GU Endo Neuro Psych

Question 1

asymptomatic abdominal mass found during bath

Answer 1

Wilms tumor (nephroblastoma)

Question 2

Child with hx of prolonged bed wetting, mildly HTN, with UA showing mild proteinuria
w/o, dx

Answer 2

Renal US, vs kidney bx

Vesicourethral reflux

Question 3

Type 1 DM pt with flank pain and fever x3 days. On exam has CVA tenderness and tachycardia.
w/o, dx, tx

Answer 3

Test of choice- CT
Acute pyelonephritis
outpt- Cipro or Bactrim

Question 4

when is cryptorchidism surgically treated?

Answer 4

> 6 months old

Question 5

2 y/o with palpable kidney and HTN. US shows 2 cysts in each kidney

Answer 5

Polycystic Kidney Disease

Question 6

what teste is more like to have torsion?

Answer 6

Right

Question 7

absent cremasteric reflex

bell-clapper deform

Answer 7

Testicular Torsion

Question 8

Swollen test in 10m male that transilluminates
dx
tx

Answer 8

hydrocele
most resorb by 18-24m
~direct hernia association

Question 9

painless scrotal swelling. on exam “bag of worms”

Answer 9

varicocele

Question 10

unilat hydronephrosis is blockage at what level?

Answer 10

above the level of the bladder

Question 11

bilat hydronephrosis is blockage at what wlevel?

Answer 11

at or below the level of the bladder

Question 12

tx phimosis

Answer 12

topical steroid treatment- betamethasone 4-6wks

Question 13

tx paraphimosis

Answer 13

tightly wrap the glans and bandage down to decrease edema

if no response… incision of band

Question 14

treatment for thyroid storm

Answer 14

methimazole

Question 15

tx Addison’s

Answer 15

hydrocortisone PO

Question 16

dx cushing syndrome

Answer 16

dexamethasone suppression test
abnl then 24hr urine free cortisol
serum ACTH to determine cause

Question 17

tetany, muscle cramps, irritability, perioral tingling

Answer 17

hypocalcemic
consider hypoparathyroid
check Mg