Rita's GU Questions Flashcards
A 13yo soccer player falls to the ground, complains of excruciating groin pain and vomits twice. What is the likely dx?
a) viral gastroenteritis
b) torsion
c) inguinal hernia
b) torsion
- -> testicular torsion
What finding in a 9 month old male requires referral?
a) bent penis
b) penis not very visible bc of fat pad
c) testes that retract in front of your eyes
a) bent penis
What is the most common cause of scrotal swelling in a baby?
a) testicular torsion
b) hydrocele
c) inguinal hernia
b) hydrocele
What would a testicular tumor feel like?
a) soft with enlargement of the testicle
b) fluctuant
c) nontender mass, enlarged testicle, heavy/dull ache in groin/testicle
c) nontender mass, enlarged testicle, heavy/dull ache in groin/testicle
A 5yo has mild phimosis and a normal voiding pattern. What is the best course of action?
a) Reassure and observe until puberty
b) Refer to urology
c) Pull it back all at once
d) Apply hydrocortisone cream
a) Reassure and observe until puberty
How do you evaluate a patient with orthostatic hypertension?
a) do a 24 hour urine for protein
b) do a spot urine creatinine
c) do nothing
a) do a 24 hour urine for protein
- ->old standard
best choice = spot urine in am
?????
The truly undescended testicle should be brought down into the scrotum by what age?
a) between 2-4 years
b) between 5-6 years
c) between 6-7 years
d) during the first 2 yrs of life
d) during the first 2 yrs of life
Where do you refer a 4yo with an undescended testis?
a) Endocrinology
b) Surgery
c) Neurology
d) Monitor
b) Surgery
What is first line tx for E. coli UTI?
a) Amoxil
b) Cefdinir
c) Azithromycin
a) Amoxil
- -> also Bactrim
Which of the following is diagnostic of a child with a UTI?
a) urine culture with 1000 bacterial count
b) urine culture with 10^2
c) urine culture with 10^5
d) urine culture with 10^3
c) urine culture with 10^5
Which of the following is a sign of sex abuse of 4yo?
a) she places objects in the vagina
b) shows genitals to others
c) rubs herself
d) wants to wash herself
a) she places objects in the vagina
A 3 week old presents with uncontrolled crying. Examination reveals a side-lying testicle. What is the most likely dx?
a) torsion of the testicular appendage
b) testicular torsion
c) epididymitis
b) testicular torsion
torsion of the testicular appendage: tends to be school-aged kid; insidious onset, area around epididymus is inflamed. goes away slowly, ache rather than severe pain
A 5yo has balanitis. What is the most effective tx?
a) Daily washing
b) Topical antibiotics
c) oral antibiotics
d) pain management daily
b) Topical antibiotics
c) oral antibiotics
…both!
tx of choice = Keflex
