What is false concerning inverted papilloma of the bladder?
It is an endophytic tumor of the transitional urothelium
harbors p53 gene mutations
presents with hematuria, dysuria, and irritative voiding
the lesion requires transurethral resection
Correct Answer :
B. harbors p53 gene mutations
typical inverted papillomas show no immunohistochemical positivity to p53 gene.
Related Questions
What is false concerning corpora amylacea of the prostate?
are premalignant, and found in 1-6% of prostate biopsies
are small hyaline masses of unknown significance found in the prostate gland
they are degenerate cells or thickened secretions in the prostate ducts
might appear as prostate calcifications on X-ray KUB
What is false concerning sepsis syndrome?
poor tissue perfusion manifests as hyperlactemia and decreased capillary refill
acute oliguria indicates an organ dysfunction and circulatory collapse
septic shock is an extreme form of sepsis when hypotension persists despite adequate fluid resuscitation
hypotension is a sign of hyperdynamic circulation at an early septic shock
What is the most significant complication of papillary necrosis?
ureteral obstruction
proteinuria
stone formation
renal scarring
The virulence of uropathogenic E.coli depends on all the following,
EXCEPT:
P blood-group antigen
P fimbriae in descending infections
emolysins
Dr family of adhesins in ascending infections
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?
carry on the full antibiotic course, and then repeat CT
incision and drainage of the renal abscess with/without nephrectomy
the abscess size dictates management
perc. drainage of the renal abscess
Ureteral dilation in schistosomiasis could be due to:
vesicoureteral reflux
stenosis of the lower ureter
edematous ureteral wall causing deficient peristalsis
any 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
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 the commonest intra-scrotal pathology in AIDS patients?
beaded vas deferens
testicular micrilithiasis
testicular atrophy
epididymal granuloma
What is the likelihood of contracting gonorrheal disease following a single intercourse with an infected woman?
1.7%
7%
17%
71%
What host`s factors do NOT increase the risk of developing infections?
advanced age
anatomical anomalies
poor drug compliance
smoking
Which of the following does NOT cause unresolved bacteriuria?
giant staghorn stone
perivesical abscess with fistula to the bladder
bacterial resistance
self-inflicted infection
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
What is false concerning Brucellosis epididymitis?
commonly presents with scrotal pain, swelling, fever, and leucocytosis
epididymo-orchitis is the most frequent genitourinary complication of brucellosis
epididymo-orchitis occurs in 10-15% of male patients with brucellosis
treatment includes doxycycline and rifampicin for 6-8 weeks
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 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 the most virulent factor for bacterial adherence?
P blood group
fimbria
pili
hemolysin
What is false concerning peri-renal abscess?
could result from intra-renal abscess of ascending infection
urine culture might be negative
plain KUB X-ray has no value in the diagnosis
surgical drainage is the proper treatment
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 is the laboratory differentiation between type III-a and type III-b prostatitis?
the cytological examination of the urine and/or EPS
transrectal ultrasonographic examination
the presence of ≥10 WBCs/HPF in the urine with negative culture in type III-b
the positive urine culture, and negative EPS support type III-a
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
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 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 mortality rate of emphysematous pyelonephritis?
43%
53%
63%
73%
What is the percentage of occurrence of Staphylococcus saprophyticus in symptomatic lower UTIs in young sexually active females?
5%
10%
15%
20%
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
In which segmented voided bladder (VB) specimen, the diagnosis of chronic prostatitis is confirmed?
VB1 and VB3
prostatic secretions and the VB3
prostatic secretions and the VB2
prostatic secretions and the VB1
What is true regarding urinary catheter-associated UTI (CAUTI)?
indwelling catheter insertion must be under sterile condition
systemic antibiotics help best in preventing bacteriuria
greater than 90% of nosocomial UTIs are related to urethral catheters
Intermittent catheterization carries the incidence of 1-3% of developing bacteriuria per insertion
Which of the following is NOT a first-choice antimicrobial agent for uncomplicated acute cystitis in women?
nitrofurantoin monohydrate/macrocrystals
trimethoprim-sulfamethoxazole
ampicillin
fosfomycin
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