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What is the correct answer?

4

What is the bladder`s first-line defense against infections?

A. natural sloughing of bladder mucosa

B. voiding

C. urine osmolarity

D. urine pH

Correct Answer :

B. voiding


however microbes enter the bladder, the impaired ability of the bladder to empty makes the most significant breach in the natural bladder defence.

Related Questions

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4

What is false about urinary catheters?

A. condom catheters carry less risk of UTI if compared to urethral

B. suprapubic catheters carry less risk of UTI if compared to urethral

C. latex catheters carry less risk of UTI if compared to silicon

D. intermittent catheterization carry less risk of UTI if compared to indwelling catheters

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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 is true regarding genitourinary TB?

A. commonly, TB enters the urinary tract via intravesical instillation of attenuated live BCG to treat bladder cancer

B. CT urography may show infundibular stricture with or without hydrocalicosis

C. renal ultrasonography reveals calyceal erosions moth-eaten calyx

D. TB of the vas appears, clinically, as a thin hard strictured tube

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4

A 60 yrs. man underwent TURP for, only, obstructive LUTS. Histology of prostate chips reveals prostatitis. What NIH type of prostatitis would it be?

A. type I

B. type II

C. type III

D. type IV

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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

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4

What is true regarding honeymoon cystitis?

A. is a self-limiting infection where antibiotics are not required

B. is exclusively for UTI experienced by a girl after sexual intercourse on her wedding night

C. post-coital voiding has no value in the occurrence of the infection

D. self-initiated medication helps control the infection

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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 kind of cystitis does NOT progress to malignancy?

A. foreign-body cystitis due to vesical calculi

B. Von Brunn`s nests of cystitis cystica and cystitis glandularis

C. schistosomiasis cystitis

D. inverted papilloma of the bladder

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4

What is false regarding the etiology and treatment of orchialgia syndrome?

A. small indirect inguinal hernia may irritate the genital branch of genitofemoral nerve causing orchialgia

B. might respond to a selective nerve block

C. the recommended treatment is orchiectomy with implantation of a testicular prosthesis

D. psychotherapy and stress management might alleviate the pain

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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

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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

Which of the following does NOT cause unresolved bacteriuria?

A. giant staghorn stone

B. perivesical abscess with fistula to the bladder

C. bacterial resistance

D. self-inflicted infection

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4

What is false regarding malakoplakia?

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

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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

What virus(s) could cause orchitis?

A. Coxsackie B

B. Epstein-Barr

C. varicella

D. all of the above

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4

What is false concerning urinary catheter-associated UTI (CAUTI)?

A. once a catheter is placed, the daily incidence of bacteriuria is 3-10%

B. on long-term catheterization, over 90% of patients develop bacteriuria

C. the practice of using urinary catheters to control incontinence in bedridden patients should be discouraged

D. urine bags should be placed on the floor to enhance gravity drainage

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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 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 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

Epididymal cysts are common in the following conditions,
EXCEPT:

A. von Hippel-Lindau disease

B. tuberous sclerosis

C. cystic fibrosis

D. autosomal dominant polycystic kidney disease

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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

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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

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

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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

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4

Which of the following is NOT a treatment option for BPS/IC?

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

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4

What is false concerning peri-renal abscess?

A. could result from intra-renal abscess of ascending infection

B. urine culture might be negative

C. plain KUB X-ray has no value in the diagnosis

D. surgical drainage is the proper treatment

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4

Which of the following is NOT a first-choice antimicrobial agent for uncomplicated acute cystitis in women?

A. nitrofurantoin monohydrate/macrocrystals

B. trimethoprim-sulfamethoxazole

C. ampicillin

D. fosfomycin

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4

What condition is associated with renal papillary necrosis?

A. nephrotic syndrome

B. hypertension

C. sickle cell hemoglobinopathy

D. sarcoidosis

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4

Which of the following has NO role in bacterial colonization in the prostate?

A. intra-prostatic ductal reflux

B. paraphimosis

C. specific blood groups

D. unprotected anal intercourse

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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