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Clin Med > GU buzzwords > Flashcards

GU buzzwords Flashcards

1
Q

MC bacterial STI in us?

A

chlamydia

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2
Q

opaque yellow/green/white thick discharge with itching

A

Gonorrhea

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3
Q

main s/s is urethral discharge

A

chlamydia

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4
Q

up to 40% of pt are asympto

A

Chlamydia

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5
Q

leukocyte esterase in UA

A

Cystitis

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6
Q

Nitrites in UA

A

Cystitis

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7
Q

(+) epithelial cells on a urine culture

A

contaminated specimen

*not a clean catch

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8
Q

turns urine orange

A

Phenazopyridine

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9
Q

MC incontinence in older women

A

urge

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9
Q

MC incontinence in older women

A

urge

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9
Q

MC incontinence in older women

A

urge

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10
Q

MC incontinence in younger women

A

stress or laugh n pee

*45 highest incidence

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11
Q

MC GU CA?

MC type of this ca?

A

bladder

*urothelial (transitional cell) carcinoma (90%)

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12
Q

smoking biggest RF for

A

Bladder CA

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13
Q

painless gross hematuria

A

bladder CA

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14
Q

ventral placement of urethral opening

A

hypospadias

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15
Q

second MC congenital anomaly in males

A

Hypospadias
hypo=below
spadias=opening
ventral side

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16
Q

MC congenital anomaly in males

A

Cryptorchidism

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17
Q

chordee

A

abnormal penile curvature– seen with hypospadias

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18
Q

dorsal placement of urethral opening

A

Epispadias
epi=above
spadias=opening

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19
Q

urethral opening above

A

epispadias

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20
Q

urethral opening below

A

hypospadias

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21
Q

assoc with bladder estrophy aka protrusion of bladder wall thru abd muscle

A

epispadias

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22
Q

list the urological emergencies

A
  1. paraphimosis–>retracted foreskin that cant be returned to normal position
  2. Priapism— over 4 hours
  3. testicular torsion
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23
Q

sickle cell can cause

A

priapism

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24
Q

trazodone

A

priapism

25
Q

MC type of penile CA

A

squamous cell carcinoma

26
Q

bowens dz

A
  • leukoplakia on shaft of penis

- assoc with penile CA—squamous cell carcioma

27
Q

high association for testicular CA

A

Cryptorchidism

-when testicles dont descent by 4 MO

28
Q

MCC painless scrotal swellling

A

hydrocele

29
Q

where does fluid MC found in hydrocele

A

anterior and lateral to testis

30
Q

bag of worms

A

varicocele

31
Q

renal cell carcinoma

A

left sided varicocele in older man

32
Q

retropoeritoneal or abdominal malignnacy

A

right sided varicoele

33
Q

MCC epididymitis 14-35 yo

A

CT/GC

34
Q

MCC epididymitis in >35 YO

A

E. coli

35
Q

nausea and vomiting

A

testicular torsion

36
Q

(+) cremasteric reflex seen in ?

A

Epididymitis

37
Q

pain is relieved with scrotal elevation

A

(+) prehn sign

Epididymitis

38
Q

Mumps

A

orchitis

—paramyxovirus

39
Q

testicles appear high riding/retracted

A

testicular torsion

40
Q

no relief with scrotal elevation

A
  • prehn sign

* *testiculr torsion

41
Q

no elevation of testicles after stroking the inner thigh

A
  • cremasteric reflex

* *testicular torsion

42
Q

resistant to radiation

A

nonseminoma testicular CA

43
Q

incr serum alpha-fetoprotein and beta HCG

A

nonseminoma testicular CA

44
Q

-osin

A

alpha 1 blockers
BPH
provide rapid relief of s/s

45
Q

-asteride

A

5-alpha reductase inhibitors

  • positive effect on clinical course of BPH—- over time will shrink prostate BUT it does not help with rapid relief of s/s
  • more like a second line agent
46
Q

boggy prostate

A

acute or chronic prostatitis

47
Q

exquisitely tender, norma or hot boggy prostate

A

acute prostatitis

48
Q

nontender boggy prostate

A

chronic prostatitis

49
Q

symmetrically enlarged firm nontender prostate

A

BPH

50
Q

rock hard prostate

A

prostate CA

51
Q

second MC CA in men in US

A

prostate

52
Q

MC CA in men in US

A

skin CA

53
Q

second MCC of CA deaths in men

A

prostate CA

  • ->but most men die WITH prostate CA and not from it
  • *lung CA first
54
Q

MC type of prostate CA

A

Adenocarcinoma

55
Q

MC sites of METS for Prostate CA

A

bone

56
Q

3 main types of urinary tract infections

A

urethritis
cystitis
pyelonephritis

57
Q

MCC nongonococcal urethritis

A

CT

58
Q

Characterized by dysuria (painful urination) WITHOUT urethral discharge

A

cystitis

59
Q

BPH can cause what type of incontinence

A

overflow

60
Q

painless gross hematuria + pt hx of smoking

A

bladder CA

61
Q

persistent UTIs in men or UTI lasting for months

A

chronic prostatitis

Clin Med (52 decks)

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