What is essential on diagnosing bladder pain syndrome BPS/IC?
sterile pyuria on 3 consecutive cultures
the presence of glomerulations and/or Hunner`s ulcer on endoscopy
pain and discomfort related to the bladder
urgency and frequency with no documented infection
Correct Answer :
C. pain and discomfort related to the bladder
pain and bladder discomfort are essential in diagnosing BPS.
Related Questions
Irritative LUTS and dyspareunia in postmenopausal women are most likely to be due to:
giggle incontinence
estrogen deficiency
cystitis glandularis
cystitis cystica
What is essential on diagnosing bladder pain syndrome BPS/IC?
sterile pyuria on 3 consecutive cultures
the presence of glomerulations and/or Hunner`s ulcer on endoscopy
pain and discomfort related to the bladder
urgency and frequency with no documented infection
What is false regarding schistosomal cystitis?
an esinophilic immune reaction is generated in response to the eggs
chronic schistosomiasis can eventually result in small bladder and the development of cancers
schistosoma mansoni often causes urinary tract infections
could cause inflammatory polys and recurrent hematuria
In males, HIV infection increases the incidence of the following genitourinary tumors:
testicular
renal
penile
all 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 is the bladder`s first-line defense against infections?
natural sloughing of bladder mucosa
voiding
urine osmolarity
urine pH
What is false concerning chronic orchialgia syndrome?
it is a constant or intermittent pain of testes for more than 3 months
could be due to appendix testis torsion-detorsion
could be due to radiculitis resulting from a degenerative lesion in the thoraco-lumber vertebrae
could be a result of entrapment neuropathy of ilioinguinal or genitofemoral nerve
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
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 is the percentage of occurrence of Staphylococcus saprophyticus in symptomatic lower UTIs in young sexually active females?
5%
10%
15%
20%
What virus(s) could cause orchitis?
Coxsackie B
Epstein-Barr
varicella
all of the above
As per NIH classification of prostatitis, which type requires no treatment?
type I
type II
type III
type IV
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)
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 could cause scrotal sinus?
improperly drained hair follicle scrotal abscess
syphilitic orchitis
tuberculous epididymitis
all of the above
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
Which of the following conditions is NOT associated with interstitial cystitis?
inflammatory bowel disease
rheumatoid arthritis
systemic lupus erythematosus
fibromyalgia
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 viral cystitis?
in pediatrics, adenovirus types 11 and 21 could result in hemorrhagic cystitis
immunosuppressed children are especially susceptible to Cytomegalovirus and Adenoviruses 7, 21, and 35
in pediatrics, acute viral cystitis might present as acute retention of urine
classically, treatment should be culture-specific
What is false regarding biopsy-taking from interstitial cystitis bladder?
no pathognomonic histology for interstitial cystitis
basically, biopsies are performed to exclude carcinomas and other varieties of cystitis
diagnostic biopsies include the presence of discrete micro-ulcers and increased numbers of mast cells in the detrusor muscle or submucosa
none of the above
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
What condition(s) could occur in schistosomal ureter?
beading of the lower ureteral segment
ureteral fibrosis and calcifications of the distal ureter
stricture at the uretero-vesical junction
all of the above
During the initial 3-month period of HIV infection, what would be the best diagnostic lab test?
viral load assay
western blot analysis
southern blot analysis
HIV-1/HIV-2 serology assay
Screening for bacteriuria is mostly indicated for:
seniors house residents
ICU patients with indwelling urinary catheters
pregnant women
neurogenic bladder patients on CIC
Asymptomatic bacteriuria should be treated in the following situations:
in the elderly
in long-term catheterized patient
in pregnancy
none of the above
What is true regarding genitourinary TB?
commonly, TB enters the urinary tract via intravesical instillation of attenuated live BCG to treat bladder cancer
CT urography may show infundibular stricture with or without hydrocalicosis
renal ultrasonography reveals calyceal erosions moth-eaten calyx
TB of the vas appears, clinically, as a thin hard strictured tube
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
Which treatment modality has NO proven efficacy in CP/CPPS?
selective nerve block
balloon dilation
botulinum A toxin injection
ESWL
What type of human Herpes virus is implicated in all forms of Kaposi sarcoma?
2
6
7
8
What kind of non-infectious cystitis, do patients with systemic lupus erythematosus (SLE), likely to develop?
cystitis glandularis
cystitis cystica
esinophilic cystitis
cystitis follicularis