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4

What is false concerning peri-renal abscess?

A. could result from intra-renal abscess of ascending infection

B. urine culture might be negative

C. plain KUB X-ray has no value in the diagnosis

D. surgical drainage is the proper treatment

Correct Answer :

C. plain KUB X-ray has no value in the diagnosis


plain X-ray KUB often shows a mass effect, scoliosis with concavity towards the affected side, renal size may enlarge, and psoas muscle shadow might be lost.

Related Questions

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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 false concerning peri-renal abscess?

A. could result from intra-renal abscess of ascending infection

B. urine culture might be negative

C. plain KUB X-ray has no value in the diagnosis

D. surgical drainage is the proper treatment

What is the correct answer?

4

Which of the following conditions does NOT cause bacterial persistence?

A. perivesical abscess with fistula to bladder

B. acute tubular necrosis

C. renal papillary necrosis

D. xanthogranulomatous pyelonephritis

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4

A 44 yrs. male presents with recurrent left pyelonephritis and Proteus infection. His kidney is dilated and contains a stone. A renal biopsy showed foamy macrophages with neutrophils and cellular debris. What is the treatment?

A. PCNL after treating the infection

B. cystoscopy and placing a retrograde ureteral stent followed by ESWL

C. perc. nephrostomy and placing antegrade ureteral stent

D. nephrectomy

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4

What is (are) the cause(s) of recurrent community acquired UTI in women?

A. uncontrolled DM

B. sexual activity with multiple partners

C. high vaginal receptivity to bacterial adherence

D. all of the above

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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 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

Why could pyuria be sterile?

A. because standard laboratory culture specifications might not be favorable for growth of atypical organisms

B. because UTI could show fewer than 10 white cells/mm3 in urine

C. because laboratories may not report significant growth of a defined urinary pathogen

D. all of the above

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4

What is false concerning esinophilic cystitis?

A. probably due to antibody/antigen reaction

B. has no diagnostic findings on cystoscopy

C. has no specific medical therapy

D. on histology, Von Brunn`s nests appear invaginating the urothelium into the lamina propria

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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 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 the estimated risk of untreated Chlamydial infections in producing pelvic inflammatory disease?

A. 1 2.7%

B. 5 9%

C. 10 27%

D. 30 47%

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4

What is true regarding honeymoon cystitis?

A. is a self-limiting infection where antibiotics are not required

B. is exclusively for UTI experienced by a girl after sexual intercourse on her wedding night

C. post-coital voiding has no value in the occurrence of the infection

D. self-initiated medication helps control the infection

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4

What is false regarding Fournier`s gangrene?

A. is defined as a polymicrobial chronic infection of the perineal, perianal, or genital areas

B. as the disease progresses, branches from the inferior epigastric, deep circumflex iliac, and external pudendal arteries get thrombosed

C. presents as a dark skinned-scrotum, subcutaneous crepitation, and foul smell

D. surgical debridement often spares the testes

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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 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 the most commonly affected organ by genitourinary Brucellosis?

A. kidneys

B. bladder

C. prostate

D. epididymis

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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 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

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 about urinary catheters?

A. condom catheters carry less risk of UTI if compared to urethral

B. suprapubic catheters carry less risk of UTI if compared to urethral

C. latex catheters carry less risk of UTI if compared to silicon

D. intermittent catheterization carry less risk of UTI if compared to indwelling catheters

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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 are the sequelae of recurrent uncomplicated UTI in young women?

A. minimal

B. chronic persistent infections

C. chronic relapsing infections

D. bouts of chronic pyelonephritis

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4

Under which surgical wound classification, does diagnostic cystoscopy under sterile technique fit?

A. dirty - infected

B. contaminated

C. clean - contaminated

D. clean

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4

What is the mortality rate of emphysematous pyelonephritis?

A. 43%

B. 53%

C. 63%

D. 73%

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4

What is the preferred antimicrobial prophylaxis for transrectal prostate biopsy?

A. aminoglycoside

B. fluoroquinolone

C. 2nd generation cephalosporin

D. doxycycline

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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 is false regarding the etiology and treatment of orchialgia syndrome?

A. small indirect inguinal hernia may irritate the genital branch of genitofemoral nerve causing orchialgia

B. might respond to a selective nerve block

C. the recommended treatment is orchiectomy with implantation of a testicular prosthesis

D. psychotherapy and stress management might alleviate the pain

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4

What is the preferred antibiotic for BPS/IC cases?

A. rifampicin

B. doxycycline

C. azithromycin

D. none of the above

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4

What is the average age of onset of BPS/IC patients?

A. 30

B. 40

C. 50

D. 60