Genitourinary

Question 1

Glomerulonephritis

Answer 1

If odema - furesomide

Immunosupression for nephritic

Question 2

AKI

Answer 2

Treat hypokalaemia
Treat underlying cause
Stop nephrotoxic drugs
Dialysis if k+ uncontrolled

Question 3

Cystitis

Answer 3

Trimpethoprim or nitrofuratoin or cefalexin

Question 4

Pyelonephritis

Answer 4

Ciprofloxacin or coamoxiclav

If pregnant - cefalexin

Gentamycin if severe

Question 5

Prostatitis

Answer 5

Ciprofloxacin

Question 6

Epididmyo-orchitis

Answer 6

Uti cause = ofloxacin

If sti - ceftriazone and doxycycline add azithromycin if gonorrhoea

Question 7

Ureteric stones

Answer 7

If less than 5 mm - hydration, watch and wait then try nifedipine

Tamulosin - alpha 1 blocker or EWSL

Question 8

Benign prostatic hyperplasia

Answer 8

5 alpha reductase inhibitor - stops testosterone conversion - finasteride
Tamulosin - alpha 1
TURP/ TUIP - trans urethral resection / incision prostate
Avoid caffeine, alcohol, void twice, relax whilst voiding

Question 9

Prostate cancer

Answer 9

If over 70 - radical prostatectomy
Orchidectomy
LHRH - Goserelin
Androgen receptor blocker - flutamide

Question 10

Bladder cancer

Answer 10

T1 - transurethral resection of bladder tumour
T2-3 radical cystectomy
T4 palliatiom

Question 11

Renal cancer

Answer 11

Nephrectomy

Temsirolimus

Question 12

Testicular cancer

Answer 12

Orchidectomy, radiotherapy, chemo

Question 13

Erectile dysfunction

Answer 13

Counselling 
Sildenafil (viagra)
Vaccuum aids
Intracavernosal injections
Prostheses