male GU disorders

Question 1

etiology of sexually transmitted epididymitis

Answer 1

• N. gonorrhea
• C. trachomatis

Question 2

etiology of non sexually transmitted epididymitis

Answer 2

gram negative rods

Question 3

clinical presentation

• may follow acute physical strain, trauma, or sexual activity
• scrotal pain
• fever
• swelling of epididymis

Answer 3

epididymitis

Question 4

untreated epididymitis can lead to

Answer 4

• orchitis
• abscess
• infertility

Question 5

+ Prehns sign is typical of

Answer 5

epididymitis

Question 6

tx of sexually transmitted epididymitis

Answer 6

• rocephin or doxycycline x 10 d

Question 7

tx of nonsexually transmitted epididymitis

Answer 7

levofloxacin x 10 d

Question 8

what is the most common STD? what age group does it have highest incidence

Answer 8

Gonorrhea

• 15-29 yo

Question 9

clinical presentation

• male: burning pain with urination, yellow urethral d/c
• women: asymptomatic, or less severe
  
  • PE: + chandeliers sign

Answer 9

urethritis caused by gonorrhea

Question 10

how is urethritis caused by gonorrhea diagnosed

Answer 10

• men: culture or gram stain
• women: culture

Question 11

tx: urethritis caused by gonorrhea

Answer 11

• rocephin or cefixime

Question 12

clinical presentation

• men: clear to white d/c, lymphadenopathy
• women: signs and symptoms of PID, cervicitis, or salpingitis

Answer 12

urethritis caused by chlamydia

Question 13

diagnosis: urethritis caused by chlamydia

Answer 13

culture or DNA probe

Question 14

urethritis caused by chlamydia can cause what in females

Answer 14

infertility

Question 15

tx: urethritis caused by chlamydia (uncomplicated)

Answer 15

• zithromax

Question 16

tx: urethritis caused by chlamydia empiric tx of GC

Answer 16

• erythromycin or doxycycline x 10 d + rocephin

Question 17

what is the most common type of urinary stone

Answer 17

• calcium
  
  • calcium oxalate
  • calcium phosphate

Question 18

which urinary stone is radiolucent

Answer 18

uric acid

Question 19

testicular torsion is common in what age group

Answer 19

10-20 yr

Question 20

diagnosis: testicular torsion

Answer 20

Doppler US -> surgical emergency

Question 21

presentation

• bag of worms sensation on palpation of testes

Answer 21

varicocele

• veins of pampinaform plexus become dilated

Question 22

what infectious process can cause infertility

Answer 22

mumps

Question 23

direct inguinal hernia

Answer 23

• protrudes through hesselbachs triangle
  
  • inguinal ligament
  • inferior epigastric vessels
  • rectus abdominus

Question 24

which inguinal hernia more often incarcerates

Answer 24

indirect inguinal hernia

• a leading cause of bowel obstruction

Question 25

indirect inguinal hernia

Answer 25

• comes down inguinal canal
• more common