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Current Affairs January 2024

What is the correct answer?

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

Correct Answer :

A. is always asymptomatic


colonization stage is asymptomatic.

Related Questions

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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 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

What are the most indicative symptoms of chronic pyelonephritis?

A. fever and chills

B. suprapubic pain and pyuria

C. flank pain and tenderness

D. none of the above

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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 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 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 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 the preferred antibiotic for BPS/IC cases?

A. rifampicin

B. doxycycline

C. azithromycin

D. none of the above

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4

What is false concerning Xanthogranulomatous Pyelonephritis?

A. is most commonly associated with Proteus or E. coli infection

B. is characterized by lipid-laden foamy macrophages

C. the overall prognosis is poor

D. it might involve adjacent structures or organs

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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

What is true concerning scrotal abscesses?

A. could be a complication of chronic epididymitis and orchalgia

B. testicular torsion must be excluded

C. infected hair follicles and scrotal lacerations are predisposing factors

D. urethral discharge is not uncommon presentation

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4

What type of human Herpes virus is implicated in all forms of Kaposi sarcoma?

A. 2

B. 6

C. 7

D. 8

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4

What is false regarding Herpes simplex (HSV) infection?

A. characterized by neurovirulence

B. the incubation period of primary genital herpes is 2 3 weeks

C. HSV can be isolated in the urine

D. HSV-1 infection causes urethritis more often than HSV-2 does

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4

What is true regarding Xanthogranulomatous Pyelonephritis?

A. CT shows the characteristic bear paw sign

B. it is an infected, obstructed, poorly functioning kidney containing stones

C. nephrectomy is the treatment

D. all of the above

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4

What is false concerning chronic orchialgia syndrome?

A. it is a constant or intermittent pain of testes for more than 3 months

B. could be due to appendix testis torsion-detorsion

C. could be due to radiculitis resulting from a degenerative lesion in the thoraco-lumber vertebrae

D. could be a result of entrapment neuropathy of ilioinguinal or genitofemoral nerve

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4

What is false concerning cystitis glandularis?

A. rarely, the urothelial cell nests show a central lumen lined by glandular epithelium

B. In some cases, it may form polypoid masses that mimic urothelial neoplasms

C. It might appear as multinodular exophytic mass seen on cystoscopy

D. cystitis cystica and cystitis glandularis frequently coexist in the same specimen

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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 the most commonly affected organ by genitourinary Brucellosis?

A. kidneys

B. bladder

C. prostate

D. epididymis

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4

What is false concerning foreign body cystitis?

A. most commonly due to indwelling catheters

B. the areas of inflammation are usually confined to the lateral walls or the dome of the bladder

C. radiographic changes are nonspecific or present as bullous edema

D. indwelling catheters are associated with squamous cell carcinoma of the bladder

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4

What are the most commonly affected organs by genitourinary schistosomiasis?

A. kidneys and adrenals

B. bladder and ureters

C. prostate and vasa

D. testes and epididymi

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4

What condition causes sterile pyuria?

A. urethral infection with trichomonas vaginalis

B. bladder infection with adenovirus

C. Kawasakis disease

D. all of the above

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4

The relative risk of prostate cancer in men with HIV compared to uninfected individuals is:

A. greater than 8 fold

B. greater than 6 fold

C. greater than 4 fold

D. comparable

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4

What is false concerning inverted papilloma of the bladder?

A. It is an endophytic tumor of the transitional urothelium

B. harbors p53 gene mutations

C. presents with hematuria, dysuria, and irritative voiding

D. the lesion requires transurethral resection

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4

What is false concerning Brucellosis epididymitis?

A. commonly presents with scrotal pain, swelling, fever, and leucocytosis

B. epididymo-orchitis is the most frequent genitourinary complication of brucellosis

C. epididymo-orchitis occurs in 10-15% of male patients with brucellosis

D. treatment includes doxycycline and rifampicin for 6-8 weeks

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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

Directed physiotherapy could be of value in treating what NIH type of prostatitis?

A. type II

B. type III-a

C. type III-b

D. type IV

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4

What is false concerning sepsis syndrome?

A. poor tissue perfusion manifests as hyperlactemia and decreased capillary refill

B. acute oliguria indicates an organ dysfunction and circulatory collapse

C. septic shock is an extreme form of sepsis when hypotension persists despite adequate fluid resuscitation

D. hypotension is a sign of hyperdynamic circulation at an early septic shock

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4

What is true concerning granulomatous inflammation of the prostate?

A. is a common cause of elevated PSA level

B. might follow BCG treatment

C. is sequelae of untreated type III-b prostatitis

D. shows homogenous enhancement following Gd-DTPA on prostate MRI

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4

Which of the following conditions does NOT cause bacterial persistence?

A. perivesical abscess with fistula to bladder

B. acute tubular necrosis

C. renal papillary necrosis

D. xanthogranulomatous pyelonephritis

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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