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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

Correct Answer :

A. N. gonorrhea and C. trachomatis


N. gonorrhea and C. trachomatis are the commonest for ≤ 35 yrs. whereas for older patients, E. coli and Pseudomonas species are commoner.

Related Questions

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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 are the most commonly affected organs by genitourinary tuberculosis?

A. kidneys, prostate and epididymi

B. bladder, ureters and renal pelvis

C. vasa, scrotum and adrenals

D. testes, bladder neck and seminal vesicles

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4

What is true concerning the treatment of catheter associated bacteriuria?

A. should be flushed frequently, but no antibiotic is advised

B. should be treated if febrile UTI has developed

C. should be treated only if urine culture is positive

D. should be treated once the catheter is removed

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4

Which of the following has NO role in bacterial colonization in the prostate?

A. intra-prostatic ductal reflux

B. paraphimosis

C. specific blood groups

D. unprotected anal intercourse

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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 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 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 false concerning chronic orchialgia syndrome?

A. it is a constant or intermittent pain of testes for more than 3 months

B. could be due to appendix testis torsion-detorsion

C. could be due to radiculitis resulting from a degenerative lesion in the thoraco-lumber vertebrae

D. could be a result of entrapment neuropathy of ilioinguinal or genitofemoral nerve

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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

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4

What is false concerning genitourinary TB?

A. is the commonest extra-pulmonary site of infection

B. bladder TB is secondary to renal TB, and usually begins at the ureteral orifices

C. in the kidneys, TB is typically bilateral, cortical, and adjacent to the glomeruli; they may remain dormant for ages

D. epididymal TB might occur by hematogenous or direct spread from the urinary tract

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4

What host`s factors do NOT increase the risk of developing infections?

A. advanced age

B. anatomical anomalies

C. poor drug compliance

D. smoking

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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 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

A 40 yrs. man presents with clinical acute pyelonephritis, on intravenous antibiotics for 4 days, CT shows a renal abscess. What is next in the treatment?

A. carry on the full antibiotic course, and then repeat CT

B. incision and drainage of the renal abscess with/without nephrectomy

C. the abscess size dictates management

D. perc. drainage of the renal abscess

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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

Patients with bladder pain syndrome have:

A. a history of repeated urologic and/or gynecologic procedures

B. 10 fold higher incidence of childhood voiding problems

C. 4 fold higher incidence of anxiety-depression syndrome

D. 6 fold higher incidence of psychosomatic disorders

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4

What kind of cystitis does NOT progress to malignancy?

A. foreign-body cystitis due to vesical calculi

B. Von Brunn`s nests of cystitis cystica and cystitis glandularis

C. schistosomiasis cystitis

D. inverted papilloma of the bladder

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4

What is false regarding cystitis cystica?

A. most cysts appear as filling defects on cystography

B. most often found in the trigone area

C. the cyst lumens contain esinophilic secretions that may have a few inflammatory cells

D. cystitis cystica and cystitis glandularis are reactive urothelial changes

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4

What condition(s) could occur in schistosomal ureter?

A. beading of the lower ureteral segment

B. ureteral fibrosis and calcifications of the distal ureter

C. stricture at the uretero-vesical junction

D. all of the above

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4

What is false concerning radiation cystitis?

A. the average time from the beginning of radiation therapy to initial symptoms could be 2 4 weeks

B. treatment with stationary radiation, portals carry a higher risk of morbidity than treatment with rotating portals do

C. it occurs in about 10% of patients treated with definitive irradiation therapy for prostate cancer after 10 years

D. most cases are mildly affected and require no specific therapy

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4

All of the following etiologies for interstitial cystitis have been theorized, EXCEPT:

A. allergic, type I hypersensitivity response

B. pelvic floor dysfunction

C. up-regulation of histaminergic and muscarinic neuro-receptors

D. neural hypersensitivity

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4

What are the most commonly affected organs by genitourinary schistosomiasis?

A. kidneys and adrenals

B. bladder and ureters

C. prostate and vasa

D. testes and epididymi

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4

What factor(s) increase(s) the risk of bacterial colonization in the prostate?

A. acute epididymitis

B. indwelling urethral catheters

C. transurethral surgery

D. all of the above

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4

Directed physiotherapy could be of value in treating what NIH type of prostatitis?

A. type II

B. type III-a

C. type III-b

D. type IV

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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

Which of the following conditions is NOT associated with interstitial cystitis?

A. inflammatory bowel disease

B. rheumatoid arthritis

C. systemic lupus erythematosus

D. fibromyalgia

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4

What type of human Herpes virus is implicated in all forms of Kaposi sarcoma?

A. 2

B. 6

C. 7

D. 8

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4

What is true concerning HIV infection?

A. HIV is a retrovirus that infects B-cells and dendritic cells

B. circumcised men are at lower risk for HIV infection

C. HPV infection increases the risk for cancers in HIV patients by 6.3 times

D. plasma HIV RNA load is a predictor of disease remission

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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