What is false concerning Xanthogranulomatous Pyelonephritis?
is most commonly associated with Proteus or E. coli infection
is characterized by lipid-laden foamy macrophages
the overall prognosis is poor
it might involve adjacent structures or organs
Correct Answer :
C. the overall prognosis is poor
despite XGP is a benign lesion, it might invade adjacent organs. Nevertheless, the overall prognosis is good.
Related Questions
What is false regarding cystitis cystica?
most cysts appear as filling defects on cystography
most often found in the trigone area
the cyst lumens contain esinophilic secretions that may have a few inflammatory cells
cystitis cystica and cystitis glandularis are reactive urothelial changes
Which statement best defines reinfection?
a new episode of UTI caused by different species or occurring at long intervals
recurrent UTIs caused by the same organism in each instance, classically, at close intervals
recurrent UTIs due to failure of medical therapy to eradicate the infection
recurrent UTIs due to a persistent pathology that is obstinate to surgery
What is the bladder`s first-line defense against infections?
natural sloughing of bladder mucosa
voiding
urine osmolarity
urine pH
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 is false about urinary catheters?
condom catheters carry less risk of UTI if compared to urethral
suprapubic catheters carry less risk of UTI if compared to urethral
latex catheters carry less risk of UTI if compared to silicon
intermittent catheterization carry less risk of UTI if compared to indwelling catheters
What host`s factors do NOT increase the risk of developing infections?
advanced age
anatomical anomalies
poor drug compliance
smoking
Patients with bladder pain syndrome have:
a history of repeated urologic and/or gynecologic procedures
10 fold higher incidence of childhood voiding problems
4 fold higher incidence of anxiety-depression syndrome
6 fold higher incidence of psychosomatic disorders
What is the ideal antibiotic class for self-start therapy on treating recurrent cystitis in a 32 yrs. married woman?
aminopenicillins
fluoroquinolones
aminoglycosides
nitrofurantoins
Which of the following factors increases the risk of UTI due to promotion of microbial colonization?
neurogenic bladder
the use of spermicide
urinary catheterization
fecal incontinence
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 the earliest clinical finding of urosepsis?
elevated body temperature
dropped blood pressure
elevated heart rate
reduced urine output
What is the most significant complication of papillary necrosis?
ureteral obstruction
proteinuria
stone formation
renal scarring
Using low-dose prophylactic or suppressive antimicrobials might be an option in treating the following type of prostatitis:
acute bacterial prostatitis presenting with abscess formation
recurrent or refractory chronic bacterial prostatitis
asymptomatic prostatitis with pyuria resistant to common antimicrobials
curiously, chronic inflammatory prostatitis could respond to low-dose suppressive antibiotic
What is (are) the complication(s) of sexually transmitted infections?
pelvic inflammatory disease
lymphogranuloma venereum
infertility
all of the above
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
What is the most important pharmacokinetic property of a drug to cure UTI?
mode of administration
level in the serum
level in the urine
dosage
What group of patients should be treated for UTI only when symptomatic?
patients with indwelling catheters
neurogenic bladder patients on CIC
pregnant women
children under 5 years
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 could NOT cause recurrent UTI in a 25 yrs. woman?
bladder neck suspension surgery
chronic constipation
poor genital hygiene
contraceptive diaphragm
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 false regarding pediatric renal parenchyma scarring?
chronic pyelonephritis and HTN lead to ESRD in 10% of the cases
neonatal symptoms of UTI are vague and non-specific, that delay the diagnosis and end in more scarring
despite adequate treatment, scarring continues after an attack of pyelonephritis as a chronic immune reaction against renal tubules
neonates have low intrarenal pelvic pressure, that predisposes to ascending infections
What is the most common serotype of HPV associated with squamous cell carcinoma of the penis?
16
18
22
12
What type of human Herpes virus is implicated in all forms of Kaposi sarcoma?
2
6
7
8
Which of the following conditions is NOT associated with interstitial cystitis?
inflammatory bowel disease
rheumatoid arthritis
systemic lupus erythematosus
fibromyalgia
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
All of the following etiologies for interstitial cystitis have been theorized, EXCEPT:
allergic, type I hypersensitivity response
pelvic floor dysfunction
up-regulation of histaminergic and muscarinic neuro-receptors
neural hypersensitivity
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
What antimicrobial agent treats UTI and does NOT alter the gut flora?
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
The relative risk of prostate cancer in men with HIV compared to uninfected individuals is:
greater than 8 fold
greater than 6 fold
greater than 4 fold
comparable
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