A. any amount of uropathogen grown in culture indicates UTI

B. for cystitis, more than 1000 CFU/mL indicates UTI

C. for pyelonephritis, more than 10,000 CFU/mL indicates UTI

D. for asymptomatic bacteriuria, more than 100,000 CFU/mL indicates UTI

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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 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 false concerning emphysematous cystitis?

A. the hallmark in the diagnosis is the cystoscopic findings

B. risk factors include transplant recipients

C. CT shows intramural and/or intraluminal gas in the bladder

D. requires surgical debridement and probably cystectomy

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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 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 inverted papilloma of the bladder?

A. It is an endophytic tumor of the transitional urothelium

B. harbors p53 gene mutations

C. presents with hematuria, dysuria, and irritative voiding

D. the lesion requires transurethral resection

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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

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 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 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

What could cause unresolved bacteriuria?

A. drug resistance

B. non-compliance

C. the presence of persistent pathology

D. all of the above

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4

What could NOT cause recurrent UTI in a 25 yrs. woman?

A. bladder neck suspension surgery

B. chronic constipation

C. poor genital hygiene

D. contraceptive diaphragm

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4

What is false concerning Xanthogranulomatous Pyelonephritis?

A. is most commonly associated with Proteus or E. coli infection

B. is characterized by lipid-laden foamy macrophages

C. the overall prognosis is poor

D. it might involve adjacent structures or organs

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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 regarding biopsy-taking from interstitial cystitis bladder?

A. no pathognomonic histology for interstitial cystitis

B. basically, biopsies are performed to exclude carcinomas and other varieties of cystitis

C. diagnostic biopsies include the presence of discrete micro-ulcers and increased numbers of mast cells in the detrusor muscle or submucosa

D. none of the above