Day 9 - GU3 Quiz

Question 1

Signs of peritonitis, looks like rupture of bladder, most common cause

Answer 1

blunt trauma to fully distended bladder

Question 2

Pt of bladder must be injured to allow chemical peritonitis t o develop

Answer 2

Dome of bladder (ruptured to spill contents, only part covered w/ peritoneum, otherwise contained in pelvis)

Question 3

Next step mgt F w/ uncomplicated cystitis

Answer 3

Dx w/ UA & clinical sx; Tx w/ TMP-SMX (or other drug) for 3 days, urine cultx not necessary

Question 4

Newborn male has distended bladder & oliguria - most likely congenital cause of urinary obstx

Answer 4

Posterior urethral valves

Question 5

Tx epididymitis

Answer 5

35 or rectal sex: TMP-SMX or fluoroquinolone for 10-14 days (Enterobacteriacea - E.coli & other typical UTI bugs)

Question 6

Labs w/u Erectile Dysfunction

Answer 6

Total testosterone, prolactin, TSH, possibly also PSA (any prostate pathology will increase this)

Question 7

Tx for enuresis

Answer 7

Enuresis alarm is most effective; Meds - imipramine (not effective for more than 6 wks)

Question 8

Tx BPH

Answer 8

Non-selective alpha blockers (-zosin drugs) if HTN OR Selective alpha blocker (tamsulosin) AND 5 alpha reductase inhibitor (e.g. finasteride)

Question 9

Main risk for bladder CA

Answer 9

Smoking (most common cause); 3rd world country - Schistosoma haemotobium; Anilene dyes, petroleum byproducts, cyclophosphamide (mesna prevents urotoxic metabolite)

Question 10

Tx urethritis

Answer 10

Presuming STD, Ceftriaxone IM, Doxycycline for 10 days;

Question 11

S/Sx testicular torsion v. epididymitis

Answer 11

Acute, no signs of infx, raised/horizontal testicle, support not help with pain, absent cremasteric v. Subacute, signs of infx, normally placed testicle, support help relieve pain, present cremasteric

Question 12

Varicocele classically p/w

Answer 12

Commonly due to infertility; Scrotal mass that transilluminates +/- scrotal pain or testicular atrophy on affected side

Question 13

3 yo male p/w ab pain, hematuria, HTN - most likely dx

Answer 13

Wilm’s tumor

Question 14

Defining characteristic of hydrocele

Answer 14

Transillumination

Question 15

Next step mgt testicular torsion confirmed w/ US

Answer 15

Manually detorsion; Still Need surgery for detorsion &/or b/l orchiopexy

Question 16

Prostatitis tx

Answer 16

Assuming STDs or age 35 or anal sex, Fluoroquinolone or bactrim, 4-6 wks