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Current Affairs January 2024

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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

Correct Answer :

D. self-initiated medication helps control the infection


self-initiated medication entails taking the antibiotic treatment only before intercourse on a half-filled bladder.

Related Questions

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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 could cause unresolved bacteriuria?

A. drug resistance

B. non-compliance

C. the presence of persistent pathology

D. all of the above

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4

What is false concerning the cystoscopic findings of interstitial cystitis?

A. Hunner`s ulcers are multiple ulcerative patches surrounded by mucosal congestion on the dome or lateral walls

B. ulcers might get distorted after overdistention, because discrete areas of mucosal scarring rupture during the procedure

C. in non-ulcerative type, overdistention demonstrates glomerulations on the dome and lateral walls

D. overdistention results in mucosal tears and submucosal hemorrhage

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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

Which statement best defines reinfection?

A. a new episode of UTI caused by different species or occurring at long intervals

B. recurrent UTIs caused by the same organism in each instance, classically, at close intervals

C. recurrent UTIs due to failure of medical therapy to eradicate the infection

D. recurrent UTIs due to a persistent pathology that is obstinate to surgery

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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

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 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 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 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 most commonly affected organ by genitourinary Brucellosis?

A. kidneys

B. bladder

C. prostate

D. epididymis

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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 is the most significant complication of papillary necrosis?

A. ureteral obstruction

B. proteinuria

C. stone formation

D. renal scarring

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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 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

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 false concerning HIV infection?

A. AIDS patients in active infection show low CD4 + T-cell count

B. the diagnosis is confirmed by positive anti-HIV-1, anti-HIV-2 antibodies

C. patients receiving antiviral therapy could still be infectious

D. herpes simplex virus increases HIV replication in infected persons

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4

What is false in the treatment and prevention of STDs?

A. antibiotic therapy is recommended for affected individuals with documented trichomonal infection and sexual partners even if asymptomatic

B. empirical treatment for gonococcal urethritis should cover chlamydia trachomatis

C. consistent and proper usage of condoms is estimated to prevent HIV transmission by approximately 80 to 95%

D. vaccinations are available for the prevention of human papillomavirus, N. gonorrhea, chlamydia trachomatis

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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

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

What is the bladder`s first-line defense against infections?

A. natural sloughing of bladder mucosa

B. voiding

C. urine osmolarity

D. urine pH

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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 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

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 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

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

Management of acute epididymo-orchitis in hospitalized patients includes all of the following, EXCEPT:

A. scrotal support and elevation

B. ice packs

C. non-steroidal anti-inflammatory agents

D. urethral catheterization

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4

Which of the following conditions is NOT associated with interstitial cystitis?

A. inflammatory bowel disease

B. rheumatoid arthritis

C. systemic lupus erythematosus

D. fibromyalgia

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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