Week 7 Genitourinary, Electrolyte imbalance, and prostate disorders Board vitals quiz

Week 7 Genitourinary, Electrolyte imbalance, and prostate disorders Board vitals quiz 1. Which of the following antimicrobial agents is recommended as first-line treatment for acute uncomplicated cystitis in women? Trimethoprim-sulfamethoxaxole 2. In a woman without risk factors, at what age is bone density screening with DEXA recommended? 65 years 3. A 43-year-old pre-menopausal woman comes to your office complaining about recurrent urinary tract infections (UTI). Over the past three years, she has had up to seven infections per year. Her primary care doctor completed testing and she does not have urinary calculi or urinary tract abnormalities. She has tried different soaps, changing behaviors, and changing contraceptives. She is asking if anything can be done to prevent future infections. What would be the best treatment choice for this woman to significantly reduce the number of UTI’s she is experiencing? Continue antibiotic therapy with trimethoprim-sulfamethoxazole nightly for six months 4. A 12-year-old make presents with sudden onset of a painful testicle. What are the most likely physical exam findings for testicular torsion? High-riding testicle, scrotal edema, abnormal cremasteric reflex 5. A 42-year-old woman presents to your office with urinary complaints. She states she has been experiencing urinary urgency and frequency for months. She also describes having significant discomfort with urination, both dysuria and suprapubic pain. She occasionally has nocturia as well. She has gone to several urgent care facilities, where she was treated with antibiotics without improvement, and had two cultures which showed sterile urine. She is not having any vaginal discharge, itching, or rash. She is never-smoker. What would be the most appropriate diagnosis at this time? Interstitial cystitis