Urology

Question 1

WBC count for positive UTI

Answer 1

> 100K

Question 2

produces ischemia of the affected testis

Answer 2

testicular torsion

Question 3

viability of the testicle will become compromised if testicular torsion persists longer than

Answer 3

4-6 hours, send to ER

Question 4

common assessment finding of testicular torsion is

Answer 4

high riding testicle on the affected side occurring secondary to shortening of the spermatic cord

Question 5

what is saw palmetto

Answer 5

extract of fruit of the American dwarf tree

Question 6

why do people take saw palmetto

Answer 6

OTC medication that men may take to increase urine flow rate when they have BPH. No known mechanism of action although some men report relief with this.

Question 7

OTC supplement for BPH

Answer 7

saw palmetto

Question 8

sulfa component in Bactrim DS

Answer 8

sulfamethoxazole

Question 9

what is sulfonylurea

Answer 9

antihyperglycemic agent

Question 10

RBC casts in the urine are highly suggestive of what
2

Answer 10

glomerulonephritis or glomerular disease

Question 11

most common presentation of acute uncomplicated pyelonephritis includes
4

Answer 11

fever
flank pain
nausea
vomiting

Question 12

what is usually not present with renal stones

Answer 12

fever

Question 13

most common pathogen of pyelonephritis

Answer 13

e. coli

Question 14

most common reason for pyelonephritis

Answer 14

untreated or undertreated UTIs

Question 15

more likely to have urolithiasis

Answer 15

males

Question 16

is calcium found in the urine

Answer 16

not normally - although it can be a component of a kidney stone

Question 17

flank pain that waxes and wanes

Answer 17

urolithiasis, kidney stones

Question 18

ciprofloxacin drug class

Answer 18

quinolone abx

Question 19

ciprofloxacin is contraindicated in who and why

Answer 19

pregnant or younger than 18 d/t potential problems with bone and cartilage formation

Question 20

varicocele s/sx

Answer 20

may be asymptomatic but can be accompanied by scrotal pain described as a dull ache, more noticeable when standing and relieved by lying down

Question 21

varicocele tx

Answer 21

scrotal support

Question 22

which drug class has the potential to produce QT prolongation

Answer 22

ciprofloxacin/quinolones

Question 23

leading cause of CKD and ESKD in the U.S.

Answer 23

DM

Question 24

typical sx reported by men with inguinal hernia is

Answer 24

scrotal heaviness at the end of the day

Question 25

first indication that a patient has renal artery stenosis is

Answer 25

elevated BP

Question 26

hydroceles usually resolve by what age - peds

Answer 26

one year, if not refer to urology

Question 27

common characteristics of communicating hydrocele

Answer 27

cystic mass in the scrotum that changes in size of the scrotum

Question 28

during asymptomatic HIV infection, patients often present with what

Answer 28

persistent generalized lymphadenopathy

Question 29

how often to check CD4 counts in stable HIV patient

Answer 29

every 3-6 months

Question 30

1st line tx for chlamydia

Answer 30

doxycycline

Question 31

greatest risk factor in contracting HIV

Answer 31

viral load

Question 32

STD - rash on hands and soles of feet that can last up to 6 weeks

Answer 32

syphilis

Question 33

primary syphilis presents as

Answer 33

chancre - painless lesions that last 1-5 weeks

Question 34

tx trich with what

Answer 34

metronidazole