Genitourinary

Question 1

hypospadias

Answer 1

urethra is under tip

Question 2

epispadias

Answer 2

urethra is above tip

Question 3

VCUG test

Answer 3

shows how much urine is backflowing, dx’s VUR

Question 4

oxybutynin

Answer 4

reduces bladder spasms & pain post op - hypo/epispadias

Question 5

post op care for hypo/epispadias

Answer 5

catheter in place until healed, lubricate to prevent sticking to diaper, may need elbow restraints to prevent touching –> infection

Question 6

high risk of UTIs with which disease

Answer 6

VUR

Question 7

UTI mgmt

Answer 7

abx compliance, increase fluids, wipe front to back, acetaminophen

Question 8

causes of enuresis

Answer 8

drinking too much before bed, regression, UTIs, hormone imbalances

Question 9

enuresis mgmt

Answer 9

no fluids past 6 pm, limit stressors, teach parents how to bladder train

Question 10

which disease prevents after a strep infection

Answer 10

acute glomerulonephritis

Question 11

s/s of AGN

Answer 11

profuse hematuria, mild edema, orthopnea, marked HTN, abd pain, anorexia, hypoalbuminemia

Question 12

which disease recovers spontaneously

Answer 12

AGN

Question 13

AGN tx

Answer 13

bedrest, antihypertensives, strict I&Os, daily weights, low sodium, high protein diet

Question 14

which disease may benefit from diuretics

Answer 14

nephrotic syndrome

Question 15

nephrotic syndrome cause

Answer 15

autoimmune or idiopathic

Question 16

s/s of NS

Answer 16

periorbital edema, ascites, dyspnea, proteinuria, hyperlipidemia, anorexia

Question 17

which disease can be treated with steroids

Answer 17

nephrotic syndrome

Question 18

mgmt of NS

Answer 18

I&Os, daily weights, low sodium high protein diet, diuretics, acetaminophen