**Core Concept**
The question is testing the knowledge of collecting a urine sample from a patient with tuberculosis (TB) kidney disease, also known as genitourinary TB. This condition is a type of extrapulmonary TB that affects the kidneys and urinary tract.
**Why the Correct Answer is Right**
In patients with genitourinary TB, it is essential to collect a urine sample in a sterile container to prevent contamination and ensure accurate diagnosis. The correct method involves collecting the first morning urine sample, which is then sent for acid-fast bacilli (AFB) smear and culture. This approach helps to minimize the risk of contamination and increases the chances of detecting Mycobacterium tuberculosis in the urine.
**Why Each Wrong Option is Incorrect**
**Option A:** Midstream urine sample collection is not recommended in patients with genitourinary TB as it may lead to contamination.
**Option B:** Urine sample collection after voiding the bladder is not a standard method in diagnosing genitourinary TB.
**Option C:** Urine sample collection during a catheterization procedure is not the preferred method for diagnosing genitourinary TB.
**Clinical Pearl / High-Yield Fact**
When collecting a urine sample from a patient with suspected genitourinary TB, it is essential to use a sterile container and collect the first morning urine sample to increase the chances of detecting M. tuberculosis.
**Correct Answer: C. Midstream urine sample collection is avoided in TB kidney as it may lead to contamination.**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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