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4

What is true concerning ovarian vein syndrome?

A. manifests as recurrent renal colics due to ureteral obstruction

B. treatment is surgical mobilization of ureter and ligation of the vein

C. commonly, occurs at the left side

D. the pain worsens on sitting upright and during pregnancy

Correct Answer :

B. treatment is surgical mobilization of ureter and ligation of the vein


it is more common on the right side. The pain is usually dull aching; rarely resents as colics. It worsens on lying down and between ovulation and menstruation.

Related Questions

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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

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 the earliest clinical finding of urosepsis?

A. elevated body temperature

B. dropped blood pressure

C. elevated heart rate

D. reduced urine output

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4

What is false concerning the presentation of prostatitis syndrome?

A. type I could harbor prostate abscess

B. type II presents as intermittent urinary tract infections

C. type III-a presentation might include psychological complaints

D. between 10-15% of men with type IV, have pus cells in their semen but no symptoms

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4

What is false regarding Fournier`s gangrene?

A. is defined as a polymicrobial chronic infection of the perineal, perianal, or genital areas

B. as the disease progresses, branches from the inferior epigastric, deep circumflex iliac, and external pudendal arteries get thrombosed

C. presents as a dark skinned-scrotum, subcutaneous crepitation, and foul smell

D. surgical debridement often spares the testes

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4

What could cause scrotal sinus?

A. improperly drained hair follicle scrotal abscess

B. syphilitic orchitis

C. tuberculous epididymitis

D. all of the above

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4

What kind of non-infectious cystitis, do patients with systemic lupus erythematosus (SLE), likely to develop?

A. cystitis glandularis

B. cystitis cystica

C. esinophilic cystitis

D. cystitis follicularis

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4

What is the percentage of occurrence of Staphylococcus saprophyticus in symptomatic lower UTIs in young sexually active females?

A. 5%

B. 10%

C. 15%

D. 20%

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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

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4

Which of the following is NOT a treatment option for BPS/IC?

A. substitution cystoplasty and continent diversion

B. fulguration of a Hunner`s ulcer or hydrodistention

C. intravesical installation of silver nitrate or dimethyl sulfoxide

D. low dose external beam irradiation

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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 the ideal antibiotic class for self-start therapy on treating recurrent cystitis in a 32 yrs. married woman?

A. aminopenicillins

B. fluoroquinolones

C. aminoglycosides

D. nitrofurantoins

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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 the most common serotype of HPV associated with squamous cell carcinoma of the penis?

A. 16

B. 18

C. 22

D. 12

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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 true concerning ovarian vein syndrome?

A. manifests as recurrent renal colics due to ureteral obstruction

B. treatment is surgical mobilization of ureter and ligation of the vein

C. commonly, occurs at the left side

D. the pain worsens on sitting upright and during pregnancy

What is the correct answer?

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 the preferred antimicrobial prophylaxis for transrectal prostate biopsy?

A. aminoglycoside

B. fluoroquinolone

C. 2nd generation cephalosporin

D. doxycycline

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4

What are the most commonly affected organs by genitourinary tuberculosis?

A. kidneys, prostate and epididymi

B. bladder, ureters and renal pelvis

C. vasa, scrotum and adrenals

D. testes, bladder neck and seminal vesicles

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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 is false regarding biopsy-taking from interstitial cystitis bladder?

A. no pathognomonic histology for interstitial cystitis

B. basically, biopsies are performed to exclude carcinomas and other varieties of cystitis

C. diagnostic biopsies include the presence of discrete micro-ulcers and increased numbers of mast cells in the detrusor muscle or submucosa

D. none of the above

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4

What is true concerning the definition of UTI in women, based on culture results from a suprapubic aspirate of urine?

A. any amount of uropathogen grown in culture indicates UTI

B. for cystitis, more than 1000 CFU/mL indicates UTI

C. for pyelonephritis, more than 10,000 CFU/mL indicates UTI

D. for asymptomatic bacteriuria, more than 100,000 CFU/mL indicates UTI

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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 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

What is false concerning UTI in long-term care facilities?

A. in catheterized individuals, entry of bacteria into the bladder is facilitated by the bacterial glycocalyx biofilm

B. infection cannot be reliably distinguished from bacteriuria by lab tests

C. co-trimoxazole is the preferred antibiotic for empiric therapy

D. symptomatic UTI may be a diagnosis of exclusion

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4

Using low-dose prophylactic or suppressive antimicrobials might be an option in treating the following type of prostatitis:

A. acute bacterial prostatitis presenting with abscess formation

B. recurrent or refractory chronic bacterial prostatitis

C. asymptomatic prostatitis with pyuria resistant to common antimicrobials

D. curiously, chronic inflammatory prostatitis could respond to low-dose suppressive antibiotic

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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 essential on diagnosing bladder pain syndrome BPS/IC?

A. sterile pyuria on 3 consecutive cultures

B. the presence of glomerulations and/or Hunner`s ulcer on endoscopy

C. pain and discomfort related to the bladder

D. urgency and frequency with no documented infection

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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 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