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
Correct Answer :
C. type III-a presentation might include psychological complaints
type III-b presentation might include psychological complaints pertaining to anxiety, stress, and depression.
Related Questions
What is the most commonly affected organ by genitourinary Brucellosis?
kidneys
bladder
prostate
epididymis
Why could pyuria be sterile?
because standard laboratory culture specifications might not be favorable for growth of atypical organisms
because UTI could show fewer than 10 white cells/mm3 in urine
because laboratories may not report significant growth of a defined urinary pathogen
all of the above
Which treatment modality has NO proven efficacy in CP/CPPS?
selective nerve block
balloon dilation
botulinum A toxin injection
ESWL
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 the most common serotype of HPV associated with squamous cell carcinoma of the penis?
16
18
22
12
What is the mortality rate of emphysematous pyelonephritis?
43%
53%
63%
73%
What is the preferred antimicrobial prophylaxis for transrectal prostate biopsy?
aminoglycoside
fluoroquinolone
2nd generation cephalosporin
doxycycline
Which of the following is NOT a treatment option for BPS/IC?
substitution cystoplasty and continent diversion
fulguration of a Hunner`s ulcer or hydrodistention
intravesical installation of silver nitrate or dimethyl sulfoxide
low dose external beam irradiation
What is false regarding malakoplakia?
is an uncommon granulomatous disease that affect the skin and/or urinary bladder
it might be due to a disturbed function of B lymphocytes
characterized by the presence of basophilic inclusion structure (Michaelis-Gutmann body)
it might be due to a defective phagolysosomal activity of monocytes or macrophages
What are the target immune cells for HIV?
phagocytes
CD4 T cells
B lymphocytes
natural killer cells
What is false concerning the management of genitourinary TB?
prostatic TB is better drained per rectum before initiating the medications
renal TB may require nephroureterectomy
peripheral neuritis is a known side effect of isoniazid
moxifloxacin might result in tendon rupture
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 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 regarding nephrogenic adenoma of the bladder?
results from ectopic nephrogenic blastema cells in the detrusor muscle
might undergo malignant transformation in 15 40% of the cases
on cystoscopy, it appears as a bladder mucosal irregularity or large intramural mass
the preferred treatment is cystectomy and urinary diversion
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
What condition is associated with renal papillary necrosis?
nephrotic syndrome
hypertension
sickle cell hemoglobinopathy
sarcoidosis
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
What virus(s) could cause orchitis?
Coxsackie B
Epstein-Barr
varicella
all of the above
What is (are) the complication(s) of sexually transmitted infections?
pelvic inflammatory disease
lymphogranuloma venereum
infertility
all of the above
What is the estimated risk of untreated Chlamydial infections in producing pelvic inflammatory disease?
1 2.7%
5 9%
10 27%
30 47%
What is the likelihood of contracting gonorrheal disease following a single intercourse with an infected woman?
1.7%
7%
17%
71%
What is true regarding honeymoon cystitis?
is a self-limiting infection where antibiotics are not required
is exclusively for UTI experienced by a girl after sexual intercourse on her wedding night
post-coital voiding has no value in the occurrence of the infection
self-initiated medication helps control the infection
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 type of human Herpes virus is implicated in all forms of Kaposi sarcoma?
2
6
7
8
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
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 acute pyelonephritis?
CBC reveals leucocytosis with predominance of neutrophils
contrast CT reveals one or more focal wedge-like swollen regions of the kidney parenchyma, sparing the cortex, and demonstrating reduced enhancement rim sign
in children, recurrent acute pyelonephritis might lead to renal scarring
in pregnancy, recurrent acute pyelonephritis might lead to preterm labor
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 host`s factors do NOT increase the risk of developing infections?
advanced age
anatomical anomalies
poor drug compliance
smoking
What is true concerning malakoplakia?
is a premalignant condition
it can be locally aggressive and invades surrounding structures causing bone erosions
kidneys are the most commonly affected organs
characterized by rounded intracellular inclusions (owls-eyes) in large esinophilic histocytes