The virulence of uropathogenic E.coli depends on all the following,
EXCEPT:
P blood-group antigen
P fimbriae in descending infections
emolysins
Dr family of adhesins in ascending infections
Correct Answer :
B. P fimbriae in descending infections
P fimbriae in ascending infections.
Related Questions
What is the commonest cause of relapsing UTI in males?
chronic epididymitis
epididymo-orchitis
chronic bacterial prostatitis
venereal cysto-urethritis
What is false concerning the cystoscopic findings of interstitial cystitis?
Hunner`s ulcers are multiple ulcerative patches surrounded by mucosal congestion on the dome or lateral walls
ulcers might get distorted after overdistention, because discrete areas of mucosal scarring rupture during the procedure
in non-ulcerative type, overdistention demonstrates glomerulations on the dome and lateral walls
overdistention results in mucosal tears and submucosal hemorrhage
Management of acute epididymo-orchitis in hospitalized patients includes all of the following, EXCEPT:
scrotal support and elevation
ice packs
non-steroidal anti-inflammatory agents
urethral catheterization
What is true concerning scrotal abscesses?
could be a complication of chronic epididymitis and orchalgia
testicular torsion must be excluded
infected hair follicles and scrotal lacerations are predisposing factors
urethral discharge is not uncommon presentation
Histologically, the pathognomonic finding of Fournier gangrene include:
necrosis of the superficial and deep fascial planes
fibrinoid thrombosis of the nutrient arterioles
polymorphonuclear cell infiltration
all of the above
What is true concerning ovarian vein syndrome?
manifests as recurrent renal colics due to ureteral obstruction
treatment is surgical mobilization of ureter and ligation of the vein
commonly, occurs at the left side
the pain worsens on sitting upright and during pregnancy
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 true concerning the definition of UTI in women, based on culture results from a suprapubic aspirate of urine?
any amount of uropathogen grown in culture indicates UTI
for cystitis, more than 1000 CFU/mL indicates UTI
for pyelonephritis, more than 10,000 CFU/mL indicates UTI
for asymptomatic bacteriuria, more than 100,000 CFU/mL indicates UTI
What is (are) the cause(s) of recurrent community acquired UTI in women?
uncontrolled DM
sexual activity with multiple partners
high vaginal receptivity to bacterial adherence
all of the above
What is false concerning urinary catheter-associated UTI (CAUTI)?
once a catheter is placed, the daily incidence of bacteriuria is 3-10%
on long-term catheterization, over 90% of patients develop bacteriuria
the practice of using urinary catheters to control incontinence in bedridden patients should be discouraged
urine bags should be placed on the floor to enhance gravity drainage
A 60 yrs. man underwent TURP for, only, obstructive LUTS. Histology of prostate chips reveals prostatitis. What NIH type of prostatitis would it be?
type I
type II
type III
type IV
What is false regarding Fournier`s gangrene?
is defined as a polymicrobial chronic infection of the perineal, perianal, or genital areas
as the disease progresses, branches from the inferior epigastric, deep circumflex iliac, and external pudendal arteries get thrombosed
presents as a dark skinned-scrotum, subcutaneous crepitation, and foul smell
surgical debridement often spares the testes
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
What is false concerning post UTI renal scarring in pediatrics?
the incidence of scarring following a single episode of febrile UTI is 4.5%
intra-renal reflux is common in convex papillae
scarring and chronic pyelonephritis lead to hypertension in 10-20%
scarring is best detected and followed up by DMSA
What could cause scrotal sinus?
improperly drained hair follicle scrotal abscess
syphilitic orchitis
tuberculous epididymitis
all of the above
What is false regarding prostatic abscesses?
clinically, cannot be differentiated from acute bacterial prostatitis
medical management is often unsuccessful
it harbors prostate cancer in approximately 4.3% of cases
management include suprapubic urinary diversion
What is true concerning bacterial colonization in the bladder?
is always asymptomatic
it shows a serological immune antibody response
is a common cause of sterile pyuria
typically, at this stage, the body demonstrates bacteriuria
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?
sulfonamide for several months
TUR of the bladder lesion followed by proper staging
radical cystectomy and urinary diversion
intravesical installation of mitomycin without irradiation
What are the most commonly affected organs by genitourinary schistosomiasis?
kidneys and adrenals
bladder and ureters
prostate and vasa
testes and epididymi
What is true regarding balanoposthitis?
is best diagnosed by ascending urethrography
occurs mostly in diabetic and immunosuppressed patients
could be due to maceration injury, irritant dermatitis, or Candida
commonly presents with deep inguinal lymphadenopathy
What is false concerning UTI in long-term care facilities?
in catheterized individuals, entry of bacteria into the bladder is facilitated by the bacterial glycocalyx biofilm
infection cannot be reliably distinguished from bacteriuria by lab tests
co-trimoxazole is the preferred antibiotic for empiric therapy
symptomatic UTI may be a diagnosis of exclusion
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 the likelihood of contracting gonorrheal disease following a single intercourse with an infected woman?
1.7%
7%
17%
71%
What does NOT predispose to acute epididymitis is:
TUR ejaculatory duct
prolonged urethral catheterization
prostatic biopsy
vas ligation
HIV infection increases the incidence of the following cancers, EXCEPT:
Kaposi sarcoma,
Hodgkin lymphoma
non-Hodgkin lymphoma
cervical cancer
As per NIH classification of prostatitis, which type requires no treatment?
type I
type II
type III
type IV
What is the estimated risk of untreated Chlamydial infections in producing pelvic inflammatory disease?
1 2.7%
5 9%
10 27%
30 47%
What is the best statement that describes the action of antiproliferative factor?
inhibits bladder epithelial cell proliferation
inhibits the bladder proliferative growth factors
stimulates the proliferation inhibitory factors
none of the above
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 condition does NOT present as an acute loin pain with fever and marked flank tenderness?
ascending UTI causing acute lobar nephronia
acute pyelonephritis in a transplanted kidney
infected renal subcapsular hematoma
perinephric abscess causing septicemia