Random #3 Flashcards

1
Q

Most common type of kidney stone in nephrolithiasis

A

Calcium oxalate

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2
Q

Staghorn calculi are associated with what pathogen and a urine pH greater than what?

A

Proteus; urine pH greater than 7.0

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3
Q

Name one place that kidney stone pain can be referred to

A

Testes or labia

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4
Q

Name one type of stone not seen on xray

A

Cystine, Uric acid

“I can’t C U on xray.”

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5
Q

Test of choice for diagnosis of nephrolithiasis

A

Helical CT scan

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6
Q

Name one part of kidney stone treatment

A

Opiates for pain relief, IV fluid hydration, lithotripsy for stones 5mm - 2cm, percutaneous nephrolithotomy for stones greater than 2cm

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7
Q

Name one method for preventing current stones

A

Increase fluid intake, diets with reduced sodium, oxalate, and protein, and using thiazide diuretics to decrease calcium excretion in urine

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8
Q

Most common pathogen of cystitis

A

E coli

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9
Q

Are E coli gram positive or gram negative?

A

Gram negative

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10
Q

Is E coli gram-positive or gram-negative?

A

Gram-negative

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11
Q

Enterococcus can at times cause cystitis. Is Enterococcus gram-positive or gram-negative?

A

Gram-positive

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12
Q

What is a common physical finding on exam of a woman with suspected cystitis?

A

Suprapubic tenderness

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13
Q

Name one antibiotic used for treatment of cystitis

A

Trimethoprim-sulfamethoxazole (Bactrim), nitrofurantoin (Macrobid), or fluoroquinolones (ciprofloxacin)

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14
Q

Name one cause of epididymitis

A

Sexually transmitted and due to Chlamydia trachomatis or Neisseria gonorrhoeae

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15
Q

Name one common pathogen that causes pyelonephritis

A

E coli, Proteus, Klebsiella (all are gram-negative rods)

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16
Q

On microscopic exam of urine with a suspected pyelonephritis, would you see red blood cell casts or white blood cell casts?

A

White blood cell casts

17
Q

Test of choice for diagnosis of nephrolithiasis

A

Non-contrast helical CT scan

18
Q

On microscopic exam of urine with a suspected pyelonephritis, would you see red blood cell casts or white blood cell casts?

A

White blood cell casts

19
Q

Name one pathogen of urethritis

A

Gonococcal - Neisseria gonorrhoeae

Nongonococcal - Chlamydia trachomatis

20
Q

What is used to make a diagnosis for Gonococcal - Neisseria gonorrhoeae?

A

Gram stain culture

21
Q

Is the discharge from Gonococcal - Neisseria gonorrhoeae profuse and purulent or scant and watery?

A

Profuse and purulent

22
Q

What is the treatment for Gonococcal - Neisseria gonorrhoeae?

A

Ceftriaxone

23
Q

What is used to make the diagnosis for Nongonococcal - Chlamydia trachomatis?

A

Immunoassay

24
Q

Is the discharge from Nongonococcal - Chlamydia trachomatis profuse and purulent or scant and watery?

A

Scant and watery

25
Q

What is the treatment for Nongonococcal - Chlamydia trachomatis?

A

Azithromycin or doxycycline