GENITOURINARY Flashcards

1
Q

How do you diagnose a kidney stone?

A

Ultrasound

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2
Q

What should be done first for an elderly pt with new onset incontinence?

A

UA/CULTURE

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3
Q

What does the presence of RBC Casts in a UA indicate?

A

glomerulonephritis

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4
Q

3+ protein in urine

A

24-hour urine for protein and creat clear

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5
Q

Signs of dehydration in baby

A

sunken fontanels, decreased urine, no tears when crying (normal in
babies), dry/sticky mucous membranes, lethargy, irritability

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6
Q

Exercise for Stress incontinence

A

do Kegels 100x day. So 10x a day and 10 each time

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7
Q

CN I

A

Nose

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8
Q

CN III, IV, VI

A

extra-ocular muscles

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9
Q

CN IV

A

superior oblique muscles

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10
Q

CN V

A

Trigeminal Herpes. CORNEAL ABRASION

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11
Q

CN VI

A

lateral muscles

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12
Q

CN VII

A

Facial

Bell’s Palsy

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13
Q

CN VIII

A

Ears

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14
Q

CN IX

A

Shoulder shrug

ROMBERG test -scored by counting the seconds the patient is able to stand with eyes closed.

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15
Q

Abortive meds for migraine

A

Triptans

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16
Q

Preventive meds for migraine

A

BB - (propranolol)

TCA - (Amitriptyline) Anticonvulsants - (gabapentin, topiramate)

17
Q

Tx for cluster headaches

A

High dose O2 via Mask 12L 100%, Imitrex (abort) and a CCB for prophylaxis.
VERAPAMIL.

18
Q

Test for BPPV

A

Dix Hallpike maneuver

19
Q

Tx for BPPV

A

Primidone, or propranolol

20
Q

Fibromyalgia

A

11/18 points. Widespread pain for at least three months

21
Q

Subarachnoid hemorrhage (SAH)

A

worst headache of my life: may experience sentinel headache few weeks prior. S/sx of
meningitis. Falls in elderly or MVA younger

22
Q

subdural hematoma (SDH)

A

skateboarding concussion. Diagnosed with CT (Never do Contrast if you suspect a bleed)

23
Q

Mini Mental Status Exam

A

<24=dementia

24
Q

Trigeminal Neuralgia

A

compression of nerve root possibly. Unilateral facial pain close to
nose/cheeks. Sharp shooting pains by eating etc. TREATMENT: high doses of anticonvulsants. MRI /
CT.
AKA “TIC DOULOUREUX”

25
Q

Temporal arteritis

A

one temple indurated cord like gold stand. Biopsy. Abrupt visual changes
blindness, inc. ESR. CPR. Most have POLYMYALGIA RHEUMATICA. Treat high dose steroids

26
Q

POLYMYALGIA RHEUMATICA

A

bilateral joint stiffness aching, shoulders neck hips and torso
problems with dressing. 50 or older females

27
Q

Carpal tunnel

A

MEDIAN NERVE, Tinel’s sign t=tapping. Phalen’s sign- putting phingers together

28
Q

ABSENCE SEIZURE

A

AKA PETIT MAL SEIZURE

SUDDEN BRIEF LAPSES OF INATTENTION

29
Q

FEVER

A

DECREASES SEIZURE THRESHOLD