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Exam (elaborations)

3P Urology Latest Complete Solution Guide With All Correct Answers.

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Hydrochlorothiazide (Microzide), a thiazide diuretic, is metabolized: - correct answer minimally. An adverse reaction associated with loop diuretics is: - correct answer hypokalemia. Nitrofurantoin (Macrobid) should NOT be administered to a patient who: - correct answer has a CrCl <30 ml/min. Desmopressin acetate (DDAVP), used to treat nocturnal enuresis,: - correct answer increases water reabsorption in the renal collecting ducts and results in an increased urine osmolality. The drug of choice for blood pressure control in patients with renal insufficiency is: - correct answer angiotensin-converting enzyme inhibitors. Which of the following treatments for urinary incontinence is NOT an anticholinergic? - correct answer Doxazosin (Cardura) Oxybutynin (Ditropan), used in the treatment of cystitis,: - correct answer decreases urgency. A 48-year-old patient with diabetes, hypertension, and renal insufficiency is taking an angiotensin receptor blocker (ARB). ARBs act by: - correct answer inhibiting the binding of angiotensin II to angiotensin I receptor sites on vascular smooth muscles. Nitrofurantoin (Macrobid), an antimicrobial, is NOT active against: - correct answer Pseudomonas aeruginosa. Patients should be informed that oxybutynin (Ditropan) used in the treatment of overactive bladder, may cause: - correct answer edema of the laryngopharynx. When using ciprofloxacin (Cipro) for the treatment of urinary tract infections (UTIs), the patient should be monitored for: - correct answer tendinitis and tendon rupture. In the case of non-gonococcal urethritis, the patient should be treated with: - correct answer azithromycin (Zithromax) 1 gram orally. Finasteride (Proscar): - correct answer is unsafe if handled during pregnancy and lactation. Patients taking mirabegron (Myrbetriq) should be monitored for: - correct answer hypertension. Which of the following is a beta 3 adrenergic agonist used in the treatment of overactive bladder? - correct answer Mirabegron (Myrbetriq) Patients receiving imipramine (Tofranil) for the treatment of nocturnal enuresis should be advised to: - correct answer use sunscreen when outdoors. Fluoroquinolones are associated with: - correct answer tendinitis and hypoglycemia. Initial and routine monitoring for patients who are receiving tamsulosin (Flomax) should include: - correct answer prostate-specific antigen. Thiazide diuretics are contraindicated in patients who have: - correct answer a hypersensitivity to sulfonamides. The recommended treatment option for uncomplicated urinary tract infections (UTIs) in children between the ages of 2 and 13 who have an allergy to cephalosporin is: - correct answer Trimethoprim/sulfamethoxazole (Bactrim) The brand name of imipramine, used in the treatment of nocturnal enuresis, is: - correct answer Tofranil. Oxybutynin (Ditropan), used in the treatment of dysuria, is classified as an: - correct answer anti-spasmodic agent. Cefixime (Suprax) used for treatment of urinary tract infections (UTIs) is a: - correct answer third-generation cephalosporin. In the treatment of urinary tract infections (UTIs), sulfa agents: - correct answer block the synthesis of folic acid by bacteria and inhibit replication. A 23-year-old patient with an uncomplicated urinary tract infection (UTI) is allergic to sulfamethoxazole/trimethoprim (Bactrim). This patient should be treated with: - correct answer Cipro. The first-line treatment option for uncomplicated urinary tract infection (UTI) in children between 2 and 13 years of age is: - correct answer cefixime (Suprax). Urinary antispasmodic drugs used for the treatment of overactive bladder belong to a class of medications known as: - correct answer muscarinic receptor antagonists. In patients with chronic kidney disease (CKD), regardless of race or diabetes status, the initial recommended therapy for hypertension to improve kidney outcomes is: - correct answer angiotensin-converting enzyme inhibitors. A 28-year-old man presents with urethritis. He should initially be treated with: - correct answer azithromycin 1 gram orally plus ceftriaxone 250 mg intramuscularly. Patients receiving oxybutynin (Ditropan) should be advised to: - correct answer drink plenty of water and avoid overheating. In the treatment of renal insufficiency, the loop diuretic that has the longest half-life is: - correct answer torsemide (Demadex). A few first-generation cephalosporins, such as cephalexin (Keflex), have some gram-negative coverage against: - correct answer Escherichia coli. The "DS" in trimethoprim- sulfamethoxazole (Bactrim DS) for use in treatment of urinary tract infection stands for: - corr

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