(Test 2: 5.) Renal 1 Cases and Documentation

Question 1

Where is transitional epithelium found (where can transitional cell cancer occur)?

Answer 1

Renal pelvis, ureters, urinary bladder, superior most portion of the urethra

Question 2

What is the difference between a SOAP note and a full history and physical?

Answer 2

A full history and physical would be done on an admit, whereas a SOAP note would be more problem focused.

Question 3

What is the dividing line between the upper and lower respiratory tract?

Answer 3

The vocal cords

Question 4

What can be a sign of possible urinary tract cancer on a review of systems?

Answer 4

Hematuria

Question 5

What four cost-effective diagnostic tests should you order on a patient that hasn’t been seen by a physician in a while?

Answer 5

CBC

CMP

Lipid panel

TSH

Question 6

What is assessed by Lloyd’s punch?

Answer 6

Costovertebral angle tenderness

Question 7

When would you expect autoimmune disorders as an underlying cause of hematuria?

Answer 7

When there are upper or lower respiratory symptoms along with the hematuria

When there are other sign of autoimmune disorders (skin changes, joint pain / swelling, weight loss)

Question 8

To which disease, covered in this lecture, is a patient with a significant smoking history more at risk to develop?

Answer 8

Transitional / clear cell carcinoma

Question 9

The majority of renal cell carcinomas are what type?

Answer 9

Clear cell

(Transitional cell)

Question 10

Place the following diagnostics in order of their cost-effectiveness:

MRI

CT scan

Nuclear studies (V/Q scans / bone scans)

Ultrasound

Answer 10

Ultrasound

CT scan

MRI

Nuclear studies (V/Q scans or symbol bone scans)