Question

A. Patient History The patient is a 75-year-old male with a history of hematuria, dysuria, chronic UTIs, and benign prostatic hyperplasia. At present, he has nocturia three times per night with slow urinary stream. A CT scan showed a distended urinary bladder with large postvoid residual. In the kidney there was evidence of cortical renal cysts. Cystoscopy was performed, revealing a diverticulum of the bladder with a neoplastic lesion within the diverticulum. A biopsy was performed, and it showed ulceration and chronic cystitis, but no malignancy.

1. The patient has a history of: ..................

A. Bladder cancer

B. Prostate cancer

C. Painful urination

D. Protein in his urine

2. What x-ray test showed an abnormality of the bladder?............

A. Cystoscopy

B. Pelvic ultrasound

C. Cystourethrogram

D. Computed tomography

3. What is a diverticulum? .........................

A. Neoplastic lesion

B. Outpouching of a wall of an organ

C. Inflammatory region of an organ

D. Sac of fluid in an organ

4. The biopsy revealed: ..............................

A. Inflammation and defect in the bladder lining

B. Carcinoma of the bladder

C. Distended urinary bladder

D. Hernia of the ureter

B. UTI in Children The symptoms of urinary tract infections in older children are similar to those seen in adults. Cystitis is manifest by suprapubic discomfort, burning, urgency, and polyuria. An upper UTI such as pyelonephritis is manifest by chills, fever, and flank (the sides of the body, between the ribs and the ilium) pain. Any child previously toilet-trained who suddenly develops enuresis or day-time wetting should be evaluated. However, many UTIs in children are asymptomatic, and the younger the child, the more obscure the signs and symptoms. An infant with a UTI may present only with fever, lethargy, irritability, and/or failure to thrive.

1. A symptom of cystitis is: .......................

A. Inability to urinate

B. Frequent urination

C. Chest pain

D. Jaundice and itching

2. An example of an upper UTI is:...........

A. Nephrosclerosis

B. Flank pain

C. Lithotripsy

D. Anuria

E. Inflammation of the renal pelvis

3. Enuresis is: ..........................................

A. Bedwetting

B. Nocturia

C. Anuria

D. Strong sensation of having to urinate throughout the day

4. What type of symptoms do young children with UTIs frequently manifest? .............................................

A. Blood in the urine

B. Protein in the urine

C. Often no symptoms

D. Elevated BUN

Answer 1

1.

The patient has a history of Painful urination.

Answer - C. Painful urination.

history of dysuria, which means painfully urination.

2.

Computed tomography test showed an abnormality of the bladder.

Answer - D. Computed tomography

Patient had A CT scan(Computed tomography Scan) showed a distended urinary bladder with large postvoid residual.

3.

Outpouching of a wall of an organ is called diverticulum.

Answer - B. Outpouching of a wall of an organ

4.

The biopsy revealed Inflammation and defect in the bladder lining.

Answer - A. Inflammation and defect in the bladder lining

A biopsy was performed, and it showed ulceration and chronic cystitis, but no malignancy. cystitis is the inflamation of bladder lining.