What is the ideal antibiotic class for self-start therapy on treating recurrent cystitis in a 32 yrs. married woman?
aminopenicillins
fluoroquinolones
aminoglycosides
nitrofurantoins
Correct Answer :
B. fluoroquinolones
because they cover a broad spectrum of bladder infections.
Related Questions
Ureteral dilation in schistosomiasis could be due to:
vesicoureteral reflux
stenosis of the lower ureter
edematous ureteral wall causing deficient peristalsis
any of the above
Management of acute epididymo-orchitis in hospitalized patients includes all of the following, EXCEPT:
scrotal support and elevation
ice packs
non-steroidal anti-inflammatory agents
urethral catheterization
What are the diagnostic findings on cystometrogram for BPS/IC?
discomfort on placing urethral catheter and pain on bladder filling
difficulty in zeroing the pressure and diminished response to first cough
low filling pressure but high voiding pressure
uninhibited bladder contractions with a relative bladder hypotonia
What is the most significant complication of papillary necrosis?
ureteral obstruction
proteinuria
stone formation
renal scarring
What is true regarding urinary catheter-associated UTI (CAUTI)?
indwelling catheter insertion must be under sterile condition
systemic antibiotics help best in preventing bacteriuria
greater than 90% of nosocomial UTIs are related to urethral catheters
Intermittent catheterization carries the incidence of 1-3% of developing bacteriuria per insertion
What is false regarding malakoplakia?
is an uncommon granulomatous disease that affect the skin and/or urinary bladder
it might be due to a disturbed function of B lymphocytes
characterized by the presence of basophilic inclusion structure (Michaelis-Gutmann body)
it might be due to a defective phagolysosomal activity of monocytes or macrophages
What is NOT a poor clinical practice on caring for urethral catheters?
taking urine samples by draining the urine bag
daily cleansing the external meatus
placing the urine bag on the floor
changing the urine bag once it is full
What is false concerning Xanthogranulomatous Pyelonephritis?
is most commonly associated with Proteus or E. coli infection
is characterized by lipid-laden foamy macrophages
the overall prognosis is poor
it might involve adjacent structures or organs
Directed physiotherapy could be of value in treating what NIH type of prostatitis?
type II
type III-a
type III-b
type IV
What is the most common serotype of HPV associated with squamous cell carcinoma of the penis?
16
18
22
12
As per NIH classification of prostatitis, which type requires no treatment?
type I
type II
type III
type IV
What is false regarding viral cystitis?
in pediatrics, adenovirus types 11 and 21 could result in hemorrhagic cystitis
immunosuppressed children are especially susceptible to Cytomegalovirus and Adenoviruses 7, 21, and 35
in pediatrics, acute viral cystitis might present as acute retention of urine
classically, treatment should be culture-specific
What does NOT predispose to acute epididymitis is:
TUR ejaculatory duct
prolonged urethral catheterization
prostatic biopsy
vas ligation
What is false concerning epididymitis?
should be distinguished from testicular torsion in the emergency setting
viral epididymitis is commoner in the elderly
chronic epididymitis might complicate BPH
chronic epididymitis might require epididymectomy
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?
PCNL after treating the infection
cystoscopy and placing a retrograde ureteral stent followed by ESWL
perc. nephrostomy and placing antegrade ureteral stent
nephrectomy
What type of cells is implicated most in the pathogenesis of BPS/IC?
histocytes
T lymphocytes
mast cells
B lymphocytes
Irritative LUTS and dyspareunia in postmenopausal women are most likely to be due to:
giggle incontinence
estrogen deficiency
cystitis glandularis
cystitis cystica
What could cause unresolved bacteriuria?
drug resistance
non-compliance
the presence of persistent pathology
all of the above
What group of patients should be treated for UTI only when symptomatic?
patients with indwelling catheters
neurogenic bladder patients on CIC
pregnant women
children under 5 years
What is false concerning Chlamydia trachomatis urethritis in males:
produces yellow whitish, scanty, frothy urethral discharge
shows gram (+), extracellular diplococcic
infection could be contracted from the spouses eyes
responds fairly to azithromycin
The virulence of uropathogenic E.coli depends on all the following,
EXCEPT:
P blood-group antigen
P fimbriae in descending infections
emolysins
Dr family of adhesins in ascending infections
What is true concerning the definition of UTI in women, based on culture results from a suprapubic aspirate of urine?
any amount of uropathogen grown in culture indicates UTI
for cystitis, more than 1000 CFU/mL indicates UTI
for pyelonephritis, more than 10,000 CFU/mL indicates UTI
for asymptomatic bacteriuria, more than 100,000 CFU/mL indicates UTI
Which statement best defines reinfection?
a new episode of UTI caused by different species or occurring at long intervals
recurrent UTIs caused by the same organism in each instance, classically, at close intervals
recurrent UTIs due to failure of medical therapy to eradicate the infection
recurrent UTIs due to a persistent pathology that is obstinate to surgery
What is false concerning chronic orchialgia syndrome?
it is a constant or intermittent pain of testes for more than 3 months
could be due to appendix testis torsion-detorsion
could be due to radiculitis resulting from a degenerative lesion in the thoraco-lumber vertebrae
could be a result of entrapment neuropathy of ilioinguinal or genitofemoral nerve
All of the following etiologies for interstitial cystitis have been theorized, EXCEPT:
allergic, type I hypersensitivity response
pelvic floor dysfunction
up-regulation of histaminergic and muscarinic neuro-receptors
neural hypersensitivity
What type of human Herpes virus is implicated in all forms of Kaposi sarcoma?
2
6
7
8
Which of the following has NO role in bacterial colonization in the prostate?
intra-prostatic ductal reflux
paraphimosis
specific blood groups
unprotected anal intercourse
What is true concerning bacterial colonization in the bladder?
is always asymptomatic
it shows a serological immune antibody response
is a common cause of sterile pyuria
typically, at this stage, the body demonstrates bacteriuria
What kind of non-infectious cystitis, do patients with systemic lupus erythematosus (SLE), likely to develop?
cystitis glandularis
cystitis cystica
esinophilic cystitis
cystitis follicularis
What is NOT a complication of mumps orchitis?
infertility
hypogonadotropic hypogonadism
non seminomatous germ cell tumor
chronic orchalgia