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MDT Flashcards

1
Q

What organ regulates blood volume?

A

The kidneys

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2
Q

What hormones are made in the kidneys?

A
  • ADH
  • Calcitoral
  • Errythropoetin
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3
Q

Where is corsitol and norepinephrine produced in?

A

The Adrenal Glands

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4
Q

Testes produce what hormone?

A

Testosterone

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5
Q

How many liters of urine are excreted per day?

A

1-2 liters per day

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6
Q

What connects the kidney to the bladder?

A

The Ureter

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7
Q

How much urine needs to be in the bladder to feel the urge to urinate?

A

200-400 ml

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8
Q

What is the most important cation (Postive charge) in the fluids?

A

Sodium

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9
Q

Around what day does ovulation occur?

A

Day 14.

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10
Q

What is the most common surgery conducted for female sterilization?

A

Tubal Ligation

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11
Q

What method of birth control is used by 50 million worldwide that causes decreased FSH?

A

Oral Contraceptive Pill (OCP)

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12
Q

What are approximate questions to gather a History of breast mass?

A
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13
Q

What are the five Ds of the nipple?

A
  • Discharge
  • Depression
  • Discoloration
  • Dermilogical changes
  • Deviation
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14
Q

When conducting a PAP smear, how would you position your patient?

A

Dorsal Lithotomy

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15
Q

Parts of the penis shaft (review the slide)

A
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16
Q

Broken Penis Definitive treatment

A

Surgery

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17
Q

How would you treat testicular trauma?

A

Start with Conservative treatment measures (NSAIDS, RICE) and work your way up.

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18
Q

Scrotal Hematoma treatment?

A
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19
Q

Is trace blood in a urine a normal finding?

A

No, you have to address the cause.

20
Q

How does Kidney stones present?

A

Flank Pain, Abdominal pain, writing in pain trying to find comfort.

21
Q

You have a patient with c/c of fever, chills, NVD. You notice an Elevated HR, and a fever. You note Costovertbral angle tenderness and increased WBCs, What do you suspect?

A

Pyelonephritis

22
Q

How does Cystitis differ from Pyelonephritis?

A

Cystitis is less likely to have flank pain as well as systemic symptoms such as Nausea, vomiting or fever. Pyelonephritis typically does have these symptoms.

23
Q

What are some s/s of Cystitis?

A

Patient is usually afebrile
* Irrative Voiding symptoms
* Suprapubic discomfort
* Women may have blood in their urine and may appear following sexual intercourse
* Normal Examination otherwise

24
Q

How does Urolithiasis (Kidney Stones) usually present?

A
  • More common in men aged 20-40
  • Localized to flank
  • Nausea and vomiting
  • patient is constantly moving trying to find comfort
  • Normal Vital signs typically
    *Costroverebral Angle Tenderness
  • UA usually presents with Hematuria, mirco or gross.
25
Q

S/S of Testicular Torsion

A
  • Acute Severe pain
  • Absent Cremasteric Reflex on affected side
  • Affected side is firm, tender, and higher that the opposite side.
26
Q

Epididymitis typically presents with what STI for patients under 40?

A

Chlamydia trachomatis or Neisseria Gonorrhoeae

27
Q

How does Epididymis typically present?

A
  • Gradual onset of pain
  • pain at the tip of penis (urethritis)
  • Cystitis (irritative voiding symptoms)
  • Fever and scrotal swelling present
  • Relief is offered when the patient is laying on their back and scrotum is above the pubic symphysis
28
Q

What do you give to treat Syphilis?

A
  • Primary or secondary: Penicillin G benzathine, 2.4 million units IM in a single dose
  • Tertiary: 2.4 million units of penicillin G benzathine IM weekly for 3 weeks with repeat serologic testing at 6 and 12 months.
29
Q

Frothy grayish discharge with a “fishy” odor from the vagina is associated with what condition?

A

Bacterial Vaginalis

30
Q

What is a prerenal assoicated with?

A

Decrease or abnormal renal perfusion. Examples include Hypovolemia, Sepsis, Heart Failure.

31
Q

What is postrenal associated with?

A

Disease distal to the renal parenchyma. Examples include Obstructions, Prostatic Hypertrophy, Urethral stricture, Bladder stones/tumor, Neurpathic Bladder, and Traumatic Urethral injury.

32
Q

What are some S/s associated with fibrocystic disease of the breast?

A
  • Women 30-50 y/o
  • Painful breast masses that rapidly grow.
  • Worsens in pain/increases in size during premenstrual phase.
33
Q

What are some s/s of fibroadenoma of the breast?

A
  • Women after 20. Benign neoplasm.
  • Round/Ovid, rubbery, discrete relatively moveable non tender masses 1-5 cm in diameter.
  • Discovered by accident.
34
Q

S/s of mastitis/breast abscess

A
  • Often occurs during nursing
  • Redness, tenderness and induration of the lactating breast.
  • Treatment is Antibiotics
35
Q

Breast Cancer s/s

A
  • Typically found in older white women
  • Family Hx of breast cancer
  • Painless lump located on the breast
  • Later stages include bone pain, jaundice, weight loss.
36
Q

What is Balanitis?

A

Inflammation of the glans.

37
Q

What is Posthitis?

A

Inflammation of the foreskin.

38
Q

What is balanoposthitis?

A

Inflammation of the glans and foreskin.

39
Q

What birth control is recommended for Sailor who doesn’t want to have kids for the next few years, wants reduction of cramping and menstrual flow.

A

Intrauterine Device (IUD)

40
Q

Fournier Gangrene S/s

A
  • Necrotizing fasciitis located in pineal, genital, perianal anatomy
  • Fever, pain, edema, erythema of the scotoma or penis.
  • Often starts out as a benign infection or abscess.
41
Q

Fournier Gangrene Eval/Tx

A
  • CT scan
  • MEDEVAC
  • Fluid Resuscitation
  • Antibiotics
42
Q

The Jarisch-Herxheimer reaction is associated with what disease, and what is the are effects?

A
  • Syphilis
  • Acute fever, headache Muscle aches (myalgias) for the first 24 hours.
43
Q

Herpes s/s

A
  • Pain, tingling, and burning for the first 2-24 hours
  • Following that is HA, Fever, painful inguinal lymphadenopathy, anorexia, or malaise
  • Vesicles on a erythematous base with occasional discharge.
    *
44
Q

Herpes Tx

A

Valacyclovir
Dosage varies on recurrence.

45
Q
A

GU (3 decks)

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