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Current Affairs January 2024

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4

What kind of cystitis does NOT progress to malignancy?

A. foreign-body cystitis due to vesical calculi

B. Von Brunn`s nests of cystitis cystica and cystitis glandularis

C. schistosomiasis cystitis

D. inverted papilloma of the bladder

Correct Answer :

B. Von Brunn`s nests of cystitis cystica and cystitis glandularis


Von Brunn`s nests of cystitis cystica and cystitis glandularis are benign.

Related Questions

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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

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 type of scrotal ulcers is painless, punched out, with yellowish grey floor?

A. tuberculous ulcer

B. malignant ulcer

C. gummatous ulcers

D. traumatic ulcer

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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 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 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

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

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

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

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 the average age of onset of BPS/IC patients?

A. 30

B. 40

C. 50

D. 60

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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 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

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 the preferred antimicrobial prophylaxis for transrectal prostate biopsy?

A. aminoglycoside

B. fluoroquinolone

C. 2nd generation cephalosporin

D. doxycycline

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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

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 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 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 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 condition is associated with renal papillary necrosis?

A. nephrotic syndrome

B. hypertension

C. sickle cell hemoglobinopathy

D. sarcoidosis

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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 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

No need for radiologic studies for recurrent UTI in:

A. children

B. the elderly

C. men

D. women

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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 false regarding Gonorrheal STD in women?

A. nucleic acid amplification tests are the preferred to diagnose Gonococcal and Chlamydial infections

B. shows dark yellow, purulent, thick urethral discharge

C. the most common site of the infection is the endocervix

D. the incubation period is 2 3 weeks

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4

What is the least important measure in indwelling catheter care?

A. cleansing the urethral meatus with aseptic agent

B. careful aseptic insertion of the catheter

C. maintenance of a closed drainage system

D. maintaining a dependant drainage system

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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 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 the mortality rate of emphysematous pyelonephritis?

A. 43%

B. 53%

C. 63%

D. 73%