Urology Flashcards

1
Q

A teenage male with acute testicular pain, a swollen testicle that rides high and is lying horizontally slightly.

A

Testicular torsion

Bilateral orchiopexy immediately

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2
Q

Acute epididymitis in a young male is likely due to?

A

A STI

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3
Q

A creatinine of what is required to do an IVP?

A

<2

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4
Q

Why should a rectal exam not be done in a patient with bacterial prostatitis?

A

Continued prodding of the prostate could lead to sepsis

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5
Q

The most common reason for a newborn male to not urinate after birth is?

A

Posterior urethral valves

Diagnosed via voiding cystourethrogram

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6
Q

In a child born with hydrosadias, what should be done?

A

Nothing. Consult plastics for repair.

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7
Q

Vesicourereral reflex in a young child should be treated with?

A

Long term Antibiotics until the problem stops

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8
Q

A young girl with a low implanted ureter will present with?

A

Constant urination due to urine droplets throughout day

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9
Q

A 17-year old girl is brought to the ED by her parents smelling of alcohol. They say she called them from a party crying. She is complaining of back pain peripherally and bilaterally. She tells you this is the first time she has ever drank. This congenital urinary condition is on your differential?

A

UPJ obstruction

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10
Q

Hematuria workup should include?

A

CT followed by cystoscopy

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11
Q

RCC can present With hematuria, a flank mass, and these lab abdnormalities?

A

Hypercalcemia, erythrocytosis, elevated LFT’s

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12
Q

Smoking and this bladder cancer are highly correlated?

A

Transitional cell

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13
Q

Workup for a testicular mass should include?

A
  • ultrasound
  • blood samples for alpha-FP, B-Hcg, and other fetal markers
  • biopsy via radical orchiectomy via inguinal route
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14
Q

What precipitates urinary retention in BPH patients?

A

Illness, antihistamines, nasal drops, abundant fluids

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15
Q

In acute urinary retention from BPH, what should be done?

A

Foley for at least 3 days and alpha blockers

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16
Q

Ureteral stones generally present as?

A

Colicky flank pain, radiation to thigh or labia/scrotum, some N/V

17
Q

A stone at the UPJ is likely to need?

A

Intervention for passage with ESWL

18
Q

Pneumaturia of the colon is most likely caused by?

A

Diverticulitis creating a fistula between the bladder and GI tract

19
Q

Non-interference of nocturnal erections, tested via postage stamps, is confirmative of this type of impotence?

A

Psychogenic