GU conditions Flashcards

1
Q

60 men, Storage (freq, urge, nocturia) Void (hesitancy, dribbling)

A

BPH

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2
Q

treatment of BPH is

A

in patient: Foley,
tamsulosin, finestaride
TURP

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3
Q

tx the relaxes bph?

A

Alpha blocker (tamsulosin

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4
Q

tx of BPH the shrinks?

A

5-alpha (finesteride)

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5
Q

peeing on shoes, low hanging urethra in men?

A

hypospadism

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6
Q

Auto dom, Hematuria, flank pain is? destruction of renal architetures

A

Polycystic Kidney Disease

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7
Q

Polycystic Kidney Disease complication and presentation is?

A

Cerebral aneurysm due to HTN, and Renal failure

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8
Q

Berry aneuryms is associated with?

A

Polycystic Kidney Disease, - HTN, ruptured aneurysm, liver disease

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9
Q

Associated with torsion, cancer, infertility, gubernaculum origin

A

Cryptorchidism

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10
Q

Cryptorchidism tx

A

bHCG & orchipexy

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11
Q

Organic causes of ED?

A

Diabetes, HTN, Atherosclerosis, gradual onset

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12
Q

Psychogenic causes of ED?

A

Anxiety, morning erection, sudden onset

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13
Q

TX for erectile disfunction?

A

Sildanafil, tadalafil

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14
Q

What is contraindicated in viagra?

A

Nitro

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15
Q

fluid, sacculated collection around testes, transilluminate is?

A

Hydrocele

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16
Q

Pampiniform, L is more common, infertility

A

varicocele

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17
Q

varicocele workup should include the?

A

Kidney

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18
Q

If varicocele is on the Right side, and your over 40, you need to think of?

A

Cancer - RCC (most common)

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19
Q

Medication for urinary incontinence?

A

Oxybutynin (antichol), kegel, pessary, surgery

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20
Q

stress incontinences when you?

A

cough, laughter, Kids

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21
Q

overflow is due to?

A

obstruction - Large bladder

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22
Q

Urge incontinence is due to

A

Detruser issues

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23
Q

Writhing pain and hematuria, cant stay still

A

Nephrolithiasis

24
Q

MC Nephrolithiasis is?

A

calcium oxalate, PTH

25
Q

Oxalate is associated with?

A

Crohns

26
Q

Struvite is associated with

A

Infected stones (Proteus) and BPH

27
Q

Uric acid Nephrolithiasis is associated with

A

gout, and radiolucid

28
Q

Cysteine Nephrolithiasis is associated with

A

inborn error, bilateral

29
Q

Kidney stone diag is?

A

US

CT-noncon = Gold standard.

30
Q

Hydronephorsis with >50 yo, HTN, AAA due to kidney stone

A

yes

31
Q

Nephrolithiasis critical number is 5mm. TX?

A

Morphine, Ketorolac, Tamsulosin (relaxes ureter)

32
Q

mc site of Nephrolithiasis ?

A

Uretervesicular juntion.

33
Q

Lithotripsy can be used is stone is larger

A

yes

34
Q

emergency of forskin stuck behind glands

A

paraphimosis

35
Q

paraphimosis tx?

A

Analgesia, Penile block, Manual reduction and dorsal slit

36
Q

Bell clapper, sudden onset, peak at puberty

A

testes torsion

37
Q

testes torsion tx?

A

open book, surgery - orchipexy

38
Q

testes torsion diag?

A

US (low fluid), Phreg (-) Cremaster (-) horizontal line

39
Q

Blue dot, sudden onset, peak in kids

A

testicular appendage torsion

40
Q

testicular appendage torsion

A

NSAID

41
Q

MC cancer with smoking, dyes, aromatic amines, industrial irritation (chronic catheter)

A

Transitional epithelium (bladder cancer)

42
Q

Painless hematuria, dysuria is?

A

Bladder cancer - Lung

43
Q

Bladder cancer diag?

A

Cystoscopy with biopsy, urine cytology

44
Q

Bladder cancer tx?

A

BCG vax, surgery, chemo

45
Q

Painess jaundice is?

A

Pancreatic cancer

46
Q

MC in men, Adenocarcinoma, African

A

prostate cancer

47
Q

prostate cancer screening is done when?

A

share decision

48
Q

hematuria, bladder outlet obstruction, Pathologic fracture - minor injury

A

prostate cancer - mets to bones

49
Q

prostate cancer diag?

A

US guided needle

50
Q

prostate cancer tx?

A

Surgery, radiation, chemo

51
Q

Risk of cryptochorism is?

A

testicular cancer

52
Q

testicular cancer sxs?

A

Non tender mass, dull, achy

53
Q

testicular cancer diag?

A

US is 1st, AFP, bHCG - NO BIOPSY

54
Q

testicular cancer tx?

A

Surgery, radiation, chemo

55
Q

Acetazolamide can cause Meta Acid how?

A

inhibits carbonic anhydrase, which inhibits bicarbonate ion regeneration, with resulting normal anion-gap, hyperchloremic acidosis.

56
Q

Blood after urine is due to bleeding at the?

A

Bladder neck.

57
Q

alpha blocker (terazosins) have a side effect of?

A

Postural HoTN