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Current Affairs January 2024

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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

Correct Answer :

D. all of the above


self-explanatory.

Related Questions

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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 condition is associated with renal papillary necrosis?

A. nephrotic syndrome

B. hypertension

C. sickle cell hemoglobinopathy

D. sarcoidosis

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4

What is NOT a complication of mumps orchitis?

A. infertility

B. hypogonadotropic hypogonadism

C. non seminomatous germ cell tumor

D. chronic orchalgia

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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 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

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

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

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

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 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 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 true regarding contrast CT imaging for a renal abscess?

A. abscess appears as a low attenuation cystic cavity containing gas

B. renal parenchyma around the abscess cavity may show hypo enhancement in nephrogram phase

C. associated fascial and septal thickening are seen with obliteration of perinephric fat

D. all of the above

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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 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

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 the best statement that describes the action of antiproliferative factor?

A. inhibits bladder epithelial cell proliferation

B. inhibits the bladder proliferative growth factors

C. stimulates the proliferation inhibitory factors

D. none of the above

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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

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

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 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

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 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 the commonest cause of relapsing UTI in males?

A. chronic epididymitis

B. epididymo-orchitis

C. chronic bacterial prostatitis

D. venereal cysto-urethritis

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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

In males, HIV infection increases the incidence of the following genitourinary tumors:

A. testicular

B. renal

C. penile

D. all of the above

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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

What is true regarding chronic epididymitis symptomatology?

A. pain is dull aching in the scrotum, perineum, inner thighs, and lower abdomen

B. dysuria, frequency, and/or urgency

C. long-standing (> 6 weeks) history of scrotal pain, and tenderness

D. low grade fever, malaise, and urethral discharge

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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

Which statement best defines reinfection?

A. a new episode of UTI caused by different species or occurring at long intervals

B. recurrent UTIs caused by the same organism in each instance, classically, at close intervals

C. recurrent UTIs due to failure of medical therapy to eradicate the infection

D. recurrent UTIs due to a persistent pathology that is obstinate to surgery