A 68-year-old male patient is admitted to the inpatient floor with reports of a UTI, urinary retention, and nocturia. The patient has chronic conditions including chronic cystitis and nicotine dependence. Microscopic urinalysis results show evidence of malignant epithelial cells. The patient is scheduled for transurethral resection the next day
Which condition is being described?
Bladder cancer
Bladder adenoma
Renal cell carcinoma
Renal epithelial cell cancer
The Correct Answer is A
A. Bladder cancer: The presence of malignant epithelial cells in the urinalysis and the scheduled transurethral resection are indicative of bladder cancer. Bladder cancer often presents with symptoms such as urinary retention, nocturia, and chronic cystitis, especially in older adults and those with risk factors like nicotine dependence.
B. Bladder adenoma: This is less common and typically benign, not associated with malignant epithelial cells.
C. Renal cell carcinoma: This affects the kidneys, not the bladder.
D. Renal epithelial cell cancer: This term is less specific and typically refers to cancers of the renal parenchyma, not the bladder.
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Related Questions
Correct Answer is ["B","D"]
Explanation
A. Celiac disease: This is an autoimmune disorder unrelated to peptic ulcer disease.
B. Penetration of the gastric wall: A severe complication of peptic ulcer disease is the penetration of the ulcer through the gastric or duodenal wall into adjacent organs, leading to further inflammation and damage.
C. Hepatorenal syndrome: This is a severe complication of liver disease, not peptic ulcer disease.
D. Persistent bleeding: Peptic ulcers can cause persistent or recurrent gastrointestinal bleeding, which can lead to anemia or require emergency medical intervention.
E. Inflammatory bowel disease: This is a separate condition that includes Crohn's disease and ulcerative colitis.
F. Iron overload: This condition is unrelated to peptic ulcer disease and more associated with genetic disorders like hemochromatosis.
Correct Answer is ["C"]
Explanation
A. Exposure to diesel exhaust: This is unrelated to nephrolithiasis.
B. Atherosclerosis: This relates to cardiovascular disease, not kidney stones.
C. High-sodium diet increases calcium excretion in the urine, which can contribute to the formation of calcium-containing kidney stones, a common form of nephrolithiasis.
D. Obesity is a known risk factor for nephrolithiasis. It can lead to changes in urine composition that favor stone formation.
E. Radiotherapy to the pelvis: While radiotherapy can affect surrounding tissues, it is not a direct cause of nephrolithiasis.
F. Long-term urinary catheter: This is more related to infections and bladder stones rather than kidney stones.
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