L3 Genitourinary

Question 1

Hypospadias
What is it
Prevalence

Answer 1

Abnormal opening of urethra on ventral of penis. 1/300 births

Question 2

Epispadias

Answer 2

Urethral opening on dorsal aspect of penis

Question 3

Bowen disease
What is it
Clinical significance

Answer 3

carcinoma in situ of penis but not specific to penis

Potential to progress into squamous cell carcinoma

Question 4

Timing of testicle descent

Answer 4

3rd month From body cavity to pelvis

8,9th month: body to scrotum

Question 5

Ochioplexy

Answer 5

Surgical placement of testis into scrotum

Question 6

Non STD associated w/ orchitis

Answer 6

Mumps

Question 7

Tumors of testis characteristics

Answer 7

Firm, painless

Arise from germ cells, usually malignant

Question 8

Cryptochidism and testicular cancer

Answer 8

3-5X risk if you have crypto but only 10% of Tcancer patients have crypto

Question 9

Types of testicular cancer and detection

Answer 9

Seminomas:
Nonseminomatous: alpha fetoprotein, HCG

Question 10

Where do cancers usually begin in prostate

Answer 10

Peripheral zones of posterior lob

Question 11

Postate cancer frequent metastisis

Answer 11

Regional lymph nodes

Bone

Question 12

Most common type of Neoplasm of the bladder

Answer 12

Urothelial cell carcinoma

Question 13

Antibodies for syphilis

Answer 13

Syphiliitc reagin (Non specific)
treponemal antibody (specific)

Question 14

Testing for syphilis

Answer 14

Fluorescent treponemal antibody absorption test

Question 15

Primary syphillis
What is it
When does it show up
When does it heal

Answer 15

painless chancre at site of entry
21 days after exposure
Heals in 4-6 weeks

Question 16

Secondary syphilis
Percent
Characterisitcs
When is it

Answer 16

25%
Widespread mucocutaneous lesions
Condyloma lata
2 months after healing of chancre

Question 17

Condyloma lata

Answer 17

Elevated large broad plaques on inner thighs during secondary syphilis

Question 18

Tertiary syphilis
Percent
Latent period
Where does it affect

Answer 18

33%
5-20 years
Cardio and CNS
Gummas (necrosis)

Question 19

Fetal syphilis
When do signs develop
How long ago could the mom have had it

Answer 19

signs: 4th month of pregnancy

5 years

Question 20

Hutchinson triad

Answer 20

Interstitial keratitis
Hutchinsons teeth (notched incisors, mulberry molars)
Eight nerve deafness

Question 21

Untreated gonorrhea can result in

Answer 21

acute salpingitis

Pelvic inflammatory disease

Question 22

Reiter syndrome
What is it
Population
Symptoms

Answer 22

reactive arthritis from chlamydia
In patients with HLAB27 
Urethritis
Arthritis
Conjunctivitis
Mucocutaneous lesions

Question 23

Neonates w/ hpv can get

Answer 23

life threatening papillomas of upper resp.

Question 24

Treatment for chlamydia

Answer 24

Ceftriaxone

Doxycycline