GU and GYN Issues and Disorders Flashcards

1
Q

Enuresis where children have never established control.

A

primary enuresis

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2
Q

Enuresis where a child has been dry for more than 6-12 months and begin wetting.

A

secondary enuresis

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3
Q

Incontinence during sleep.

A

nocturnal enuresis

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4
Q

Enuresis that occurs during waking hours.

A

diurnal enuresis

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5
Q

In childhood, what are UTIs typically caused by (80-90%)?

A

E. coli

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6
Q

What would you see in UA on a child with a UTI?

A

leukocytes, erythrocytes, nitrite

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7
Q

When should you get a renal US after the first UTI?

A

febrile infants and/or children 2-24 months

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8
Q

What is common in male newborns and occurs when fluid collects in the thin sheath that surrounds the testicles?

A

hydrocele

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9
Q

Which type of hydrocele may require surgical intervention?

A

communicating hydrocele (open to the abdomen)

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10
Q

What is the absence of one or both testes from the scrotal sac due to failure to descend from abdomen in utero?

A

cryptorchidism (undescended testes)

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11
Q

When should you refer an undescended teste to urology?

A

if not yet descended at 1 year of age

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12
Q

What age does testicular torsion most often occur?

A

10-20

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13
Q

What would you think of if pain is not relieved by elevating the scrotum and if affected test has a “high lie?”

A

testicular torsion

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14
Q

What is the most common bacterial STD in the United States?

A

chlamydia

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15
Q

What is the most common cause of cervicitis and urethritis in adolescents?

A

chlamydia

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16
Q

What is the most common age for chlamydia?

A

14-24

17
Q

What is the treatment for chlamydia?

A

azithromycin 1 gram orally in a single dose

18
Q

What is the leading cause of infertility among females?

A

gonorrhea

19
Q

What kind of discharge can you expect on a female with gonorrhea?

A

copious amounts of mucopurulent vaginal discharge

20
Q

What are you culturing on Thayer-Martin or Transgrow media?

A

cervical culture for gonorrhea

21
Q

What is the management for gonorrhea?

A

Ceftriaxone IM single dose and azithromycin 1 gram for one dose (to cover chlamydia)

22
Q

A sexually transmitted disease involving multiple organ systems and caused by treponema pallidum.

A

syphillis

23
Q

In what clinical stage of syphillis would you see indurated and painless chancre?

A

primary

24
Q

In what clinical stage of syphillis would you see flu-like symptoms and a generalized mucopapular rash (especially on the palms and soles)?

A

secondary

25
Q

What are the screening tests for syphillis?

A

non-treponemal antibody tests: venereal disease research laboratory (VDRL) and/or the rapid plasma reagin (RPR)

26
Q

What is the pharmaceutical management for syphillis?

A

benzathine penicillin G

27
Q

What would you expect to see in bacterial vaginosis?

A

malodorous “fishy” discharge

28
Q

What infection would you see clue cells on a wet mount?

A

bacterial vaginosis

29
Q

What is the treatment for bacterial vaginosis?

A

metronidazole, clindamycin

30
Q

What is the primary postnatal vertical route of transimission for AIDS?

A

breastfeeding

31
Q

What screening is used for AIDS in older children?

A

enzyme-linked immunosorbent assay (ELISA)

32
Q

How is AIDS confirmed?

A

western blot test