Urology Flashcards

1
Q
  • Sexually active female with a missed period for 6-7 weeks.
  • Complaints of lower abdominal/pelvic pain or intermittent cramping.
  • Pain worsens when in supine or with jarring.
  • Pain can radiate to shoulder, if ruptured
A
  • Ectopic Pregnancy
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2
Q
  • Teenage to young male complains of nodule, sensation, of heaviness, aching, one larger testicle.
  • Can present as a new onset of hydrocele
  • Usually painless and asymptomatic until metastasis.
  • More common in White males age 15 to 30
A
  • Testicular Cancer
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3
Q
  • Risk Factors for UTIs include
A
  • Female gender = highest during reproductive years
  • Pregnancy
  • History of UTIs or History of recurrent UTIs
  • Failure to void after sex (honeymoon bladder)
  • Spermacide use
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4
Q
  • School-age male with complaints of abrupt onset of blue-colored round mass located on the testicular surface.
A
  • Torsion of the Appendix Testes (Blue Dot Sign)

* Send to E/R

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5
Q

This drug class is known to cause sexual dysfunction:

A

*SSRIs (Prozac, Paxil, Zoloft)…SSRIs are known to cause sexual dysfunction in males…Antidepressants (Bupropion/Wellbutrin) have less sexual dysfunction effects.

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6
Q

If a woman is breastfeeding, what Vitamin supplement does her infant need IMMEDIATELY?

A

Vitamin D

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7
Q

The most common cause of “NON-GONOCOCCAL” urethritis is:

A

Chlamydia Trachomatis

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8
Q
  • This develops in the testes, in approximately 3 months.

* It is stimulated by both testosterone and follicle-stimulating hormone (FSH)

A

Spermatogenesis

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9
Q

The caloric content of breast milk and infant formula used:

A

20Kcal/30ml

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10
Q
  • Also known as the appendix of the testes.
  • A small, round, pedunculated polyp-like structure that is attached to the testicular surface.
  • Most commonly in school-aged boys
A
  • Blue Dot Sign

* MEDICAL EMERGENCY: REFER TO E/R

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11
Q
  • Blue Dot Sign is caused by what?
A
  • Infarction and Necrosis of the Appendix Testes
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12
Q
  • Treatment for Acute prostatitis in a male less than 35 years of age includes:
A
  • Rocephin 250mg IM and Doxycycline 100mg BID x 10 days (usually due to S.T.I)
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13
Q
  • Treatment for Chronic prostatitis includes:
A
  • Ciprofloxacin, Levofloxacin, or Ofloxacin p.o daily for 4-6 weeks.
  • Alternative: Bactrim B.I.D for 4-6 weeks
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14
Q

What is the most common non-sexual cause of Acute Prostatitis in Adult to middle age men?

A

Enterobacter

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15
Q
  • What is the most common cause of Acute Prostatitis in Older men?
A

E. Coli and Proteus

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16
Q

Proscar (Finesteride) is an example of a:

A

5-alpha reductase inhibitor

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17
Q
  • A yeast infection of the penis.

* Mainly found in uncircumcised, diabetic, and immunocompromised males.

A
  • Balantitis
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18
Q
  • Treatment for Balantitis includes:
A

Topical Antifungals (azole) creams

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19
Q
  • Inflammatory localized disorder of the penis that causes fibrotic plaques on the tunica albuginea.
  • Results in painful, crooked erections, with palpable nodules.
A

Peyronies Disease (Refer to Urologists)

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20
Q
  • 1st line medications for erectile dysfunction includes:
A
  • Phosphodiesterase type 5 inhibitor (Sildenafil/Viagra and Vardenafil/Levitra)
  • Take 30 to 60 minutes before sex
  • Duration is 4 hours
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21
Q

Sildenafil/Viagra and Vardenafil/Levitra should be taken how:

A
  • On an empty stomach (foods and fats delay the action of the medication)
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22
Q
  • Taladafil/Cialis should be taken when?
A
  • 2 hours before sex.

* Duration is 36 hours.

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23
Q
  • Foreskin stuck in the retracted position.

* Cannot be pushed back from glans penis due to edema.

A

Phimosis

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24
Q

How many organism must a urinalysis read in order to be considered as a UTI

A
  • 100,000 or 10,000 CFU of one organism.
  • 10,000 or higher WBCs (Leukocytes)
  • Nitrates (+)
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25
* Treatment for "Uncomplicated" UTI for women includes:
* 3 days of Nitrofurantoin/Macrobid (1st choice). | * Bactrim or Septra B.I.D for 3 days.
26
* Uncomplicated UTI for men includes:
* 7-10 days of Nitrofurantoin/Macrobid (1st choice)
27
* For complicated UTIs, treatment would include
* Antibiotic, and... | * Antispasmotic (Pyridium or Urispas)
28
* What is the most common form of incontinence?
* Mixed-incontinence
29
* Treatment for urge, stress, or mixed incontinence
* Weight loss * Kegal Exercise (Pelvic muscle exercises) * Frequent voiding
30
* Filamentous structures are likely: | * Uniform, oval structures are likely:
* Hyphae | * Yeast
31
* A prostate with a tumor with feel:
* Nodular * Asymmetrical * Indurated
32
* Post menopausal bleeding, which pathologies should be considered 1st?
* Uterine Pathology, and... | * Endometrial Pathology
33
* If a pap smear with HPV co-testing is negative, when would the next cervical cancer screening be done.
* In 5 years.
34
* The American Cancer Society recommends that the average man starts screening for prostate cancer at what age?
* 50 years of age (Caucasians)
35
* Hot flashes during menopause are related to a fluctuation in which hormone?
* Estrogen levels
36
* The most common cause of epididymitis in men is?
* Chlamydia Trachomatis infection
37
* The primary risk factor for the development of breast cancer in women of average risk is:
* Age
38
* Common clinical presentation of an inguinal hernia is:
* Groin or Abdominal pain, with a scrotal mass
39
* Infections of the upper urinary tract and renal parenchyma | * #1 risk factor is untreated/undertreated UTI
* Acute Pylelonephritis
40
* The difference between pyelonephritis and UTI is:
* The presence of Pyuria.
41
* Treatment for Acute Pyelonephritis includes:
* Fluroquinolones * Augmentin + Rocephin (Quinolone allergy or inability to take quinolones) * ***Must Get A Culture Before Starting Tx****
42
* Screening Test is an ELISA
* HIV
43
* This STI produces a Malodorous Discharge:
* Trichomoniasis and Bacterial Vaginosis
44
* DNA probe is used for screening this STI
* Gonorrhea and Chlamydia
45
* FTA-ABS and MHA-TP are diagnostic test for this STI
* Syphillis
46
* The screening for Syphillis is:
* RPR or VDRL
47
* Treatment for Bacterial Vaginosis includes:
* Metronidazole (Flagyl) 500mg B.I.D x 7 days (Alternative from 1st line)
48
* 1st line treatment for Trichomoniasis includes:
* Metronidazole/Flagyl 2mg p.o as a single dose or Tidazole 2mg p.o as a single dose
49
* Known as a Chlamydial and/or Gonococcal infection of the liver capsule (NOT THE LIVER ITSELF). * Results in extensive scarring between the liver capsule and abdominal contents.
* Fitz-Hugh-Curtis Syndrome (Peri-Hepatitis)
50
* The scars of Peri-Hepatitis/Fitz Hugh Curtis Syndrome look like:
* Violin Strings
51
Treatment for Fitz-Hugh Curtis syndrome, and "COMPLICATED" Chlamydia or Gonorrhea includes:
* Ceftriaxone 250 IM x 1 dose, plus... | * Doxycycline 100mg B.I.D x 14days
52
* Acute febrile reaction than can occur during the 1st 24 hours after treatment of syphilis. * An immune mediated reaction that usually resolves spontaneously. * Treatment is supportive.
* Jarisch-Herxheimer Reaction
53
* Treatment for Chlamydia Trachomatis includes:
* Azythromycin 1gm p.o in a single dose, or... | * Doxycycline 100mg p.o B.I.D x 7 days
54
* What medication is used for the treatment of chlamydia in pregnant women
* Azythromycin
55
* STD with new onset of swollen red knee (or another joint) is usually caused by:
* Disseminated Gonorrheal Infection (DGI).
56
A possible complication of severe eclampsia include:
* Abruptio Placenta
57
* This culture is recommended for "Screening" to diagnose Pharyngeal gonorrheal or proctitis.
* Thayer-Martin Culture
58
* Amenorrhea * Nausea and Vomiting * Breast Changes * Fatigue Urinary Frequency **The above mentioned are what ____ signs of pregnancy
* Presumptive Signs of Pregnancy
59
* Red, tender, sometimes swollen lump on the affected scrotum. * Usually caused by spread of bacteria from the urethra or bladder. * Most common infections include chlamydia and/or gonorrhea.
* Epidymitis
60
* Probable Signs of Pregnancy include:
* Goodell's sign (Softening of the cervix) * Chadwick's sign (Blue coloration of the cervix and vagina) * Hegar's sign (softening of the uterine) * Ballotment * "Quickening" (baby movements)
61
* To determine the effectiveness of the 5 alpha reductase inhibitor (Proscar), what needs to be done.
* Obtain a PSA and multiply by 2 | * Proscar shrinks the prostate by 50%
62
* TORCH infections can cause:
* Microcephaly. * Mental Retardation. * Hepatosplenomegaly. * Intrauterine Growth Retardation.
63
* Breast buds and Testicular growth take place in what Tanner Stage?
Tanner Stage II
64
In Tanner Stage III, how do the breast on a female appear?
Breast and Areola development are on one mound
65
When does "Menarche" begin
Within 1 to 2 years after Tanner Stage II
66
Condyloma Acuminata are also known as:
Genital Warts from HPV
67
A boggy prostate is usually indicative of:
* Bacterial prostatitis (NOT BPH)
68
Surgical interventions for BPH should be considered in the following:
* Ineffective lifestyle modifications * Recurrent UTIs * Recurrent or persistent hematuria * Bladder stones * Renal insufficiency
69
* Non-Infectious Epididymitis is common in
* Men who sit for long periods of time * Men who lift "heavy" objects * Men who do "extreme" upper body or abdomen workouts.
70
* Vesicular or ulcerative lesions on the external genitalia (often not noted by the patient) * Progresses to inguinal lymphadenitis or buboes. * It is caused by "Chlamydia Trachomatis"
* Lymphogranulomas
71
Treatment for Epididymitis in a male
* Cetriaxone 250mg I.M x one, then... * Doxycycline 100mg B.I.D x 10 days * *** Treat just like GC Chlamydia****
72
Treatment for Epididymitis in a male > 35 years of age
* Ciprofloxacin 500mg daily x 7-10 days, or... * Levofloxacin 500mg to 750mg daily x 10-14 days, or... * Ofloxacin 300mg daily x 10 days * ***Give a Fluroquinolone****
73
* Acute onset of Suprapubic or Perineal pain/discomfort, that may radiate to the back or rectum. * High Fever and Chills * UTI symptoms such as urinary frequency, dysuria, nocturia, or cloudy urine. * Digital Rectal Exam (DRE) reveals a warm, BOGGY, tender prostate
* Acute Prostatitis
74
* Chronic Prostatitis symptoms include:
* Gradual onset * Prostate can feel normal * May be asymptomatic or may have "Irritatiing" UTI symptoms: urinary frequency, dysuria, nocturia * ***NO SYSTEMIC SYMPTOMS (i.e fever, chills)
75
* Adverse effects of Phosphodiesterase type 5 inhibitors (Viagra/sildenafil, Vardenafil/Levitra, Taladenafil/Cialis) include:
* Headache * Flushing * Priaprism * HYPOTENSION
76
* Abrupt onset of painful, red, swollen testicle * Frequently accompanied by nausea/vomiting * Cremasteric reflex is MISSING * A medical emergency (Refer to E/R)
* Testicular Torsion
77
* What is the "Cremasteric Reflex"
* Whichever thigh is stroke, the testicle on that side (ipsilateral side) will rise closer to the body. * Missing Cremasteric Reflex = Testicular Torsion (send to E/R).
78
* CryptoOrchidism increases the risk of:
* Testicular Cancer
79
* A WBC cast is significant of
* Pyelonephritis
80
* An RBC cast and proteinuria are diagnostic for:
* Glomerulonephritis