What host`s factors do NOT increase the risk of developing infections?
advanced age
anatomical anomalies
poor drug compliance
smoking
Correct Answer :
C. poor drug compliance
poor drug compliance doesn`t help eradicate the infection when it is active, but doesn`t increase the risk of developing new infections.
Related Questions
What is false concerning the presentation of prostatitis syndrome?
type I could harbor prostate abscess
type II presents as intermittent urinary tract infections
type III-a presentation might include psychological complaints
between 10-15% of men with type IV, have pus cells in their semen but no symptoms
Which of the following conditions does NOT cause bacterial persistence?
perivesical abscess with fistula to bladder
acute tubular necrosis
renal papillary necrosis
xanthogranulomatous pyelonephritis
What is false regarding Gonorrheal STD in women?
nucleic acid amplification tests are the preferred to diagnose Gonococcal and Chlamydial infections
shows dark yellow, purulent, thick urethral discharge
the most common site of the infection is the endocervix
the incubation period is 2 3 weeks
What is false regarding urethral syndrome in postmenopausal women?
pH of vaginal secretions increases after menopause
estrogen deficiency manifests as trophic urethritis and atrophic vaginitis
topical conjugated estrogen replacement carries a significant risk of breast and endometrial cancers
manifestations might include obstructive symptoms and non-infectious cystitis
What is (are) the complication(s) of sexually transmitted infections?
pelvic inflammatory disease
lymphogranuloma venereum
infertility
all of the above
What is false regarding Herpes simplex (HSV) infection?
characterized by neurovirulence
the incubation period of primary genital herpes is 2 3 weeks
HSV can be isolated in the urine
HSV-1 infection causes urethritis more often than HSV-2 does
What is (are) the prominent clinical finding(s) in the diagnosis of acute pyelonephritis?
fever, chills, abdominal pain
costovertibral angle tenderness
hypogastric and loin pain
flank pain, dysuria
What is false concerning epididymitis?
should be distinguished from testicular torsion in the emergency setting
viral epididymitis is commoner in the elderly
chronic epididymitis might complicate BPH
chronic epididymitis might require epididymectomy
What antimicrobial agent treats UTI and does NOT alter the gut flora?
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
What is the average age of onset of BPS/IC patients?
30
40
50
60
What is the most common serotype of HPV associated with squamous cell carcinoma of the penis?
16
18
22
12
What are the commonest organisms causing acute epididymitis in males younger than 35 yrs.?
N. gonorrhea and C. trachomatis
E. coli and Pseudomonas species
Mycoplasma genitalium and Ureaplasma species
Trichomonas vaginalis and Gardnerella vaginalis
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
What is the bladder`s first-line defense against infections?
natural sloughing of bladder mucosa
voiding
urine osmolarity
urine pH
What type of scrotal ulcers is painless, punched out, with yellowish grey floor?
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
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
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 are the most commonly affected organs by genitourinary tuberculosis?
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
What is false concerning antiretroviral medications?
multiple antiretroviral drugs can be combined into a single pill
might cause radiolucent renal stones
can lead to a significant rise in the serum level of PDE5 inhibitors, if taken simultaneously
have the advantage of structured treatment interruptions (drug holidays)
What is NOT a poor clinical practice on caring for urethral catheters?
taking urine samples by draining the urine bag
daily cleansing the external meatus
placing the urine bag on the floor
changing the urine bag once it is full
Epididymal cysts are common in the following conditions,
EXCEPT:
von Hippel-Lindau disease
tuberous sclerosis
cystic fibrosis
autosomal dominant polycystic kidney disease
HIV infection increases the incidence of the following cancers, EXCEPT:
Kaposi sarcoma,
Hodgkin lymphoma
non-Hodgkin lymphoma
cervical cancer
When comparing nosocomial to community-acquired UTI, the latter is:
45% are caused by E. coli
related to an indwelling urinary catheter in approximately 40% of cases
responds fairly to oral antibiotics
tends to report higher antibiotic resistance
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
What host`s factors do NOT increase the risk of developing infections?
advanced age
anatomical anomalies
poor drug compliance
smoking
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 (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 the ideal antibiotic class for self-start therapy on treating recurrent cystitis in a 32 yrs. married woman?
aminopenicillins
fluoroquinolones
aminoglycosides
nitrofurantoins
What is false concerning esinophilic cystitis?
probably due to antibody/antigen reaction
has no diagnostic findings on cystoscopy
has no specific medical therapy
on histology, Von Brunn`s nests appear invaginating the urothelium into the lamina propria
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