OTHER URINARY SYMPTOMS

Question 1

BPH DDx:

3

Answer 1

1. Prostate cancer.
2. UTI.
3. Bladder stones.

Question 2

BPH workup:

7

Answer 2

1. Rectal exam.
2. UA.
3. CBC.
4. BUN/Cr.
5. ALP.
6. US—prostate (transrectal).
7. PSA.

Question 3

Prostate cancer DDx:

4

Answer 3

1. BPH.
2. RCC.
3. UTI.
4. Bladder stones.

Question 4

Prostate cancer workup:

10

Answer 4

1. Rectal exam.
2. UA.
3. CBC.
4. BUN/Cr.
5. PSA.
6. US—prostate (transrectal).
7. Prostate biopsy.
8. ALP.
9. CT pelvis.
10. MRI spine.

Question 5

Urethritis DDx:

2

Answer 5

1. Cystitis.

2. Prostatitis.

Question 6

Urethritis workup:

4

Answer 6

1. Genital, rectal exams.
2. UA, urine culture.
3. Gram stain and culture of urethral discharge.
4. Chlamydia and gonorrhea PCR.

Question 7

Acute pyelonephritis DDx:

3

Answer 7

1. Nephrolithiasis.
2. Lower UTI (cystitis, urethritis).
3. RCC.

Question 8

Acute pyelonephritis workup:

6

Answer 8

1. UA, urine culture and sensitivity.
2. Blood culture.
3. CBC.
4. BUN/Cr.
5. US renal.
6. CT abdo.

Question 9

Stress incontinence DDx:

6

Answer 9

1. Mixed incontinence.
2. Urge incontinence.
3. Overflow incontinence.
4. Functional incontinence.
5. UTI.
6. DM.

Question 10

Stress incontinence workup:

5

Answer 10

1. UA, urine culture.
2. BUN/Cr.
3. Urodynamic testing.
4. IVP.
5. Cystourethroscopy.

Question 11

Urge incontinence DDx:

6

Answer 11

1. Mixed incontinence.
2. Stress incontinence.
3. Overflow incontinence.
4. Functional incontinence.
5. UTI.
6. DM.

Question 12

Urge incontinence workup:

6

Answer 12

1. CBC.
2. Electrolytes, BUN/Cr, glucose.
3. UA, urine culture.
4. Urodynamic testing.
5. IVP.
6. Cystourethroscopy.