ROSH Genitourinary UPDATED ACTUAL Questions and CORRECT Answers
1. sudden, intense urge to urinate, followed by urge incontinence.
involuntary loss of urine before reaching the
bathroom is what type of urinary inconti-
nence?
2. pathophysiology of urge incontinence? detrusor overactivity
3. first line therapy for urge incontinence? non-pharmacological treatment
scheduled voids, bladder training
such as urge suppression, and behav-
ior modifications such as reducing caf-
feine, alcohol, and late-night fluid in-
take.
4. most common cause of incontinence in older urge incontinence?
adults is?
5. pharmacological treatment for urge inconti- anticholinergic drugs (oxybutynin and
nence is? tolterodine)
6. An 18-year-old man presents with testicular testicular torsion
pain for 3 hours. He does not report any trau-
ma. The pain is constant, sharp, and severe
and is accompanied by nausea and vomiting.
His vital signs are normal, except for a heart
rate of 110 bpm. On examination, there is
no swelling, but the left testicle is extremely
tender to palpation. The cremasteric reflex is
absent.
What is the most likely dx?
, the only definitive way to diagnose and treat
testicular torsion is?
8. testicular detorsion technique? medial to lateral rotation.
9. most kidney stones are composed of? calcium oxalate
10. urinalysis is nephrolithiasis would show? RBCs
11. when size should kidney stones be to initiate 5 to 10 mm
pharmacological treatment to removal?
12. most common site of nephrolithiasis? Ureterovesical junction (UVJ)
13. medical expulsive therapy of kidney stones alpha-blockers
includes this class of drugs?
14. In sexually active patients under age 35, acute Chlamydia
epididymitis is caused most frequently by?
15. treatment for epididymitis in under 35 year Ceftriaxone and doxycycline
old ?
Flouroquinolones
treatment for epididymitis in over 35 year old
?
16. In patients over age 35, acute epididymitis is E.coli and pseudomonas
caused most frequently by?
17. most common cause of acute pyelonephritis E. coli
is?
18. outpatient treatment of acute pyelonephritis? fluoroquinolone or bactrim.
19. prostate gland
, What structure can best be evaluated by pal-
pation of the anterior rectal wall during a dig-
ital rectal examination?
20. DRE findings are enlarged prostate without BPH
nodules or indurations.
this is most likely what dx?
21. 22-year-old man presents to the emergency acute epididymitis
department with right scrotal pain. He has a
new sexual partner and reports no condom US: Increased flow on doppler US.
use. On examination, tenderness to palpation
is localized to the posterior aspect of the scro-
tum. What is the most likely diagnosis?
What would you expect on US?
22. what medication (class and drug) would most 5 alpha reductase inhibitors (finas-
likely improve patient symptoms of BPH by teride)
causing involution of benign prostatic tissue
and prostate shrinkage?
23. what medication (class and drug) would most alpha-adrenergic blockers (doxazosin)
likely improve patient symptoms of BPH by
relaxing the smooth muscle tissue in the blad-
der neck and prostate?
24. What effect does finasteride have on the lower PSA by 50%
prostate-specific antigen level?
25. the cremasteric reflex in testicular torsion is absent
(present or absent)?
26. CT scan
1. sudden, intense urge to urinate, followed by urge incontinence.
involuntary loss of urine before reaching the
bathroom is what type of urinary inconti-
nence?
2. pathophysiology of urge incontinence? detrusor overactivity
3. first line therapy for urge incontinence? non-pharmacological treatment
scheduled voids, bladder training
such as urge suppression, and behav-
ior modifications such as reducing caf-
feine, alcohol, and late-night fluid in-
take.
4. most common cause of incontinence in older urge incontinence?
adults is?
5. pharmacological treatment for urge inconti- anticholinergic drugs (oxybutynin and
nence is? tolterodine)
6. An 18-year-old man presents with testicular testicular torsion
pain for 3 hours. He does not report any trau-
ma. The pain is constant, sharp, and severe
and is accompanied by nausea and vomiting.
His vital signs are normal, except for a heart
rate of 110 bpm. On examination, there is
no swelling, but the left testicle is extremely
tender to palpation. The cremasteric reflex is
absent.
What is the most likely dx?
, the only definitive way to diagnose and treat
testicular torsion is?
8. testicular detorsion technique? medial to lateral rotation.
9. most kidney stones are composed of? calcium oxalate
10. urinalysis is nephrolithiasis would show? RBCs
11. when size should kidney stones be to initiate 5 to 10 mm
pharmacological treatment to removal?
12. most common site of nephrolithiasis? Ureterovesical junction (UVJ)
13. medical expulsive therapy of kidney stones alpha-blockers
includes this class of drugs?
14. In sexually active patients under age 35, acute Chlamydia
epididymitis is caused most frequently by?
15. treatment for epididymitis in under 35 year Ceftriaxone and doxycycline
old ?
Flouroquinolones
treatment for epididymitis in over 35 year old
?
16. In patients over age 35, acute epididymitis is E.coli and pseudomonas
caused most frequently by?
17. most common cause of acute pyelonephritis E. coli
is?
18. outpatient treatment of acute pyelonephritis? fluoroquinolone or bactrim.
19. prostate gland
, What structure can best be evaluated by pal-
pation of the anterior rectal wall during a dig-
ital rectal examination?
20. DRE findings are enlarged prostate without BPH
nodules or indurations.
this is most likely what dx?
21. 22-year-old man presents to the emergency acute epididymitis
department with right scrotal pain. He has a
new sexual partner and reports no condom US: Increased flow on doppler US.
use. On examination, tenderness to palpation
is localized to the posterior aspect of the scro-
tum. What is the most likely diagnosis?
What would you expect on US?
22. what medication (class and drug) would most 5 alpha reductase inhibitors (finas-
likely improve patient symptoms of BPH by teride)
causing involution of benign prostatic tissue
and prostate shrinkage?
23. what medication (class and drug) would most alpha-adrenergic blockers (doxazosin)
likely improve patient symptoms of BPH by
relaxing the smooth muscle tissue in the blad-
der neck and prostate?
24. What effect does finasteride have on the lower PSA by 50%
prostate-specific antigen level?
25. the cremasteric reflex in testicular torsion is absent
(present or absent)?
26. CT scan
