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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

Correct Answer :

C. clean - contaminated


with controlled entry into the urinary system, no break in sterile techniques, and no spillage of urine outside the urinary tract, diagnostic cystoscopy is clean- contaminated.

Related Questions

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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

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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

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 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

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4

What type of cells is implicated most in the pathogenesis of BPS/IC?

A. histocytes

B. T lymphocytes

C. mast cells

D. B lymphocytes

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4

What is false concerning urinary catheter-associated UTI (CAUTI)?

A. once a catheter is placed, the daily incidence of bacteriuria is 3-10%

B. on long-term catheterization, over 90% of patients develop bacteriuria

C. the practice of using urinary catheters to control incontinence in bedridden patients should be discouraged

D. urine bags should be placed on the floor to enhance gravity drainage

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4

The virulence of uropathogenic E.coli depends on all the following,
EXCEPT:

A. P blood-group antigen

B. P fimbriae in descending infections

C. emolysins

D. Dr family of adhesins in ascending infections

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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

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

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

A. dirty - infected

B. contaminated

C. clean - contaminated

D. clean

What is the correct answer?

4

What is false concerning the presentation of prostatitis syndrome?

A. type I could harbor prostate abscess

B. type II presents as intermittent urinary tract infections

C. type III-a presentation might include psychological complaints

D. between 10-15% of men with type IV, have pus cells in their semen but no symptoms

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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 is true regarding urinary catheter-associated UTI (CAUTI)?

A. indwelling catheter insertion must be under sterile condition

B. systemic antibiotics help best in preventing bacteriuria

C. greater than 90% of nosocomial UTIs are related to urethral catheters

D. Intermittent catheterization carries the incidence of 1-3% of developing bacteriuria per insertion

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4

What is false in the treatment and prevention of STDs?

A. antibiotic therapy is recommended for affected individuals with documented trichomonal infection and sexual partners even if asymptomatic

B. empirical treatment for gonococcal urethritis should cover chlamydia trachomatis

C. consistent and proper usage of condoms is estimated to prevent HIV transmission by approximately 80 to 95%

D. vaccinations are available for the prevention of human papillomavirus, N. gonorrhea, chlamydia trachomatis

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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

Which of the following does NOT cause sterile pyouria?

A. inadequately treated UTI

B. renal papillary necrosis

C. acute emphysematous pyelonephritis

D. urinary tract tuberculosis

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4

What is true concerning scrotal abscesses?

A. could be a complication of chronic epididymitis and orchalgia

B. testicular torsion must be excluded

C. infected hair follicles and scrotal lacerations are predisposing factors

D. urethral discharge is not uncommon presentation

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4

What is (are) the prominent clinical finding(s) in the diagnosis of acute pyelonephritis?

A. fever, chills, abdominal pain

B. costovertibral angle tenderness

C. hypogastric and loin pain

D. flank pain, dysuria

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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 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

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 regarding viral cystitis?

A. in pediatrics, adenovirus types 11 and 21 could result in hemorrhagic cystitis

B. immunosuppressed children are especially susceptible to Cytomegalovirus and Adenoviruses 7, 21, and 35

C. in pediatrics, acute viral cystitis might present as acute retention of urine

D. classically, treatment should be culture-specific

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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 false concerning foreign body cystitis?

A. most commonly due to indwelling catheters

B. the areas of inflammation are usually confined to the lateral walls or the dome of the bladder

C. radiographic changes are nonspecific or present as bullous edema

D. indwelling catheters are associated with squamous cell carcinoma of the bladder

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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 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 (are) the complication(s) of sexually transmitted infections?

A. pelvic inflammatory disease

B. lymphogranuloma venereum

C. infertility

D. all of the above

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4

What type of scrotal ulcers is painless, punched out, with yellowish grey floor?

A. tuberculous ulcer

B. malignant ulcer

C. gummatous ulcers

D. traumatic ulcer

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4

What is false concerning esinophilic cystitis?

A. probably due to antibody/antigen reaction

B. has no diagnostic findings on cystoscopy

C. has no specific medical therapy

D. on histology, Von Brunn`s nests appear invaginating the urothelium into the lamina propria

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4

What is true concerning BPS/IC?

A. the onset of symptoms is insidious

B. the lesion has no proven relation to bladder cancer

C. if left untreated, the bladder will turn small, contracted, with submucosal calcifications

D. a single positive urine culture refutes the diagnosis