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Current Affairs January 2024

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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

Correct Answer :

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


FG is defined as a polymicrobial necrotizing fasciitis of superficial and deep layers of the perineal, perianal, or genital areas.

Related Questions

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4

What antimicrobial agent treats UTI and does NOT alter the gut flora?

A. trimethoprim- sulfamethoxazole

B. fluoroquinolones

C. aminoglycosides

D. nitrofurantoins

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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 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 essential on diagnosing bladder pain syndrome BPS/IC?

A. sterile pyuria on 3 consecutive cultures

B. the presence of glomerulations and/or Hunner`s ulcer on endoscopy

C. pain and discomfort related to the bladder

D. urgency and frequency with no documented infection

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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 regarding urethral syndrome in postmenopausal women?

A. pH of vaginal secretions increases after menopause

B. estrogen deficiency manifests as trophic urethritis and atrophic vaginitis

C. topical conjugated estrogen replacement carries a significant risk of breast and endometrial cancers

D. manifestations might include obstructive symptoms and non-infectious cystitis

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4

What is false concerning foreign body cystitis?

A. most commonly due to indwelling catheters

B. the areas of inflammation are usually confined to the lateral walls or the dome of the bladder

C. radiographic changes are nonspecific or present as bullous edema

D. indwelling catheters are associated with squamous cell carcinoma of the bladder

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4

What is false regarding schistosomal cystitis?

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

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4

Which of the following factors increases the risk of UTI due to facilitation of microbial ascent?

A. sexual activity

B. the use of spermicide

C. estrogen depletion

D. fecal incontinence

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4

What could cause scrotal sinus?

A. improperly drained hair follicle scrotal abscess

B. syphilitic orchitis

C. tuberculous epididymitis

D. all of the above

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4

What host`s factors do NOT increase the risk of developing infections?

A. advanced age

B. anatomical anomalies

C. poor drug compliance

D. smoking

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4

What is false concerning post UTI renal scarring in pediatrics?

A. the incidence of scarring following a single episode of febrile UTI is 4.5%

B. intra-renal reflux is common in convex papillae

C. scarring and chronic pyelonephritis lead to hypertension in 10-20%

D. scarring is best detected and followed up by DMSA

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4

What is false concerning inverted papilloma of the bladder?

A. It is an endophytic tumor of the transitional urothelium

B. harbors p53 gene mutations

C. presents with hematuria, dysuria, and irritative voiding

D. the lesion requires transurethral resection

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4

Ureteral dilation in schistosomiasis could be due to:

A. vesicoureteral reflux

B. stenosis of the lower ureter

C. edematous ureteral wall causing deficient peristalsis

D. any of the above

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4

What is true regarding balanoposthitis?

A. is best diagnosed by ascending urethrography

B. occurs mostly in diabetic and immunosuppressed patients

C. could be due to maceration injury, irritant dermatitis, or Candida

D. commonly presents with deep inguinal lymphadenopathy

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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

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 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 false concerning Chlamydia trachomatis urethritis in males:

A. produces yellow whitish, scanty, frothy urethral discharge

B. shows gram (+), extracellular diplococcic

C. infection could be contracted from the spouses eyes

D. responds fairly to azithromycin

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4

What is false regarding Gonorrheal STD in women?

A. nucleic acid amplification tests are the preferred to diagnose Gonococcal and Chlamydial infections

B. shows dark yellow, purulent, thick urethral discharge

C. the most common site of the infection is the endocervix

D. the incubation period is 2 3 weeks

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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 NOT a complication of mumps orchitis?

A. infertility

B. hypogonadotropic hypogonadism

C. non seminomatous germ cell tumor

D. chronic orchalgia

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4

What could cause unresolved bacteriuria?

A. drug resistance

B. non-compliance

C. the presence of persistent pathology

D. all of the above

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4

What is false concerning radiation cystitis?

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

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4

What is false regarding viral cystitis?

A. in pediatrics, adenovirus types 11 and 21 could result in hemorrhagic cystitis

B. immunosuppressed children are especially susceptible to Cytomegalovirus and Adenoviruses 7, 21, and 35

C. in pediatrics, acute viral cystitis might present as acute retention of urine

D. classically, treatment should be culture-specific

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4

The virulence of uropathogenic E.coli depends on all the following,
EXCEPT:

A. P blood-group antigen

B. P fimbriae in descending infections

C. emolysins

D. Dr family of adhesins in ascending infections

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4

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?

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

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4

What factor(s) increase(s) the risk of bacterial colonization in the prostate?

A. acute epididymitis

B. indwelling urethral catheters

C. transurethral surgery

D. all of the above

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4

Directed physiotherapy could be of value in treating what NIH type of prostatitis?

A. type II

B. type III-a

C. type III-b

D. type IV

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4

What is true regarding Xanthogranulomatous Pyelonephritis?

A. CT shows the characteristic bear paw sign

B. it is an infected, obstructed, poorly functioning kidney containing stones

C. nephrectomy is the treatment

D. all of the above