GU exam learning objectives/study
guide PA 722 Wichita State University
Complete Study Guide with Practice
Questions, Answers & Detailed
Explanations
What is CVA tenderness is evaluating for?
Pain with fist percussion may indicate kidney stone
or pyelonephritis if other associated symptoms are
present
How should an inguinal hernia check in males be
performed?
,Start by catching some of the skin of the scrotal sac
with your index (or little) finger and push it upwards
toward the inguinal ligament, ask patient to cough
and feel for a mass moving against your finger
How is the anal reflex tested and what nerves
innervate this area?
External anal sphincter contraction suggests intact
innervation of S2-4.
This can be done either by briskly stimulating the
peri-anal area and watching for an “anal wink”, or
by asking the patient to contract on your inserted
finger. (Loss of reflex suggests a spinal lesion, as
seen in cauda equina)
If intact RBCs are seen on micro what does that
mean?
Hematuria (3+ RBC in multiple samples)
- Due to infection, urinary tract or renal cancer,
kidney stones, strenuous exercise, heavy smoking
(stones, infection, malignancy, glomerular disease)
,If there are no intact RBCs seen on micro, what
does that mean?
Hemoglobinuria or myoglobinuria
- breakdown of hemoglobulin (from RBC) or
myoglobin (from muscle breakdown) - (uniform
color/noRBC on micro)
What are the 3 medical conditions known to cause
ketones in the urine?
1. DM
2. Alcoholic ketoacidosis
3. Starvation or diet-related disorders
(anorexia; low-carb diets)
What are the s/s of acute cystitis in women
(uncomplicated UTI)?
1. dysuria
2. urinary frequency and / or urgency
3. suprapubic pain
4. possible hematuria
5. other non-specific symptoms are possible, such
, as nocturia, but color/cloudiness and odor are
noninfectious factors related to diet
What is the diagnostic criteria of acute cystitis in
women (uncomplicated UTI)?
1. Clinical diagnosis is acceptable, especially in
women who have had UTIs previously and
understand the symptoms and who do not have any
other symptoms to complicate the medical picture
2. Urine dipstick (or microscopic examination of
urine) is usually indicated.
- Urine culture and sensitivity is not always
necessary but should be done if there are any
atypical symptoms if the patient did not respond to
the first antibiotic, or the infection is recurrent
(within one month of previous UTI)
___________ OR _________ confirms UTI, but
negative results do not rule UTI out
Positive leukocyte esterase , nitrites
guide PA 722 Wichita State University
Complete Study Guide with Practice
Questions, Answers & Detailed
Explanations
What is CVA tenderness is evaluating for?
Pain with fist percussion may indicate kidney stone
or pyelonephritis if other associated symptoms are
present
How should an inguinal hernia check in males be
performed?
,Start by catching some of the skin of the scrotal sac
with your index (or little) finger and push it upwards
toward the inguinal ligament, ask patient to cough
and feel for a mass moving against your finger
How is the anal reflex tested and what nerves
innervate this area?
External anal sphincter contraction suggests intact
innervation of S2-4.
This can be done either by briskly stimulating the
peri-anal area and watching for an “anal wink”, or
by asking the patient to contract on your inserted
finger. (Loss of reflex suggests a spinal lesion, as
seen in cauda equina)
If intact RBCs are seen on micro what does that
mean?
Hematuria (3+ RBC in multiple samples)
- Due to infection, urinary tract or renal cancer,
kidney stones, strenuous exercise, heavy smoking
(stones, infection, malignancy, glomerular disease)
,If there are no intact RBCs seen on micro, what
does that mean?
Hemoglobinuria or myoglobinuria
- breakdown of hemoglobulin (from RBC) or
myoglobin (from muscle breakdown) - (uniform
color/noRBC on micro)
What are the 3 medical conditions known to cause
ketones in the urine?
1. DM
2. Alcoholic ketoacidosis
3. Starvation or diet-related disorders
(anorexia; low-carb diets)
What are the s/s of acute cystitis in women
(uncomplicated UTI)?
1. dysuria
2. urinary frequency and / or urgency
3. suprapubic pain
4. possible hematuria
5. other non-specific symptoms are possible, such
, as nocturia, but color/cloudiness and odor are
noninfectious factors related to diet
What is the diagnostic criteria of acute cystitis in
women (uncomplicated UTI)?
1. Clinical diagnosis is acceptable, especially in
women who have had UTIs previously and
understand the symptoms and who do not have any
other symptoms to complicate the medical picture
2. Urine dipstick (or microscopic examination of
urine) is usually indicated.
- Urine culture and sensitivity is not always
necessary but should be done if there are any
atypical symptoms if the patient did not respond to
the first antibiotic, or the infection is recurrent
(within one month of previous UTI)
___________ OR _________ confirms UTI, but
negative results do not rule UTI out
Positive leukocyte esterase , nitrites
