GU

Question 1

Suprapubic Pain
Fever
Irritative Voiding symptoms
Obstructive voiding symptoms

Male

Answer 1

Acute Prostatitis

warm and tender prostate

Question 2

Prehn Sign?

Answer 2

Epididymitis

Question 3

Pain localized to flank
Nausea/Vomiting

Can’t find a position of comfort

Pain radiates anteriorly into abdomen and down ipsilateral groin

Episodic pain pssible

Answer 3

Urolithiasis

Question 4

Disposition for urinary stone?

Answer 4

MEDEVAC if signs of infection or longer tan 4 weeks

Question 5

Drugs that may cause erectile dysfunction?

Answer 5

BP meds
Antidepressants
Opioids

Question 6

Irritative voiding symptoms?

Answer 6

Frequency
Urgency
Nocturia

Question 7

Obstructive voiding symptoms?

Answer 7

Decreased force of stream
Dribbling
Unable to fully void
Hesitancy
Straining

Question 8

What is the score for assessing prostate referral to urology?

Answer 8

AUA - American urological association

Question 9

What score on the American urological Association assessment for prostates warrants referral?

Answer 9

> 7

Question 10

Obstructive urinary symptoms
Irritative voiding symptoms
Firm prostate

Answer 10

BPH

Question 11

Back pain and indurated prostate?

Answer 11

Prostate Cancer

Question 12

Widespread necrosis around the scrotum or rectum

Pain unrelenting and out of proportion to exam

Fever, Tachy, Hypotensive

Answer 12

Fournier’s gangrene

A type of necrotizing fasciitis

Question 13

Feels like bag of worms?

Answer 13

Varicocele

Question 14

Mass that transilluminates

Answer 14

Hydrocele

Question 15

Fluid filled cyst at head of epididymis?

Painless

Answer 15

Spermatocele

Question 16

Disposition for hydrocele?

Answer 16

Referral to urology, watchful waiting unless symptomatic

Question 17

Disposition for spermatocele?

Answer 17

Refer to urology and keep on board unless complications arise

Question 18

Negative cremasteric reflex

Negative prehgn sign

Answer 18

Testicular Torsion

Question 19

Foreskin won’t retract>

Answer 19

Phimosis

Question 20

Foreskin won’t go back over the penis?

Answer 20

Paraphimosis

Question 21

Oliguria
Nausea, vomiting
Abdominal pain
Pericardial friction rub
Fever
Chills

Answer 21

AKI

Question 22

Painless lump behind areola
Nipple retraction
Hard lump

Answer 22

Breast Cancer

Question 23

Nausea
Malaise
HA
Lethargy
High water intake

Answer 23

Hypomatremia

Question 24

Orthostatic hypotension
Dehydration
Oliguria

Been running with no electrolytes

Answer 24

Hypernatremia

Question 25

breast pain or tenderness size of mass changes mass worsens with menstrual cycle

Answer 25

Fibrocystic condition

Question 26

Round rubbery, discrete moveable | Nontender mass

Answer 26

Fibroadenoma

Question 27

Disposition for fibrocystic condition and fibroadenoma?

Answer 27

Refer to general surgery but keep on ship

Question 28

Mass with skin or nipple retraction | Follows surgery for breast implant or trauma

Answer 28

Fat Necrosis

Question 29

Painless lump Nipple discharge Redness LAD

Answer 29

Breast Carcinoma

Question 30

Mood or emotional swings Clear functional impairment with work or personal relationships Physical symptoms from PMS

Answer 30

Premenstrual Dysphoric Disorder

Question 31

White curd like discharge with vaginal irritation | Non ordor

Answer 31

Vulvovaginal vaginitis

Question 32

Yellow-green discharge Odorous Strawberry cervix

Answer 32

Trichomonas vaginitis

Question 33

Increased malodorous discharge

Answer 33

Bacterial vaginosis

Question 34

Painful sex swelling in labia minus Tenderness along bartholin duct

Answer 34

Bartholin gland abscess | bottom of vaginal area

Question 35

AUB Pelvic pain firm mass along uterus

Answer 35

Leiomyoma

Question 36

``` Chronic pelvic pain and infertility Painful sex AUB Nodules along rectovaginal septum Cervical motion tenderness Adnexal tenderness ```

Answer 36

Endometriosis

Question 37

``` Abdominal pain chills and fever purulent cervical discharge cervical motion tenderness Lower back pain Bleeding after sex ```

Answer 37

Pelvic inflammatory disease

Question 38

Palpable mass over abdomen near ovary | Ascites

Answer 38

Ovarian Mass

Question 39

``` Hirsutism Obese Woman History of cysts on ovaries annovulation ```

Answer 39

PCOS

Question 40

Amenorrhea N/V Breast tenderness Increased urination

Answer 40

Intrauterine Pregnancy

Question 41

``` Severe lower quad pain Female Stabbing No radiation Backache Adnexal tenderness * Positive HCG Abnormal menstruation/Infertility ```

Answer 41

Ectopic Pregnancy

Question 42

Cyst in breast that is inflammed Following baby delivery Fissure nipple

Answer 42

Masitits

Question 43

Severe unilateral abdominal pain following exertion Negative HCG Nausea/Vomting Unilateral adnexal pain

Answer 43

Ovarian Torsion