Home
Current Affairs January 2024

What is the correct answer?

4

What is false regarding pediatric renal parenchyma scarring?

A. chronic pyelonephritis and HTN lead to ESRD in 10% of the cases

B. neonatal symptoms of UTI are vague and non-specific, that delay the diagnosis and end in more scarring

C. despite adequate treatment, scarring continues after an attack of pyelonephritis as a chronic immune reaction against renal tubules

D. neonates have low intrarenal pelvic pressure, that predisposes to ascending infections

Correct Answer :

D. neonates have low intrarenal pelvic pressure, that predisposes to ascending infections


neonates have a high intrarenal pelvic pressure that is once contracted leads to intrarenal reflux.

Related Questions

What is the correct answer?

4

What could cause scrotal sinus?

A. improperly drained hair follicle scrotal abscess

B. syphilitic orchitis

C. tuberculous epididymitis

D. all of the above

What is the correct answer?

4

Which treatment modality has NO proven efficacy in CP/CPPS?

A. selective nerve block

B. balloon dilation

C. botulinum A toxin injection

D. ESWL

What is the correct answer?

4

What is true concerning BPS/IC?

A. the onset of symptoms is insidious

B. the lesion has no proven relation to bladder cancer

C. if left untreated, the bladder will turn small, contracted, with submucosal calcifications

D. a single positive urine culture refutes the diagnosis

What is the correct answer?

4

What is true regarding nephrogenic adenoma of the bladder?

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

What is the correct answer?

4

Which statement best defines reinfection?

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

What is the correct answer?

4

What is the likelihood of contracting gonorrheal disease following a single intercourse with an infected woman?

A. 1.7%

B. 7%

C. 17%

D. 71%

What is the correct answer?

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

What is the correct answer?

4

HIV infection increases the incidence of the following cancers, EXCEPT:

A. Kaposi sarcoma,

B. Hodgkin lymphoma

C. non-Hodgkin lymphoma

D. cervical cancer

What is the correct answer?

4

What does NOT predispose to acute epididymitis is:

A. TUR ejaculatory duct

B. prolonged urethral catheterization

C. prostatic biopsy

D. vas ligation

What is the correct answer?

4

What is the most common serotype of HPV associated with squamous cell carcinoma of the penis?

A. 16

B. 18

C. 22

D. 12

What is the correct answer?

4

What is true concerning the definition of UTI in women, based on culture results from a suprapubic aspirate of urine?

A. any amount of uropathogen grown in culture indicates UTI

B. for cystitis, more than 1000 CFU/mL indicates UTI

C. for pyelonephritis, more than 10,000 CFU/mL indicates UTI

D. for asymptomatic bacteriuria, more than 100,000 CFU/mL indicates UTI

What is the correct answer?

4

What is true regarding contrast CT imaging for a renal abscess?

A. abscess appears as a low attenuation cystic cavity containing gas

B. renal parenchyma around the abscess cavity may show hypo enhancement in nephrogram phase

C. associated fascial and septal thickening are seen with obliteration of perinephric fat

D. all of the above

What is the correct answer?

4

Management of acute epididymo-orchitis in hospitalized patients includes all of the following, EXCEPT:

A. scrotal support and elevation

B. ice packs

C. non-steroidal anti-inflammatory agents

D. urethral catheterization

What is the correct answer?

4

What is the proper term to describe high bacterial count in urine without pus?

A. asymptomatic bacteriuria

B. sterile pyouria

C. bacterial colonization

D. unresolved bacteriuria

What is the correct answer?

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

What is the correct answer?

4

What is false regarding cystitis cystica?

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

What is the correct answer?

4

What is the preferred antibiotic for BPS/IC cases?

A. rifampicin

B. doxycycline

C. azithromycin

D. none of the above

What is the correct answer?

4

What type of cells is implicated most in the pathogenesis of BPS/IC?

A. histocytes

B. T lymphocytes

C. mast cells

D. B lymphocytes

What is the correct answer?

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

What is the correct answer?

4

Using low-dose prophylactic or suppressive antimicrobials might be an option in treating the following type of prostatitis:

A. acute bacterial prostatitis presenting with abscess formation

B. recurrent or refractory chronic bacterial prostatitis

C. asymptomatic prostatitis with pyuria resistant to common antimicrobials

D. curiously, chronic inflammatory prostatitis could respond to low-dose suppressive antibiotic

What is the correct answer?

4

Irritative LUTS and dyspareunia in postmenopausal women are most likely to be due to:

A. giggle incontinence

B. estrogen deficiency

C. cystitis glandularis

D. cystitis cystica

What is the correct answer?

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

What is the correct answer?

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

What is the correct answer?

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

What is the correct answer?

4

What is false concerning the cystoscopic findings of interstitial cystitis?

A. Hunner`s ulcers are multiple ulcerative patches surrounded by mucosal congestion on the dome or lateral walls

B. ulcers might get distorted after overdistention, because discrete areas of mucosal scarring rupture during the procedure

C. in non-ulcerative type, overdistention demonstrates glomerulations on the dome and lateral walls

D. overdistention results in mucosal tears and submucosal hemorrhage

What is the correct answer?

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

What is the correct answer?

4

What could NOT cause recurrent UTI in a 25 yrs. woman?

A. bladder neck suspension surgery

B. chronic constipation

C. poor genital hygiene

D. contraceptive diaphragm

What is the correct answer?

4

What is the earliest clinical finding of urosepsis?

A. elevated body temperature

B. dropped blood pressure

C. elevated heart rate

D. reduced urine output

What is the correct answer?

4

What is true concerning bacterial colonization in the bladder?

A. is always asymptomatic

B. it shows a serological immune antibody response

C. is a common cause of sterile pyuria

D. typically, at this stage, the body demonstrates bacteriuria

What is the correct answer?

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