MDT

Question 1

What organ regulates blood volume?

Answer 1

The kidneys

Question 2

What hormones are made in the kidneys?

Answer 2

• ADH
• Calcitoral
• Errythropoetin

Question 3

Where is corsitol and norepinephrine produced in?

Answer 3

The Adrenal Glands

Question 4

Testes produce what hormone?

Answer 4

Testosterone

Question 5

How many liters of urine are excreted per day?

Answer 5

1-2 liters per day

Question 6

What connects the kidney to the bladder?

Answer 6

The Ureter

Question 7

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

Answer 7

200-400 ml

Question 8

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

Answer 8

Sodium

Question 9

Around what day does ovulation occur?

Answer 9

Day 14.

Question 10

What is the most common surgery conducted for female sterilization?

Answer 10

Tubal Ligation

Question 11

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

Answer 11

Oral Contraceptive Pill (OCP)

Question 12

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

Question 13

What are the five Ds of the nipple?

Answer 13

• Discharge
• Depression
• Discoloration
• Dermilogical changes
• Deviation

Question 14

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

Answer 14

Dorsal Lithotomy

Question 15

Parts of the penis shaft (review the slide)

Question 16

Broken Penis Definitive treatment

Answer 16

Surgery

Question 17

How would you treat testicular trauma?

Answer 17

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

Question 18

Scrotal Hematoma treatment?

Question 19

Is trace blood in a urine a normal finding?

Answer 19

No, you have to address the cause.

Question 20

How does Kidney stones present?

Answer 20

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

Question 21

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?

Answer 21

Pyelonephritis

Question 22

How does Cystitis differ from Pyelonephritis?

Answer 22

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.

Question 23

What are some s/s of Cystitis?

Answer 23

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

Question 24

How does Urolithiasis (Kidney Stones) usually present?

Answer 24

• 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.

Question 25

S/S of Testicular Torsion

Answer 25

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

Question 26

Epididymitis typically presents with what STI for patients under 40?

Answer 26

Chlamydia trachomatis or Neisseria Gonorrhoeae

Question 27

How does Epididymis typically present?

Answer 27

* 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

Question 28

What do you give to treat Syphilis?

Answer 28

* 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.

Question 29

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

Answer 29

Bacterial Vaginalis

Question 30

What is a prerenal assoicated with?

Answer 30

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

Question 31

What is postrenal associated with?

Answer 31

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

Question 32

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

Answer 32

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

Question 33

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

Answer 33

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

Question 34

S/s of mastitis/breast abscess

Answer 34

* Often occurs during nursing * Redness, tenderness and induration of the lactating breast. * Treatment is Antibiotics

Question 35

Breast Cancer s/s

Answer 35

* 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.

Question 36

What is Balanitis?

Answer 36

Inflammation of the glans.

Question 37

What is Posthitis?

Answer 37

Inflammation of the foreskin.

Question 38

What is balanoposthitis?

Answer 38

Inflammation of the glans and foreskin.

Question 39

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.

Answer 39

Intrauterine Device (IUD)

Question 40

Fournier Gangrene S/s

Answer 40

* 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.

Question 41

Fournier Gangrene Eval/Tx

Answer 41

* CT scan * MEDEVAC * Fluid Resuscitation * Antibiotics

Question 42

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

Answer 42

* Syphilis * Acute fever, headache Muscle aches (myalgias) for the first 24 hours.

Question 43

Herpes s/s

Answer 43

* 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. *

Question 44

Herpes Tx

Answer 44

Valacyclovir Dosage varies on recurrence.