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. kidneys and adrenals

B. bladder and ureters

C. prostate and vasa

D. testes and epididymi

A. in catheterized individuals, entry of bacteria into the bladder is facilitated by the bacterial glycocalyx biofilm

B. infection cannot be reliably distinguished from bacteriuria by lab tests

C. co-trimoxazole is the preferred antibiotic for empiric therapy

D. symptomatic UTI may be a diagnosis of exclusion

A. inadequately treated UTI

B. renal papillary necrosis

C. acute emphysematous pyelonephritis

D. urinary tract tuberculosis

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

A. HIV is a retrovirus that infects B-cells and dendritic cells

B. circumcised men are at lower risk for HIV infection

C. HPV infection increases the risk for cancers in HIV patients by 6.3 times

D. plasma HIV RNA load is a predictor of disease remission

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. histocytes

B. T lymphocytes

C. mast cells

D. B lymphocytes

A. poor tissue perfusion manifests as hyperlactemia and decreased capillary refill

B. acute oliguria indicates an organ dysfunction and circulatory collapse

C. septic shock is an extreme form of sepsis when hypotension persists despite adequate fluid resuscitation

D. hypotension is a sign of hyperdynamic circulation at an early septic shock

A. acute epididymitis

B. indwelling urethral catheters

C. transurethral surgery

D. all of the above

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. neurogenic bladder

B. the use of spermicide

C. urinary catheterization

D. fecal incontinence

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

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 the commonest extra-pulmonary site of infection

B. bladder TB is secondary to renal TB, and usually begins at the ureteral orifices

C. in the kidneys, TB is typically bilateral, cortical, and adjacent to the glomeruli; they may remain dormant for ages

D. epididymal TB might occur by hematogenous or direct spread from the urinary tract

A. rifampicin

B. doxycycline

C. azithromycin

D. none of the above

A. pain is dull aching in the scrotum, perineum, inner thighs, and lower abdomen

B. dysuria, frequency, and/or urgency

C. long-standing (> 6 weeks) history of scrotal pain, and tenderness

D. low grade fever, malaise, and urethral discharge

A. children

B. the elderly

C. men

D. women

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. type I

B. type II

C. type III

D. type IV

A. kidneys

B. bladder

C. prostate

D. epididymis

A. drug resistance

B. non-compliance

C. the presence of persistent pathology

D. all of the above

A. scrotal support and elevation

B. ice packs

C. non-steroidal anti-inflammatory agents

D. urethral catheterization

A. 2

B. 6

C. 7

D. 8

A. bladder epithelial cells

B. type C nerve endings in the bladder

C. type A delta nerve endings in the bladder

D. the innermost longitudinal fibres of detrusor muscle

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

A. substitution cystoplasty and continent diversion

B. fulguration of a Hunner`s ulcer or hydrodistention

C. intravesical installation of silver nitrate or dimethyl sulfoxide

D. low dose external beam irradiation

A. nitrofurantoin monohydrate/macrocrystals

B. trimethoprim-sulfamethoxazole

C. ampicillin

D. fosfomycin

A. cleansing the urethral meatus with aseptic agent

B. careful aseptic insertion of the catheter

C. maintenance of a closed drainage system

D. maintaining a dependant drainage system

A. minimal

B. chronic persistent infections

C. chronic relapsing infections

D. bouts of chronic pyelonephritis

A. 16

B. 18

C. 22

D. 12