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Current Affairs January 2024

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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

Correct Answer :

B. balloon dilation


balloon dilation has no proven effect.

Related Questions

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4

What is true concerning scrotal abscesses?

A. could be a complication of chronic epididymitis and orchalgia

B. testicular torsion must be excluded

C. infected hair follicles and scrotal lacerations are predisposing factors

D. urethral discharge is not uncommon presentation

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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

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

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 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

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 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

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 condition(s) could occur in schistosomal ureter?

A. beading of the lower ureteral segment

B. ureteral fibrosis and calcifications of the distal ureter

C. stricture at the uretero-vesical junction

D. all of the above

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4

What is false concerning sepsis syndrome?

A. poor tissue perfusion manifests as hyperlactemia and decreased capillary refill

B. acute oliguria indicates an organ dysfunction and circulatory collapse

C. septic shock is an extreme form of sepsis when hypotension persists despite adequate fluid resuscitation

D. hypotension is a sign of hyperdynamic circulation at an early septic shock

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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 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

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 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

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 virus(s) could cause orchitis?

A. Coxsackie B

B. Epstein-Barr

C. varicella

D. all of the above

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4

What are the most commonly affected organs by genitourinary schistosomiasis?

A. kidneys and adrenals

B. bladder and ureters

C. prostate and vasa

D. testes and epididymi

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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

Histologically, the pathognomonic finding of Fournier gangrene include:

A. necrosis of the superficial and deep fascial planes

B. fibrinoid thrombosis of the nutrient arterioles

C. polymorphonuclear cell infiltration

D. all of the above

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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 acute glomerulonephritis?

A. manifested as a sudden onset of hematuria, proteinuria, oliguria, edema, hypertension, and RBC casts in the urine

B. post-streptococcus GN has an incubation period of 1-3 weeks with specific strains of group A beta-hemolytic streptococcus

C. the triad of sinusitis, pulmonary infiltrates, and nephritis, suggests Wegener granulomatosis

D. C3, C4, ESR and antistreptolysin O titer are increased

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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 type of cells is implicated most in the pathogenesis of BPS/IC?

A. histocytes

B. T lymphocytes

C. mast cells

D. B lymphocytes

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4

What are the target immune cells for HIV?

A. phagocytes

B. CD4 T cells

C. B lymphocytes

D. natural killer cells

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4

In males, HIV infection increases the incidence of the following genitourinary tumors:

A. testicular

B. renal

C. penile

D. all of the above

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4

What is the proper term to describe high bacterial count in urine without pus?

A. asymptomatic bacteriuria

B. sterile pyouria

C. bacterial colonization

D. unresolved bacteriuria

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4

What is NOT a poor clinical practice on caring for urethral catheters?

A. taking urine samples by draining the urine bag

B. daily cleansing the external meatus

C. placing the urine bag on the floor

D. changing the urine bag once it is full

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4

What type of human Herpes virus is implicated in all forms of Kaposi sarcoma?

A. 2

B. 6

C. 7

D. 8

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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

How should a proper routine urine specimen be collected?

A. early morning sample, after cleansing the perineum and meatus

B. by urethral catheterization under strict aseptic technique

C. a clean catch of midstream voided urine

D. by suprapubic aspiration, as urine is sterile