NUR 524 Exam 3- GU Questions With Complete Solutions
3 major complications of CKD? Correct Answers Renal
osteodystrophy
Nutritional disturbances
Inflammation
Assessment of scrotal hernia Correct Answers Insert finger
into external inguinal ring and feel for a cough impulse from the
hernia
bacterial vaginosis Correct Answers a condition in women in
which there is an abnormal overgrowth of certain bacteria in the
vagina
bacterial vaginosis s/s? Correct Answers Foul smelling
discharge (fishy)
Can be asymptomatic
Transient (may come and go)
bacterial vaginosis treatment Correct Answers metronidazole
(flagyl) or clindamycin
Oral or cream/gel
Think- is it symptomatic/bothersome?
Doesn't need to be treated bc it can come back anyways.
Ideal to treat locally first when able!
,BPH (benign prostatic hyperplasia) Correct Answers Age-
associated prostate gland enlargement that can cause urination
difficulty.
BPH symptoms Correct Answers obstructive voiding
symptoms- weaker stream, dribbling, incomplete emptying, freq,
urgency, nocturia.
BPH treatment Correct Answers -Alpha blockers [relax
bladder neck muscles in the prostate making urination easier];
alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin
(Flomax), and silodosin (Rapaflo),
-5-alpha reductase inhibitors [shrink your prostate by preventing
hormonal changes that cause prostate growth]; finasteride
(Proscar), dutasteride (Avodart)
Catheter placement for quick relief
Causes of erectile dysfunction Correct Answers anxiety, stress,
alcohol, no sleep, medications to fix hypertension
First line- phosphodiesterase type 5 inhibitors
Causes of hyper/hypokalemia? Correct Answers
Vomiting/diarrhea
Drug induced (diuretics, **ACE inhibitors cause
hyperkalemia***)
ETOH or licorice
HTN or aldosterone (check levels)
Addison's disease
Chronic kidney disease- 24hr creat clearance, diet recall
, Access for trauma, infections, NSAID use
Chronic kidney disease Correct Answers Reduction in kidney
function for 3+ months (less than that is acute)
Often very subtle presentation
Hyperparathyroidism may result
Chronic proteinuria can cause? Correct Answers Increased risk
of cardiovascular mortality
CKD 5 stages? Correct Answers Stage1- minor damage >89
GFR or normal
Stage2- 60-89 GFR mild damage
Stage3- 30-59 GFR MODERATE DAMAGE
Stage4- severe damage 15-29 GFR
Stage5- DIALYSIS kidneys have failed <15 GFR
Complicated UTI Correct Answers Childhood UTI hx,
urologic abnormalities, pregnant, underlying metabolic
disorders, UTI in men
Diagnostics Id erectile disfunction Correct Answers CBC
w/diff
Hgb A1c
Electrolytes
BUN/creat
Lipid profile
TSH
PSA
Prolactin
Lutenizing hormone
3 major complications of CKD? Correct Answers Renal
osteodystrophy
Nutritional disturbances
Inflammation
Assessment of scrotal hernia Correct Answers Insert finger
into external inguinal ring and feel for a cough impulse from the
hernia
bacterial vaginosis Correct Answers a condition in women in
which there is an abnormal overgrowth of certain bacteria in the
vagina
bacterial vaginosis s/s? Correct Answers Foul smelling
discharge (fishy)
Can be asymptomatic
Transient (may come and go)
bacterial vaginosis treatment Correct Answers metronidazole
(flagyl) or clindamycin
Oral or cream/gel
Think- is it symptomatic/bothersome?
Doesn't need to be treated bc it can come back anyways.
Ideal to treat locally first when able!
,BPH (benign prostatic hyperplasia) Correct Answers Age-
associated prostate gland enlargement that can cause urination
difficulty.
BPH symptoms Correct Answers obstructive voiding
symptoms- weaker stream, dribbling, incomplete emptying, freq,
urgency, nocturia.
BPH treatment Correct Answers -Alpha blockers [relax
bladder neck muscles in the prostate making urination easier];
alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin
(Flomax), and silodosin (Rapaflo),
-5-alpha reductase inhibitors [shrink your prostate by preventing
hormonal changes that cause prostate growth]; finasteride
(Proscar), dutasteride (Avodart)
Catheter placement for quick relief
Causes of erectile dysfunction Correct Answers anxiety, stress,
alcohol, no sleep, medications to fix hypertension
First line- phosphodiesterase type 5 inhibitors
Causes of hyper/hypokalemia? Correct Answers
Vomiting/diarrhea
Drug induced (diuretics, **ACE inhibitors cause
hyperkalemia***)
ETOH or licorice
HTN or aldosterone (check levels)
Addison's disease
Chronic kidney disease- 24hr creat clearance, diet recall
, Access for trauma, infections, NSAID use
Chronic kidney disease Correct Answers Reduction in kidney
function for 3+ months (less than that is acute)
Often very subtle presentation
Hyperparathyroidism may result
Chronic proteinuria can cause? Correct Answers Increased risk
of cardiovascular mortality
CKD 5 stages? Correct Answers Stage1- minor damage >89
GFR or normal
Stage2- 60-89 GFR mild damage
Stage3- 30-59 GFR MODERATE DAMAGE
Stage4- severe damage 15-29 GFR
Stage5- DIALYSIS kidneys have failed <15 GFR
Complicated UTI Correct Answers Childhood UTI hx,
urologic abnormalities, pregnant, underlying metabolic
disorders, UTI in men
Diagnostics Id erectile disfunction Correct Answers CBC
w/diff
Hgb A1c
Electrolytes
BUN/creat
Lipid profile
TSH
PSA
Prolactin
Lutenizing hormone
