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Current Affairs January 2024

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4

What is true regarding genitourinary TB?

A. commonly, TB enters the urinary tract via intravesical instillation of attenuated live BCG to treat bladder cancer

B. CT urography may show infundibular stricture with or without hydrocalicosis

C. renal ultrasonography reveals calyceal erosions moth-eaten calyx

D. TB of the vas appears, clinically, as a thin hard strictured tube

Correct Answer :

B. CT urography may show infundibular stricture with or without hydrocalicosis


CT urography shows a series of changes based on the infection stage. Renal TB may show infundibular stricture with or without hydrocalicosis. Moreover, calyceal erosions moth-eaten calyx might appear. Rarely, TB enters the urinary tract via intravesical instillation of attenuated live BCG to treat bladder cancer. TB of the vas appears as a thick hard beaded cord.

Related Questions

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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

Which of the following has NO role in bacterial colonization in the prostate?

A. intra-prostatic ductal reflux

B. paraphimosis

C. specific blood groups

D. unprotected anal intercourse

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4

What is false concerning antiretroviral medications?

A. multiple antiretroviral drugs can be combined into a single pill

B. might cause radiolucent renal stones

C. can lead to a significant rise in the serum level of PDE5 inhibitors, if taken simultaneously

D. have the advantage of structured treatment interruptions (drug holidays)

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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 is the laboratory differentiation between type III-a and type III-b prostatitis?

A. the cytological examination of the urine and/or EPS

B. transrectal ultrasonographic examination

C. the presence of ≥10 WBCs/HPF in the urine with negative culture in type III-b

D. the positive urine culture, and negative EPS support type III-a

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4

What is true regarding nephrogenic adenoma of the bladder?

A. results from ectopic nephrogenic blastema cells in the detrusor muscle

B. might undergo malignant transformation in 15 40% of the cases

C. on cystoscopy, it appears as a bladder mucosal irregularity or large intramural mass

D. the preferred treatment is cystectomy and urinary diversion

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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

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

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?

A. carry on the full antibiotic course, and then repeat CT

B. incision and drainage of the renal abscess with/without nephrectomy

C. the abscess size dictates management

D. perc. drainage of the renal abscess

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4

What is false regarding cystitis cystica?

A. most cysts appear as filling defects on cystography

B. most often found in the trigone area

C. the cyst lumens contain esinophilic secretions that may have a few inflammatory cells

D. cystitis cystica and cystitis glandularis are reactive urothelial changes

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4

Which of the following does NOT cause sterile pyouria?

A. inadequately treated UTI

B. renal papillary necrosis

C. acute emphysematous pyelonephritis

D. urinary tract tuberculosis

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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 group of patients should be treated for UTI only when symptomatic?

A. patients with indwelling catheters

B. neurogenic bladder patients on CIC

C. pregnant women

D. children under 5 years

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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

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4

What is false concerning urinary catheter-associated UTI (CAUTI)?

A. once a catheter is placed, the daily incidence of bacteriuria is 3-10%

B. on long-term catheterization, over 90% of patients develop bacteriuria

C. the practice of using urinary catheters to control incontinence in bedridden patients should be discouraged

D. urine bags should be placed on the floor to enhance gravity drainage

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4

What is true concerning BPS/IC?

A. the onset of symptoms is insidious

B. the lesion has no proven relation to bladder cancer

C. if left untreated, the bladder will turn small, contracted, with submucosal calcifications

D. a single positive urine culture refutes the diagnosis

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4

What is false regarding the etiology and treatment of orchialgia syndrome?

A. small indirect inguinal hernia may irritate the genital branch of genitofemoral nerve causing orchialgia

B. might respond to a selective nerve block

C. the recommended treatment is orchiectomy with implantation of a testicular prosthesis

D. psychotherapy and stress management might alleviate the pain

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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

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4

What factor(s) increase(s) the risk of bacterial colonization in the prostate?

A. acute epididymitis

B. indwelling urethral catheters

C. transurethral surgery

D. all of the above

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4

What is false concerning renal hydatid cysts?

A. might rupture into the collecting system causing (hydatiduria)and renal colic

B. are formed by the eggs of the tapeworm Echinococcus granulosus

C. most cysts are asymptomatic but might manifest as flank mass, dull pain, or hematuria

D. the most reliable diagnostic test uses partially purified hydatid arc 5 antigens in a double-diffusion test

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4

What is the best statement that describes the action of antiproliferative factor?

A. inhibits bladder epithelial cell proliferation

B. inhibits the bladder proliferative growth factors

C. stimulates the proliferation inhibitory factors

D. none of the above

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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

A 60 yrs. man underwent TURP for, only, obstructive LUTS. Histology of prostate chips reveals prostatitis. What NIH type of prostatitis would it be?

A. type I

B. type II

C. type III

D. type IV

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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 the average age of onset of BPS/IC patients?

A. 30

B. 40

C. 50

D. 60

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4

What is false about urinary catheters?

A. condom catheters carry less risk of UTI if compared to urethral

B. suprapubic catheters carry less risk of UTI if compared to urethral

C. latex catheters carry less risk of UTI if compared to silicon

D. intermittent catheterization carry less risk of UTI if compared to indwelling catheters

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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

As per NIH classification of prostatitis, which type requires no treatment?

A. type I

B. type II

C. type III

D. type IV

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4

Which treatment modality has NO proven efficacy in CP/CPPS?

A. selective nerve block

B. balloon dilation

C. botulinum A toxin injection

D. ESWL

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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