Genitourinary Flashcards

1
Q

s/s of pyelonephritis

A

fever, dysuria, frequency, N/V, unilateral flank pain

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2
Q

s/s of acute renal failure

A

abrupt onset of oliguria, edema, weight gain, lethargy, decreased appetite

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3
Q

Water is absorbed back into the body by the action of

A

ADH and aldosterone

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4
Q

oliguria

A

urine output less than 400 mL per day

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5
Q

kidneys secrete these hormones

A

erythropoietin (RBC), renin & bradykinin (BP), prostaglandin (renal perfusion), and calcitrol/vitamin D3 (bone)

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6
Q

causes of high BUN

A

acute renal failure, high-protein diet, CHF

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7
Q

This is not as sensitive as the creatinine or GFR

A

BUN

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8
Q

Large amounts of this in a urine sample indicate contamination

A

epithelial cells

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9
Q

This CFU/mL of a certain bacteria is indicative of UTI

A

greater than 10 to the 5th power

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10
Q

Urine dipsticks only pick up

A

albumin, not microalbumin

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11
Q

Indicative of urinary infection with E.coli on UA

A

nitrites

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12
Q

UTI is common in boys during

A

infancy

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13
Q

Uncomplicated UTI can be treated for

A

3 days

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14
Q

These patients with UTI are considered complicated

A

males, diabetics, pregnancy women, children, elderly, those with co-morbids

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15
Q

long term use of nitrofurantoin is associated with

A

lung problems, chronic hepatitis, neuropathy

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16
Q

If there is more than one kind of bacteria in urine culture, then

A

the sample is contaminated

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17
Q

The ____ kidney sits lower than the ____ kidney due to displacement by the _____

A

right; left; liver

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18
Q

risk factors for kidney stones

A

family hx, low fluid intake, gout, bariatric surgery

19
Q

s/s of kidney stones

A

severe colicky flank pain on one side that comes in waves, N/V, hematuria

20
Q

foods high in oxalate

A

rhubarb, spinach, beets, chocolate, tea

21
Q

mnemonic for causes of urinary incontinence

A
DIAPPERS:
delirium
Infection
Atrophic Vaginitis
Pharmaceuticals 
Psychological 
Excess urinary output (CHF, hyperglycemia)
Restricted mobility
Stool impaction
22
Q

a PVR of more than ___ is considered abnormal

23
Q

med trx for stress incontinence

A

TCA, estrogen

24
Q

med trx for urge incontinence

A

anticholinergics-antimuscarinics

25
tolterodine tartrate (Detrol) and oxybutynin chloride (Ditropan)
antimuscarinic for urge incontinence
26
trx for calcium oxalate urinary stones
thiazide diuretic, toradol IM
27
urinary stones smaller than ___ pass spontaneously
4 mm
28
_____ are normally found in urine; whereas _____ in urine indicate infection.
nitrates; nitrites
29
what to think when patient c/o frequency and urgency but has negative UA
pregnancy, STI, atrophic vaginitis, DM
30
1st choice atbx for UTI
nitrofurantoin
31
atbx for UTI that is safe in pregnancy
1st choice: nitrofurantoin, 2nd choice: cephalosporin
32
fluoroquinolone for UTI is not used for
those less than 18, pregnant women
33
avoid these bladder irritants for those with UTI
caffeine, alcohol, carbonation
34
caused by detrusor instability
urge incontinence
35
nonpharm trx for incontinence
weight loss, quit smoking, timed voiding, Kegel exercises, decrease fluids after dinner
36
risk factors for bladder cancer
age greater than 40, smoking, occupational hx
37
trx for pyelonephritis
cipro or levo x 14 days
38
trx for pyelonephritis if allergic to quinolone
ceftriaxone and augmentin
39
creatinine production is related to
muscle mass
40
hyaline casts can be caused by
dehydration, vigorous exercise
41
Crystal casts have
no clinical significance
42
RBC casts can be caused by
UTI, glomerulonephritis
43
WBC casts can be caused by
inflammation or infection, pyelonephritis
44
epithelial casts can be caused by
acute tubular necrosis, hepatitis