A. the average time from the beginning of radiation therapy to initial symptoms could be 2 4 weeks

B. treatment with stationary radiation, portals carry a higher risk of morbidity than treatment with rotating portals do

C. it occurs in about 10% of patients treated with definitive irradiation therapy for prostate cancer after 10 years

D. most cases are mildly affected and require no specific therapy

A. discomfort on placing urethral catheter and pain on bladder filling

B. difficulty in zeroing the pressure and diminished response to first cough

C. low filling pressure but high voiding pressure

D. uninhibited bladder contractions with a relative bladder hypotonia

A. rarely, the urothelial cell nests show a central lumen lined by glandular epithelium

B. In some cases, it may form polypoid masses that mimic urothelial neoplasms

C. It might appear as multinodular exophytic mass seen on cystoscopy

D. cystitis cystica and cystitis glandularis frequently coexist in the same specimen

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

A. an esinophilic immune reaction is generated in response to the eggs

B. chronic schistosomiasis can eventually result in small bladder and the development of cancers

C. schistosoma mansoni often causes urinary tract infections

D. could cause inflammatory polys and recurrent hematuria

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

A. results from ectopic nephrogenic blastema cells in the detrusor muscle

B. might undergo malignant transformation in 15 40% of the cases

C. on cystoscopy, it appears as a bladder mucosal irregularity or large intramural mass

D. the preferred treatment is cystectomy and urinary diversion

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

A. sulfonamide for several months

B. TUR of the bladder lesion followed by proper staging

C. radical cystectomy and urinary diversion

D. intravesical installation of mitomycin without irradiation

A. carry on the full antibiotic course, and then repeat CT

B. incision and drainage of the renal abscess with/without nephrectomy

C. the abscess size dictates management

D. perc. drainage of the 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

A. a cause of obstruction should be sought

B. PCN is placed to decompress the kidney and preserve renal function

C. blood-born staphylococci are commoner than ascending E.coli infections

D. blood and urine cultures must dictate the antibiotic choice from day 1

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

A. inflammatory bowel disease

B. rheumatoid arthritis

C. systemic lupus erythematosus

D. fibromyalgia

A. inadequately treated UTI

B. renal papillary necrosis

C. acute emphysematous pyelonephritis

D. urinary tract tuberculosis

A. early morning sample, after cleansing the perineum and meatus

B. by urethral catheterization under strict aseptic technique

C. a clean catch of midstream voided urine

D. by suprapubic aspiration, as urine is sterile

A. prostatic TB is better drained per rectum before initiating the medications

B. renal TB may require nephroureterectomy

C. peripheral neuritis is a known side effect of isoniazid

D. moxifloxacin might result in tendon rupture

A. type I

B. type II

C. type III

D. type IV

A. CBC reveals leucocytosis with predominance of neutrophils

B. contrast CT reveals one or more focal wedge-like swollen regions of the kidney parenchyma, sparing the cortex, and demonstrating reduced enhancement rim sign

C. in children, recurrent acute pyelonephritis might lead to renal scarring

D. in pregnancy, recurrent acute pyelonephritis might lead to preterm labor

A. 43%

B. 53%

C. 63%

D. 73%

A. taking urine samples by draining the urine bag

B. daily cleansing the external meatus

C. placing the urine bag on the floor

D. changing the urine bag once it is full

A. is a common cause of elevated PSA level

B. might follow BCG treatment

C. is sequelae of untreated type III-b prostatitis

D. shows homogenous enhancement following Gd-DTPA on prostate MRI

A. phagocytes

B. CD4 T cells

C. B lymphocytes

D. natural killer cells

A. characterized by neurovirulence

B. the incubation period of primary genital herpes is 2 3 weeks

C. HSV can be isolated in the urine

D. HSV-1 infection causes urethritis more often than HSV-2 does

A. nephrotic syndrome

B. hypertension

C. sickle cell hemoglobinopathy

D. sarcoidosis

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

A. viral load assay

B. western blot analysis

C. southern blot analysis

D. HIV-1/HIV-2 serology assay

A. beaded vas deferens

B. testicular micrilithiasis

C. testicular atrophy

D. epididymal granuloma

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

A. is an uncommon granulomatous disease that affect the skin and/or urinary bladder

B. it might be due to a disturbed function of B lymphocytes

C. characterized by the presence of basophilic inclusion structure (Michaelis-Gutmann body)

D. it might be due to a defective phagolysosomal activity of monocytes or macrophages

A. chronic epididymitis

B. epididymo-orchitis

C. chronic bacterial prostatitis

D. venereal cysto-urethritis