GENITOURINARY

Question 1

Lower urinary tract obstructive symptoms. Increased PSA. Alpha blockers

Answer 1

BPH

Question 2

Surgery by 6 months. Risk of cancer and infertility

Answer 2

Cryptorchidism

Question 3

Self resolves by 2 years

Fluid around the testicle that transilluminates

Answer 3

Hydrocele

Question 4

Bag of worms. Left side

Answer 4

Varicocele

Question 5

Sneezing, coughing, laughing
Kegal exercise
Pessaries and surgery

Answer 5

Stress Incontinence

Question 6

Overactivity of detrusor muscle. Kegal. Oxybutinin

Answer 6

Urge Incontinence

Question 7

Calcium oxylate. > 10mm = lithotripsy or uteroscopy. Flank pain and hematuria. Thiazide for prevention.

Answer 7

Nephrolithiasis

Question 8

Skin retracted behind gland. Emergency

Answer 8

Paraphimosis

Question 9

Bell clapper deformity. Absent prehn sign and cremasteric reflex. Surgery

Answer 9

Torsion

Question 10

Cystitis + fever + CVA tenderness

Answer 10

Pyelonephritis

Question 11

Mumps

Answer 11

Orchitis

Question 12

Painless hematuria. > 40 years

Answer 12

Bladder carcinoma

Question 13

No routine screening

Obstructive uropathy and lower back pain

Answer 13

Prostate cancer

Question 14

Abdominal mass, hematuria, flank pain

Nephrectomy

Answer 14

Renal cell carcinoma

Question 15

15-35 years. Germ cell

Answer 15

Testicular carcinoma

Question 16

< 5 years of age

Painless unilateral abdominal mass

Answer 16

Wilms tumor

Question 17

BUN: Cr > 20:1. Dehydration. Decreased urinary sodium

Answer 17

Pre-renal failure

Question 18

BUN: Cr 10:1. ATN

Increased Urinary Sodium

Answer 18

Intrinsic failure

Question 19

Obstruction. Catheter

Answer 19

Post renal Failure

Question 20

> 3.5 grams urinary protein. Edema, hyperlipidemia, hypoalbuminemia

Answer 20

Nephrotic Syndrome

Question 21

Resistant hypertension. Abdominal bruit

Answer 21

Renal Artery Stenosis

Question 22

MUDPILERS

Answer 22

Anion gap acidosis