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4

What is true concerning malakoplakia?

A. is a premalignant condition

B. it can be locally aggressive and invades surrounding structures causing bone erosions

C. kidneys are the most commonly affected organs

D. characterized by rounded intracellular inclusions (owls-eyes) in large esinophilic histocytes

Correct Answer :

B. it can be locally aggressive and invades surrounding structures causing bone erosions


despite the lesion is benign; it can be locally aggressive and invades surrounding structures causing bleeding and bone erosions.

Related Questions

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4

Asymptomatic bacteriuria should be treated in the following situations:

A. in the elderly

B. in long-term catheterized patient

C. in pregnancy

D. none of the above

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4

Which of the following factors increases the risk of UTI due to facilitation of microbial ascent?

A. sexual activity

B. the use of spermicide

C. estrogen depletion

D. fecal incontinence

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4

What is (are) the prominent clinical finding(s) in the diagnosis of acute pyelonephritis?

A. fever, chills, abdominal pain

B. costovertibral angle tenderness

C. hypogastric and loin pain

D. flank pain, dysuria

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4

What are the diagnostic findings on cystometrogram for BPS/IC?

A. discomfort on placing urethral catheter and pain on bladder filling

B. difficulty in zeroing the pressure and diminished response to first cough

C. low filling pressure but high voiding pressure

D. uninhibited bladder contractions with a relative bladder hypotonia

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4

What is false concerning esinophilic cystitis?

A. probably due to antibody/antigen reaction

B. has no diagnostic findings on cystoscopy

C. has no specific medical therapy

D. on histology, Von Brunn`s nests appear invaginating the urothelium into the lamina propria

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4

What is the most important pharmacokinetic property of a drug to cure UTI?

A. mode of administration

B. level in the serum

C. level in the urine

D. dosage

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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 false concerning radiation cystitis?

A. the average time from the beginning of radiation therapy to initial symptoms could be 2 4 weeks

B. treatment with stationary radiation, portals carry a higher risk of morbidity than treatment with rotating portals do

C. it occurs in about 10% of patients treated with definitive irradiation therapy for prostate cancer after 10 years

D. most cases are mildly affected and require no specific therapy

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4

What is the most virulent factor for bacterial adherence?

A. P blood group

B. fimbria

C. pili

D. hemolysin

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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 proper term to describe high bacterial count in urine without pus?

A. asymptomatic bacteriuria

B. sterile pyouria

C. bacterial colonization

D. unresolved bacteriuria

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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

Under which surgical wound classification, does diagnostic cystoscopy under sterile technique fit?

A. dirty - infected

B. contaminated

C. clean - contaminated

D. clean

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4

What is the preferred antimicrobial prophylaxis for transrectal prostate biopsy?

A. aminoglycoside

B. fluoroquinolone

C. 2nd generation cephalosporin

D. doxycycline

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4

What is false concerning emphysematous cystitis?

A. the hallmark in the diagnosis is the cystoscopic findings

B. risk factors include transplant recipients

C. CT shows intramural and/or intraluminal gas in the bladder

D. requires surgical debridement and probably cystectomy

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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 is true regarding urinary catheter-associated UTI (CAUTI)?

A. indwelling catheter insertion must be under sterile condition

B. systemic antibiotics help best in preventing bacteriuria

C. greater than 90% of nosocomial UTIs are related to urethral catheters

D. Intermittent catheterization carries the incidence of 1-3% of developing bacteriuria per insertion

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4

UPOINT system for phenotype categorization:

A. categorizes CP-CPPS, IC, and painful bladder syndrome based on 5 etiological principles

B. meant to classify CP-CPPS and IC patients into 6 domains

C. helps establish a reliable diagnosis of CP/CPPS or IC

D. the diagnostic scores of UPOINT depend on cystoscopy, TRUS, urine analysis and culture of uncommon microbes

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4

What is the most significant biological difference in women susceptibility to UTI?

A. adherence of bacteria to vaginal cells

B. vaginal dryness

C. O serogroup

D. vaginal pH

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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

All of the following etiologies for interstitial cystitis have been theorized, EXCEPT:

A. allergic, type I hypersensitivity response

B. pelvic floor dysfunction

C. up-regulation of histaminergic and muscarinic neuro-receptors

D. neural hypersensitivity

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4

What is false regarding schistosomal cystitis?

A. an esinophilic immune reaction is generated in response to the eggs

B. chronic schistosomiasis can eventually result in small bladder and the development of cancers

C. schistosoma mansoni often causes urinary tract infections

D. could cause inflammatory polys and recurrent hematuria

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4

Screening for bacteriuria is mostly indicated for:

A. seniors house residents

B. ICU patients with indwelling urinary catheters

C. pregnant women

D. neurogenic bladder patients on CIC

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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

What is the mortality rate of emphysematous pyelonephritis?

A. 43%

B. 53%

C. 63%

D. 73%

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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 does NOT predispose to acute epididymitis is:

A. TUR ejaculatory duct

B. prolonged urethral catheterization

C. prostatic biopsy

D. vas ligation

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4

Patients with bladder pain syndrome have:

A. a history of repeated urologic and/or gynecologic procedures

B. 10 fold higher incidence of childhood voiding problems

C. 4 fold higher incidence of anxiety-depression syndrome

D. 6 fold higher incidence of psychosomatic disorders

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4

What is false concerning corpora amylacea of the prostate?

A. are premalignant, and found in 1-6% of prostate biopsies

B. are small hyaline masses of unknown significance found in the prostate gland

C. they are degenerate cells or thickened secretions in the prostate ducts

D. might appear as prostate calcifications on X-ray KUB

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4

What is false concerning epididymitis?

A. should be distinguished from testicular torsion in the emergency setting

B. viral epididymitis is commoner in the elderly

C. chronic epididymitis might complicate BPH

D. chronic epididymitis might require epididymectomy