What is the most commonly affected organ by genitourinary Brucellosis?
kidneys
bladder
prostate
epididymis
Correct Answer :
D. epididymis
the highest reported incidence is epididymo-orchitis, occurring in 10-15% of male patients with brucellosis.
Related Questions
What condition is associated with renal papillary necrosis?
nephrotic syndrome
hypertension
sickle cell hemoglobinopathy
sarcoidosis
What is false regarding schistosomal cystitis?
an esinophilic immune reaction is generated in response to the eggs
chronic schistosomiasis can eventually result in small bladder and the development of cancers
schistosoma mansoni often causes urinary tract infections
could cause inflammatory polys and recurrent hematuria
What is true regarding balanoposthitis?
is best diagnosed by ascending urethrography
occurs mostly in diabetic and immunosuppressed patients
could be due to maceration injury, irritant dermatitis, or Candida
commonly presents with deep inguinal lymphadenopathy
What is (are) the cause(s) of recurrent community acquired UTI in women?
uncontrolled DM
sexual activity with multiple partners
high vaginal receptivity to bacterial adherence
all of the above
What type of scrotal ulcers is painless, punched out, with yellowish grey floor?
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
The relative risk of prostate cancer in men with HIV compared to uninfected individuals is:
greater than 8 fold
greater than 6 fold
greater than 4 fold
comparable
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 inverted papilloma of the bladder?
It is an endophytic tumor of the transitional urothelium
harbors p53 gene mutations
presents with hematuria, dysuria, and irritative voiding
the lesion requires transurethral resection
What are the most commonly affected organs by genitourinary tuberculosis?
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
What is (are) the complication(s) of sexually transmitted infections?
pelvic inflammatory disease
lymphogranuloma venereum
infertility
all of the above
What could NOT cause recurrent UTI in a 25 yrs. woman?
bladder neck suspension surgery
chronic constipation
poor genital hygiene
contraceptive diaphragm
What is the mortality rate of emphysematous pyelonephritis?
43%
53%
63%
73%
Which of the following factors increases the risk of UTI due to facilitation of microbial ascent?
sexual activity
the use of spermicide
estrogen depletion
fecal incontinence
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
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 are the target immune cells for HIV?
phagocytes
CD4 T cells
B lymphocytes
natural killer cells
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 the laboratory differentiation between type III-a and type III-b prostatitis?
the cytological examination of the urine and/or EPS
transrectal ultrasonographic examination
the presence of ≥10 WBCs/HPF in the urine with negative culture in type III-b
the positive urine culture, and negative EPS support type III-a
What is NOT a complication of mumps orchitis?
infertility
hypogonadotropic hypogonadism
non seminomatous germ cell tumor
chronic orchalgia
What is false concerning emphysematous cystitis?
the hallmark in the diagnosis is the cystoscopic findings
risk factors include transplant recipients
CT shows intramural and/or intraluminal gas in the bladder
requires surgical debridement and probably cystectomy
What is false concerning the management of genitourinary TB?
prostatic TB is better drained per rectum before initiating the medications
renal TB may require nephroureterectomy
peripheral neuritis is a known side effect of isoniazid
moxifloxacin might result in tendon rupture
What antimicrobial agent treats UTI and does NOT alter the gut flora?
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
What does NOT predispose to acute epididymitis is:
TUR ejaculatory duct
prolonged urethral catheterization
prostatic biopsy
vas ligation
What is true regarding nephrogenic adenoma of the bladder?
results from ectopic nephrogenic blastema cells in the detrusor muscle
might undergo malignant transformation in 15 40% of the cases
on cystoscopy, it appears as a bladder mucosal irregularity or large intramural mass
the preferred treatment is cystectomy and urinary diversion
What are the commonest organisms causing acute epididymitis in males younger than 35 yrs.?
N. gonorrhea and C. trachomatis
E. coli and Pseudomonas species
Mycoplasma genitalium and Ureaplasma species
Trichomonas vaginalis and Gardnerella vaginalis
Which treatment modality has NO proven efficacy in CP/CPPS?
selective nerve block
balloon dilation
botulinum A toxin injection
ESWL
What type of cells is implicated most in the pathogenesis of BPS/IC?
histocytes
T lymphocytes
mast cells
B lymphocytes
What is true concerning the treatment of catheter associated bacteriuria?
should be flushed frequently, but no antibiotic is advised
should be treated if febrile UTI has developed
should be treated only if urine culture is positive
should be treated once the catheter is removed
Which of the following conditions does NOT cause bacterial persistence?
perivesical abscess with fistula to bladder
acute tubular necrosis
renal papillary necrosis
xanthogranulomatous pyelonephritis
What is the earliest clinical finding of urosepsis?
elevated body temperature
dropped blood pressure
elevated heart rate
reduced urine output