PANCE- UROLOGY QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+

A febrile infant with first urinary tract infection should be referred to undergo what other evaluation? - US to detect structural abnormalities A kidney stone of what size will pass on its own - <5mm A prostate biopsy is how many samples? - 6-10 A PSA of what level should make you concerned - >4 A pt. fails behavioral schedules for urge incontinence. What next? - anti-ache oxybutinin AKI has three criteria. You only have to meet 1/3 - 1. CR increase of =>.3 2. Serum cr %50 3. reduction in urin output < .5mlkg/hr DX of stress incontiennce? - Urethrocystometry (measures pressure) elongated face, prominent jaw, large ears, macro-orchidism. Risk of MVP - fragile x syndrome free floating painless testicular mass posterior and superior - spermatocele hypoalbunin, hyperlipidemia, fatty casts, maltese cross, edema - nephrotic syndrome Imaging for kidney stones - NON-CONTRAST CTIntervent for variocele is causing infertility? - left spermatic vein ligation MC organism for epididymitis? - E. coli - 58 to 88 percent MOA of loop diuretics - Loop diuretics act on the Na+-K+-2Cl− symporter (cotransporter) in the thick ascending limb of the loop of Henle to inhibit sodium, chloride and potassium reabsorption. Most initial therapy before insulin/albuterol with hyperkalemia is? - calcium Most serious complication of PCOS? - aneuyrism Muddy brown casts - acute tubular necrosis Organism for painful chancroid lesion? - Haemophilus ducreyi. paraphimosis? - foreskin caught in retracted position PE findings on prostate exam? - enlarged, nodules Phimosis - foreskin won't pull back Phimosis can be normal up to what age? - 13, adolescence Post renal causes? - BPH kidney stone tumorPre-renal lab characeristics and tx? - Bun/cr > 20 FENa < 1 tx = fluids, abx for sepsis, RBC cast, proteinuria < 3.5, hypertension - acute nephritis Renal cell carcinoma originates from which cells - epithelial cells of the proximal convoluted tubule RF for prostate cancer? - AA high fat FH age SE of hypo magnesium - neuro se Common manifestations of hypomagnesemia include muscle cramping, weakness, hyperreflexia, ataxia, and seizures. Electrocardiogram findings include QT prolongation, premature ventricular contractions, and tachydysrhythmias such as atrial fibrillation, multifocal atrial tachycardia, ventricular tachycardia or fibrillation, and torsades de pointes. SE of nitrofurantoin? - Nitrofurantoin can also cause hemolytic anemia in individuals with G6PD deficiency (B). states of CKD - T/F Most hydrocele and variocele don't require intervention - Ttestes should descend by what age - 3 months Three common causes of intrinsic kidney disease - Acute tubular necrosis (mc) Acute interstitial nephritis Acute glomerulonephritis Treatment for stone < 5, >8? - Treatment is: < 5 mm: likely to pass spontaneously > 8 mm: unlikely to pass, lithotripsy