Chapter 011 : Prostatitis and Related Conditions, Orchitis, and Epididymitis

chapter-11-prostatitis-and-related-conditions-orchitis-and-epididymitis

Exit

Question 1 of 1

Time Left

341853

120

block

The prevalence of chronic prostatitis (diagnoses/symptoms) in population-based studies is approximately:

Select the correct answer(s).

(0/0)

341854

120

none

Which of the following etiologic agents or mechanisms has been unequivocally confirmed to be associated with prostatic inflammation?

Select the correct answer(s).

(0/0)

341855

120

none

The most likely candidate for cryptic infection in category III prostatitis is:

Select the correct answer(s).

(0/0)

341856

120

none

The presence of white blood cells (WBCs) in the expressed prostatic secretion (EPS) of patients with category III chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS):

Select the correct answer(s).

(0/0)

341857

120

none

What is the National Institutes of Health (NIH) Chronic Prostatitis Symptom Index?

Select the correct answer(s).

(0/0)

341858

120

none

An obese 26-year-old man has an 8-hour history of severe dysuria, stranguria, and suprapubic and perineal pain with fever. On examination, he has suprapubic tenderness and his prostate is enlarged, boggy, and exquisitely tender. Urinalysis shows pyuria. He continues to complain of symptoms despite insertion of a Foley catheter and has persistent fever after 30 hours of intravenous therapy with gentamicin and ampicillin. Culture grew Escherichia coli. The next best step in management is:

Select the correct answer(s).

(0/0)

341859

120

none

A 36-year-old man has a 4-month history of dull perineal and suprapubic discomfort, postejaculatory pain, and moderate obstructive voiding symptoms. A pre-prostatic massage urine sample was sterile, and microscopic evaluation of the sediment showed 2 WBCs/high-powered field (hpf). No EPS was obtained during an uncomfortable digital rectal examination. A post-prostatic massage urine sample grew 102 Staphylococcus epidermidis organisms per milliliter, and microscopy of the sediment showed 10 to 12 WBCs/hpf. What is the NIH chronic prostatitis classification?

Select the correct answer(s).

(0/0)

341860

120

none

A 24-year-old man has an 8-month history of obstructive voiding symptoms and perineal and ejaculatory discomfort. A pre-prostatic massage urine sample was sterile, and microscopic evaluation of sediment showed 1 WBC/hpf. Microscopy of a minute amount of EPS showed 3 WBCs/hpf. A post-prostatic massage urine sample was sterile, and microscopy of the sediment showed 2 WBCs/hpf. What is the NIH CP/CPPS classification?

Select the correct answer(s).

(0/0)

341861

120

none

A 42-year-old man was treated for cystitis but continued to have dysuria, ejaculatory pain, and perineal/testicular discomfort after 7 days of antibiotics. The prostate examination was unremarkable. A midstream urine sample was sterile, but culture of a drop of EPS produced moderate growth of Enterococcus faecalis. A post-prostatic massage urine sample grew 102| faecalis organisms, and microscopic examination of the sediment showed 12 WBCs/hpf. What is the NIH classification?

Select the correct answer(s).

(0/0)

341862

120

none

A 32-year-old man had been successfully treated for an| coli cystitis with trimethoprim-sulfamethoxazole (7-day course) 4 months previously. A recurrence of similar symptoms was again successfully treated with ciprofloxacin (3 days), but no culture was done at this time. The patient presents 3 days after antibiotics were discontinued with continued perineal discomfort, ejaculatory pain, and mild dysuria. Pre- and post-prostatic massage urine and EPS samples were sterile. Evaluation of the EPS showed 20 WBCs/hpf. The prostate felt normal. What is the next best step?

Select the correct answer(s).

(0/0)

341863

120

none

A 47-year-old man has a 5-year history of perineal and suprapubic pain/discomfort and obstructive voiding symptoms that have not responded to multiple courses of antibiotics, α-adrenergic blockers, anti-inflammatory agents, repetitive prostatic massage, or phytotherapy. The prostate is tender, and the post-prostatic massage urine sample was sterile and showed 20 WBCs/hpf. The prostate-specific antigen (PSA) value was 1.2 mg/mL. The next best step is:

Select the correct answer(s).

(0/0)

341864

120

none

A 28-year-old man has been successfully treated for three episodes of cystitis (cultures not performed). He now presents with a 3-day history of frequency, urgency, dysuria, and suprapubic discomfort. The prostate feels normal and is nontender. Results of an abdominal and pelvic ultrasonographic study were normal. A midstream culture done 24 hours earlier grew 105| coli organisms per milliliter. The next best step is:

Select the correct answer(s).

(0/0)

341865

120

none

A 37-year-old man has a 3-month history of urinary frequency and urgency and discomfort localized to the perineum, suprapubic area, testes, and penis. A sterile post-prostatic massage urine sample showed 15 WBCs/hpf on microscopy. A year earlier the patient had been successfully treated for moderately severe symptoms with an unspecified antibiotic. He is allergic to many medications, including ciprofloxacin. The symptoms are now a significant bother and affecting his quality of life. The best initial treatment is a trial of:

Select the correct answer(s).

(0/0)

341866

120

none

A 58-year-old man with a 2-year history of symptomatic recurrent urinary tract infections with Pseudomonas (six to eight per year) is asymptomatic between treated episodes. Pseudomonas aeruginosa is localized to the EPS and post- prostatic massage (voided bladder 3, VB3) samples (but not the midstream urine sample, or VB2) during a period when he was asymptomatic. The EPS shows severe pyuria with WBC plugs or aggregates on microscopy. Transrectal ultrasonography shows extensive prostatic calcifications. Cystoscopy results are normal, residual urine is negligible, and the PSA value is 1.0 mg/mL. What is the best treatment?

Select the correct answer(s).

(0/0)

341867

120

none

A 24-year-old man with a 6-year history of severe perineal pain with irritative and obstructive voiding symptoms has no significant benefits with 4 weeks of therapy with trimethoprim-sulfamethoxazole, anti-inflammatory agents, α-adrenergic blockers, or phytotherapy, respectively. Prostate-specific specimens were sterile and no WBCs were noted on microscopy. The physical examination had normal findings except for anal sphincter spasm and a tender but normal-feeling prostate gland. Video- urodynamics showed adequate funneling of the bladder neck with poor opening of the striated sphincter area and abnormal striated sphincter electromyographic activity during the emptying phase of micturition. The next best step is:

Chapter 011 : Prostatitis and Related Conditions, Orchitis, and Epididymitis

Question 1 of 1

Time Left

The prevalence of chronic prostatitis (diagnoses/symptoms) in population-based studies is approximately:

Select the correct answer(s).

(0/0)

Which of the following etiologic agents or mechanisms has been unequivocally confirmed to be associated with prostatic inflammation?

Select the correct answer(s).

(0/0)

The most likely candidate for cryptic infection in category III prostatitis is:

Select the correct answer(s).

(0/0)

The presence of white blood cells (WBCs) in the expressed prostatic secretion (EPS) of patients with category III chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS):

Select the correct answer(s).

(0/0)

What is the National Institutes of Health (NIH) Chronic Prostatitis Symptom Index?

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Results

Correct

0

Incorrect

0

Skipped

0

Overall Percentage

0%

Rate Quiz