NR 601 Final Week 6 Urology, Sexuality, GSM,
Menopause, ED questions with verified answers
Atrophic Vaginitis Diagnostic Tests
After performing a Pelvic examination with speculum examination and Pap smear
(may do wet mount and KOH preparation if infection is suspected) what findings
indicate atrophic vaginitis Ans✓✓✓ Pale, dry, nonrugated vaginal mucosa; Pap
smear results should be normal; vaginal pH by litmus paper will be ≥ 5
Atrophic Vaginitis Diagnostic Tests
The results of a UA can be Variable; if dipstick is positive for WBCs and nitrites, a
culture and sensitivity should be done. If negative, what can be concluded
Ans✓✓✓ a UTI is not the cause of symptoms.
Atrophic Vaginitis Diagnostic Tests
What should be done 1st to r/o UTI if symptoms Ans✓✓✓ Urinalysis
Causes of hematuria and proteinuria
beta-lactam antibiotics, sulfonamides, NSAIDs, Cipro, allopurinol, Tagamet, and
Dilantin. Anticoagulants including warfarin, heparin, aspirin, and NSAIDs, are
Medications that can cause Ans✓✓✓ hematuria
Causes of hematuria and proteinuria
What two common health issues are also associated with hematuria. Ans✓✓✓
Urolithiasis (refers to stones anywhere in the urinary system), and menses
Causes of hematuria and proteinuria
,Hematuria along with a cast in the UA indicates what Ans✓✓✓ a renal origin
pathology
Causes of hematuria and proteinuria
Hematuria causes: Ans✓✓✓ Malignancy, Renal disease (especially when
proteinuria is present), Bladder cancer (painless, most common presenting
symptom), Nephrolithiasis (kidney stones)
Cystitis
Causes of hematuria and proteinuria
Proteinuria occurs from: Ans✓✓✓ Diabetes mellitus, Renal disease/failure (also
AKI)& Infection
Causes of hematuria and proteinuria
Proteinuria typically indicates Ans✓✓✓ renal pathology, which is most often
glomerular in origin; Proteinuria can be functional- related to illness, stress or
exercise.
Causes of hematuria and proteinuria
What can be present in multiple myeloma, lymphosarcoma, leukemia and
Hodgkin's disease. Ans✓✓✓ Bence Jones proteins
Causes of hematuria and proteinuria
What can develop from an overproduction of filterable plasma protein, which
may be associated with multiple myeloma. Ans✓✓✓ Proteinuria
Causes of hematuria and proteinuria
,What can result from fever, congestive heart failure, acute pulmonary edema,
head injury or stroke and will improves as the patient's condition improves
Ans✓✓✓ Mild transient proteinuria
Causes of hematuria and proteinuria
What contributes to the presence of hematuria. Ans✓✓✓ Infection,
anticoagulation therapy, renal calculi, trauma, anatomical defects such as
rectocele, menstruation, atrophic vaginitis, renal disease, or recent urological
procedures
Causes of hematuria and proteinuria
What includes benign or functional causes such as orthostatic proteinuria,
exercise, environmental conditions, fever, acute illness, albumin transfusion,
heart failure, acute pulmonary edema, cerebral vascular accident, or head injury.
Ans✓✓✓ Differential diagnoses for proteinuria; Nephrotic syndrome is another
differential which can lead to acute renal failure, hypertension and end stage
renal failure
Causes of hematuria and proteinuria
What is most often asymptomatic and benign. Ans✓✓✓ Intermittent proteinuria;
Continuous proteinuria is associated with renal pathology (multiple UAs)
Causes of hematuria and proteinuria
What requires further work up due to risk of urinary tract malignancy. Ans✓✓✓
Any hematuria in a male over 50 years of age
Causes of hematuria and proteinuria
, When proteinuria is noted in a patient, the urine should be tested for Ans✓✓✓
Bence Jones protein, if positive this suggests multiple myeloma.
Causes of hematuria and proteinuria
Who can present with hematuria Ans✓✓✓ Athletes, including long distance
runners
Comorbid ED diagnoses
Atherosclerosis can cause a failure of the vascular system to fill; therefore, risk
factors for this type of ED include Ans✓✓✓ heart disease, cigarette smoking,
diabetes mellitus, aging, dyslipidemia, and hypertension, Diabetes
Comorbid ED diagnoses
In some cases, ED may result from a combination of what two causes because
such etiologies are not mutually exclusive Ans✓✓✓ physical and psychological or
emotional (psychogenic)
Complications of untreated urinary tract infection
what can Untreated symptomatic cystitis lead to Ans✓✓✓ pyelonephritis, sepsis,
shock, and death
Dx tests for proteinuria
In a 24-hour urine If the excretion rate is above 3.0 to 3.5 grams per day, the
patient has Ans✓✓✓ nephrotic syndrome and should be referred to a
nephrologist.
Dx tests for proteinuria
Menopause, ED questions with verified answers
Atrophic Vaginitis Diagnostic Tests
After performing a Pelvic examination with speculum examination and Pap smear
(may do wet mount and KOH preparation if infection is suspected) what findings
indicate atrophic vaginitis Ans✓✓✓ Pale, dry, nonrugated vaginal mucosa; Pap
smear results should be normal; vaginal pH by litmus paper will be ≥ 5
Atrophic Vaginitis Diagnostic Tests
The results of a UA can be Variable; if dipstick is positive for WBCs and nitrites, a
culture and sensitivity should be done. If negative, what can be concluded
Ans✓✓✓ a UTI is not the cause of symptoms.
Atrophic Vaginitis Diagnostic Tests
What should be done 1st to r/o UTI if symptoms Ans✓✓✓ Urinalysis
Causes of hematuria and proteinuria
beta-lactam antibiotics, sulfonamides, NSAIDs, Cipro, allopurinol, Tagamet, and
Dilantin. Anticoagulants including warfarin, heparin, aspirin, and NSAIDs, are
Medications that can cause Ans✓✓✓ hematuria
Causes of hematuria and proteinuria
What two common health issues are also associated with hematuria. Ans✓✓✓
Urolithiasis (refers to stones anywhere in the urinary system), and menses
Causes of hematuria and proteinuria
,Hematuria along with a cast in the UA indicates what Ans✓✓✓ a renal origin
pathology
Causes of hematuria and proteinuria
Hematuria causes: Ans✓✓✓ Malignancy, Renal disease (especially when
proteinuria is present), Bladder cancer (painless, most common presenting
symptom), Nephrolithiasis (kidney stones)
Cystitis
Causes of hematuria and proteinuria
Proteinuria occurs from: Ans✓✓✓ Diabetes mellitus, Renal disease/failure (also
AKI)& Infection
Causes of hematuria and proteinuria
Proteinuria typically indicates Ans✓✓✓ renal pathology, which is most often
glomerular in origin; Proteinuria can be functional- related to illness, stress or
exercise.
Causes of hematuria and proteinuria
What can be present in multiple myeloma, lymphosarcoma, leukemia and
Hodgkin's disease. Ans✓✓✓ Bence Jones proteins
Causes of hematuria and proteinuria
What can develop from an overproduction of filterable plasma protein, which
may be associated with multiple myeloma. Ans✓✓✓ Proteinuria
Causes of hematuria and proteinuria
,What can result from fever, congestive heart failure, acute pulmonary edema,
head injury or stroke and will improves as the patient's condition improves
Ans✓✓✓ Mild transient proteinuria
Causes of hematuria and proteinuria
What contributes to the presence of hematuria. Ans✓✓✓ Infection,
anticoagulation therapy, renal calculi, trauma, anatomical defects such as
rectocele, menstruation, atrophic vaginitis, renal disease, or recent urological
procedures
Causes of hematuria and proteinuria
What includes benign or functional causes such as orthostatic proteinuria,
exercise, environmental conditions, fever, acute illness, albumin transfusion,
heart failure, acute pulmonary edema, cerebral vascular accident, or head injury.
Ans✓✓✓ Differential diagnoses for proteinuria; Nephrotic syndrome is another
differential which can lead to acute renal failure, hypertension and end stage
renal failure
Causes of hematuria and proteinuria
What is most often asymptomatic and benign. Ans✓✓✓ Intermittent proteinuria;
Continuous proteinuria is associated with renal pathology (multiple UAs)
Causes of hematuria and proteinuria
What requires further work up due to risk of urinary tract malignancy. Ans✓✓✓
Any hematuria in a male over 50 years of age
Causes of hematuria and proteinuria
, When proteinuria is noted in a patient, the urine should be tested for Ans✓✓✓
Bence Jones protein, if positive this suggests multiple myeloma.
Causes of hematuria and proteinuria
Who can present with hematuria Ans✓✓✓ Athletes, including long distance
runners
Comorbid ED diagnoses
Atherosclerosis can cause a failure of the vascular system to fill; therefore, risk
factors for this type of ED include Ans✓✓✓ heart disease, cigarette smoking,
diabetes mellitus, aging, dyslipidemia, and hypertension, Diabetes
Comorbid ED diagnoses
In some cases, ED may result from a combination of what two causes because
such etiologies are not mutually exclusive Ans✓✓✓ physical and psychological or
emotional (psychogenic)
Complications of untreated urinary tract infection
what can Untreated symptomatic cystitis lead to Ans✓✓✓ pyelonephritis, sepsis,
shock, and death
Dx tests for proteinuria
In a 24-hour urine If the excretion rate is above 3.0 to 3.5 grams per day, the
patient has Ans✓✓✓ nephrotic syndrome and should be referred to a
nephrologist.
Dx tests for proteinuria
