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4

What is NOT a poor clinical practice on caring for urethral catheters?

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

Correct Answer :

B. daily cleansing the external meatus


despite daily cleansing the external meatus is not highly recommended, it is not a bad practice.

Related Questions

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4

What is true regarding acute pyelonephritis?

A. a cause of obstruction should be sought

B. PCN is placed to decompress the kidney and preserve renal function

C. blood-born staphylococci are commoner than ascending E.coli infections

D. blood and urine cultures must dictate the antibiotic choice from day 1

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4

What is false concerning the management of genitourinary TB?

A. prostatic TB is better drained per rectum before initiating the medications

B. renal TB may require nephroureterectomy

C. peripheral neuritis is a known side effect of isoniazid

D. moxifloxacin might result in tendon rupture

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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

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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

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4

What is false concerning the presentation of prostatitis syndrome?

A. type I could harbor prostate abscess

B. type II presents as intermittent urinary tract infections

C. type III-a presentation might include psychological complaints

D. between 10-15% of men with type IV, have pus cells in their semen but no symptoms

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4

What is the commonest cause of relapsing UTI in males?

A. chronic epididymitis

B. epididymo-orchitis

C. chronic bacterial prostatitis

D. venereal cysto-urethritis

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4

What is the laboratory differentiation between type III-a and type III-b prostatitis?

A. the cytological examination of the urine and/or EPS

B. transrectal ultrasonographic examination

C. the presence of ≥10 WBCs/HPF in the urine with negative culture in type III-b

D. the positive urine culture, and negative EPS support type III-a

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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

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4

What is true concerning the treatment of catheter associated bacteriuria?

A. should be flushed frequently, but no antibiotic is advised

B. should be treated if febrile UTI has developed

C. should be treated only if urine culture is positive

D. should be treated once the catheter is removed

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4

What is (are) the prominent clinical finding(s) in the diagnosis of acute pyelonephritis?

A. fever, chills, abdominal pain

B. costovertibral angle tenderness

C. hypogastric and loin pain

D. flank pain, dysuria

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4

What is true concerning malakoplakia?

A. is a premalignant condition

B. it can be locally aggressive and invades surrounding structures causing bone erosions

C. kidneys are the most commonly affected organs

D. characterized by rounded intracellular inclusions (owls-eyes) in large esinophilic histocytes

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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

What is false concerning genitourinary TB?

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

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4

What is false concerning acute glomerulonephritis?

A. manifested as a sudden onset of hematuria, proteinuria, oliguria, edema, hypertension, and RBC casts in the urine

B. post-streptococcus GN has an incubation period of 1-3 weeks with specific strains of group A beta-hemolytic streptococcus

C. the triad of sinusitis, pulmonary infiltrates, and nephritis, suggests Wegener granulomatosis

D. C3, C4, ESR and antistreptolysin O titer are increased

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4

What type of scrotal ulcers is painless, punched out, with yellowish grey floor?

A. tuberculous ulcer

B. malignant ulcer

C. gummatous ulcers

D. traumatic ulcer

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4

What is false concerning antiretroviral medications?

A. multiple antiretroviral drugs can be combined into a single pill

B. might cause radiolucent renal stones

C. can lead to a significant rise in the serum level of PDE5 inhibitors, if taken simultaneously

D. have the advantage of structured treatment interruptions (drug holidays)

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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

What is the mortality rate of emphysematous pyelonephritis?

A. 43%

B. 53%

C. 63%

D. 73%

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4

What is the commonest intra-scrotal pathology in AIDS patients?

A. beaded vas deferens

B. testicular micrilithiasis

C. testicular atrophy

D. epididymal granuloma

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4

What are the most commonly affected organs by genitourinary tuberculosis?

A. kidneys, prostate and epididymi

B. bladder, ureters and renal pelvis

C. vasa, scrotum and adrenals

D. testes, bladder neck and seminal vesicles

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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

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4

What is false concerning corpora amylacea of the prostate?

A. are premalignant, and found in 1-6% of prostate biopsies

B. are small hyaline masses of unknown significance found in the prostate gland

C. they are degenerate cells or thickened secretions in the prostate ducts

D. might appear as prostate calcifications on X-ray KUB

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4

As per NIH classification of prostatitis, which type requires no treatment?

A. type I

B. type II

C. type III

D. type IV

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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 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

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4

What is the most important pharmacokinetic property of a drug to cure UTI?

A. mode of administration

B. level in the serum

C. level in the urine

D. dosage

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4

What is true regarding chronic epididymitis symptomatology?

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

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4

What is the percentage of occurrence of Staphylococcus saprophyticus in symptomatic lower UTIs in young sexually active females?

A. 5%

B. 10%

C. 15%

D. 20%

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4

What type of bladder cells secretes antiproliferative factor?

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

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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