What is the mortality rate of emphysematous pyelonephritis?
43%
53%
63%
73%
Correct Answer :
A. 43%
the overall mortality rate is 43%.
Related Questions
What is true concerning malakoplakia?
is a premalignant condition
it can be locally aggressive and invades surrounding structures causing bone erosions
kidneys are the most commonly affected organs
characterized by rounded intracellular inclusions (owls-eyes) in large esinophilic histocytes
What is true regarding acute pyelonephritis?
a cause of obstruction should be sought
PCN is placed to decompress the kidney and preserve renal function
blood-born staphylococci are commoner than ascending E.coli infections
blood and urine cultures must dictate the antibiotic choice from day 1
Which of the following conditions is NOT associated with interstitial cystitis?
inflammatory bowel disease
rheumatoid arthritis
systemic lupus erythematosus
fibromyalgia
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?
carry on the full antibiotic course, and then repeat CT
incision and drainage of the renal abscess with/without nephrectomy
the abscess size dictates management
perc. drainage of the renal abscess
Which treatment modality has NO proven efficacy in CP/CPPS?
selective nerve block
balloon dilation
botulinum A toxin injection
ESWL
What is NOT a complication of mumps orchitis?
infertility
hypogonadotropic hypogonadism
non seminomatous germ cell tumor
chronic orchalgia
What is false concerning the presentation of prostatitis syndrome?
type I could harbor prostate abscess
type II presents as intermittent urinary tract infections
type III-a presentation might include psychological complaints
between 10-15% of men with type IV, have pus cells in their semen but no symptoms
What are the most commonly affected organs by genitourinary schistosomiasis?
kidneys and adrenals
bladder and ureters
prostate and vasa
testes and epididymi
What is the percentage of occurrence of Staphylococcus saprophyticus in symptomatic lower UTIs in young sexually active females?
5%
10%
15%
20%
What is the ideal antibiotic class for self-start therapy on treating recurrent cystitis in a 32 yrs. married woman?
aminopenicillins
fluoroquinolones
aminoglycosides
nitrofurantoins
What is the least important measure in indwelling catheter care?
cleansing the urethral meatus with aseptic agent
careful aseptic insertion of the catheter
maintenance of a closed drainage system
maintaining a dependant drainage system
Patients with bladder pain syndrome have:
a history of repeated urologic and/or gynecologic procedures
10 fold higher incidence of childhood voiding problems
4 fold higher incidence of anxiety-depression syndrome
6 fold higher incidence of psychosomatic disorders
Which of the following is NOT a first-choice antimicrobial agent for uncomplicated acute cystitis in women?
nitrofurantoin monohydrate/macrocrystals
trimethoprim-sulfamethoxazole
ampicillin
fosfomycin
What is the bladder`s first-line defense against infections?
natural sloughing of bladder mucosa
voiding
urine osmolarity
urine pH
What is false in the treatment and prevention of STDs?
antibiotic therapy is recommended for affected individuals with documented trichomonal infection and sexual partners even if asymptomatic
empirical treatment for gonococcal urethritis should cover chlamydia trachomatis
consistent and proper usage of condoms is estimated to prevent HIV transmission by approximately 80 to 95%
vaccinations are available for the prevention of human papillomavirus, N. gonorrhea, chlamydia trachomatis
What is the most significant biological difference in women susceptibility to UTI?
adherence of bacteria to vaginal cells
vaginal dryness
O serogroup
vaginal pH
During the initial 3-month period of HIV infection, what would be the best diagnostic lab test?
viral load assay
western blot analysis
southern blot analysis
HIV-1/HIV-2 serology assay
What type of bladder cells secretes antiproliferative factor?
bladder epithelial cells
type C nerve endings in the bladder
type A delta nerve endings in the bladder
the innermost longitudinal fibres of detrusor muscle
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 is the most important pharmacokinetic property of a drug to cure UTI?
mode of administration
level in the serum
level in the urine
dosage
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
What kind of cystitis does NOT progress to malignancy?
foreign-body cystitis due to vesical calculi
Von Brunn`s nests of cystitis cystica and cystitis glandularis
schistosomiasis cystitis
inverted papilloma of the bladder
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
Asymptomatic bacteriuria should be treated in the following situations:
in the elderly
in long-term catheterized patient
in pregnancy
none of the above
What is true concerning scrotal abscesses?
could be a complication of chronic epididymitis and orchalgia
testicular torsion must be excluded
infected hair follicles and scrotal lacerations are predisposing factors
urethral discharge is not uncommon presentation
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
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
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
What is false concerning peri-renal abscess?
could result from intra-renal abscess of ascending infection
urine culture might be negative
plain KUB X-ray has no value in the diagnosis
surgical drainage is the proper treatment
What is false concerning UTI in long-term care facilities?
in catheterized individuals, entry of bacteria into the bladder is facilitated by the bacterial glycocalyx biofilm
infection cannot be reliably distinguished from bacteriuria by lab tests
co-trimoxazole is the preferred antibiotic for empiric therapy
symptomatic UTI may be a diagnosis of exclusion