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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

Correct Answer :

C. gummatous ulcers


neurogenic and gummatous ulcers (occurs in tertiary syphilis), fit the described criterion.

Related Questions

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4

Which of the following is NOT a first-choice antimicrobial agent for uncomplicated acute cystitis in women?

A. nitrofurantoin monohydrate/macrocrystals

B. trimethoprim-sulfamethoxazole

C. ampicillin

D. fosfomycin

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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 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

During the initial 3-month period of HIV infection, what would be the best diagnostic lab test?

A. viral load assay

B. western blot analysis

C. southern blot analysis

D. HIV-1/HIV-2 serology assay

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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 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

Irritative LUTS and dyspareunia in postmenopausal women are most likely to be due to:

A. giggle incontinence

B. estrogen deficiency

C. cystitis glandularis

D. cystitis cystica

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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 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 peri-renal abscess?

A. could result from intra-renal abscess of ascending infection

B. urine culture might be negative

C. plain KUB X-ray has no value in the diagnosis

D. surgical drainage is the proper treatment

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4

What is true regarding balanoposthitis?

A. is best diagnosed by ascending urethrography

B. occurs mostly in diabetic and immunosuppressed patients

C. could be due to maceration injury, irritant dermatitis, or Candida

D. commonly presents with deep inguinal lymphadenopathy

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4

What is false regarding pediatric renal parenchyma scarring?

A. chronic pyelonephritis and HTN lead to ESRD in 10% of the cases

B. neonatal symptoms of UTI are vague and non-specific, that delay the diagnosis and end in more scarring

C. despite adequate treatment, scarring continues after an attack of pyelonephritis as a chronic immune reaction against renal tubules

D. neonates have low intrarenal pelvic pressure, that predisposes to ascending infections

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4

What is false regarding Herpes simplex (HSV) infection?

A. characterized by neurovirulence

B. the incubation period of primary genital herpes is 2 3 weeks

C. HSV can be isolated in the urine

D. HSV-1 infection causes urethritis more often than HSV-2 does

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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 are the commonest organisms causing acute epididymitis in males younger than 35 yrs.?

A. N. gonorrhea and C. trachomatis

B. E. coli and Pseudomonas species

C. Mycoplasma genitalium and Ureaplasma species

D. Trichomonas vaginalis and Gardnerella vaginalis

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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 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

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 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 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

A 48 yrs. woman presents with recurrent cystitis. Cystoscopy showed a raised bladder lesion. Biopsies from the lesion reveals Von Hansemann histiocytes, and Michaelis-Gutmann bodies. What is the treatment?

A. sulfonamide for several months

B. TUR of the bladder lesion followed by proper staging

C. radical cystectomy and urinary diversion

D. intravesical installation of mitomycin without irradiation

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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 true concerning the treatment of catheter associated bacteriuria?

A. should be flushed frequently, but no antibiotic is advised

B. should be treated if febrile UTI has developed

C. should be treated only if urine culture is positive

D. should be treated once the catheter is removed

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4

The relative risk of prostate cancer in men with HIV compared to uninfected individuals is:

A. greater than 8 fold

B. greater than 6 fold

C. greater than 4 fold

D. comparable

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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

When comparing nosocomial to community-acquired UTI, the latter is:

A. 45% are caused by E. coli

B. related to an indwelling urinary catheter in approximately 40% of cases

C. responds fairly to oral antibiotics

D. tends to report higher antibiotic resistance

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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

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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 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

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