(important)
Q9. 35 year old female presents with acute onset of R sided
flank pain radiating into her groin. This is associated with
nausea and vomiting. Her temperature is 102.1. She has mild
tenderness to palpation in the RLQ and tenderness elicited by
tapping her right costovertebral angle. Her WBC is 15 on
laboratory studies. Her urinalysis is positive for red blood cells,
white blood cells and nitrites. What is the study of choice to
examine this patient?
a. Renal US
b. Abdomnal X-Ray
c. IV Pyelogram
d. CT of abdomen/pelvis
e. MRI Correct Answer D
(differential = ovarian pathology, appendicitis, nephrolithiasis,
UTI, etc; want to look at ureters for stones)
(important) Q11. What is the most common type of hydrocele in
an ADULT?
a. communicating
b. non-communicating
c. drooping
d. incarcerated
e. infected Correct Answer B
(adult = non-communicating)
(review?)
, What erectile dysfunction treatment is most frequently
associated with priapism? Correct Answer (listed 3 drugs but
idk)
(stressed this)
Q16. Patient presents with Gross hematuria, and admits to have
been swimming in the Nile. What disease do they have? What
type of cancer may they develop? Correct Answer
Schistosomiosis
(SCC)
33M with no PMHx presents to the clinic after noticing his
scrotum to be enlarged on one side. He denies any other
complaints such as pain or fevers. Palpable, "bag-of-worms-
like" mass in left spermatic cord. Palpable, firm, nodular left
testicle Normal right hemiscrotum, normal palpation of right
testicle and spermatic cord. What should you think? Correct
Answer varicocele
(b/c bag of worms. Differentials also include hydrocele,
testicular mass)
Blood at the tip of the urethral meatus may indicate: Correct
Answer urethral injury
Difference in tx from intraperitoneal and extraperitoneal bladder
injury? Correct Answer inrtra = surgery + catheter
extra = just catheter