NR 602 Final Wk 7 GI/GU/Endocrine Flash Cards
Questions With Complete Solutions
1. Balanitis is an inflammation of
2. balanoposthitis is an inflammation of the foreskin and glans
penis occurring in
Management
1. Prescribe oral and topical antibiotics as directed by the
cultures, along with Correct Answer 1. the glans;
2. uncircumcised males or those with phimosis
3. warm bathtub soaks. Depending on the swelling, topical
steroids might also be prescribed.
1. blank refers to a foreskin that is too tight to be retracted over
the glans penis; occurs over the first 6 years of life
2. (blank) is a retracted foreskin that cannot be reduced to the
normal position Correct Answer 1. Phimosis
2. Paraphimosis shown in image
1. Paraphimosis is most common in
Physical Examination
1. Phimosis—a tight,
2. Paraphimosis—edema and
Management
3. Phimosis: Normal cleansing with gentle
4. Paraphimosis is a Correct Answer 1. adolescents and can
follow masturbation, sexual activity, or forceful retraction
2. pinpoint opening of the foreskin with minimal ability to
retract the foreskin; foreskin flat and effaced
3. bluish discoloration of the glans and foreskin
,4. stretching of the foreskin until resistance is felt. Most
foreskins are retractable by 5 or 6 years old. Never forcefully
retract the foreskin
5. surgical emergency
All children with type 1 diabetes should be started on insulin at
diagnosis. Children with ketoacidosis should be admitted to the
hospital for IV insulin treatment, fluid replacement, and careful
monitoring to prevent cerebral edema Correct Answer
Chronic Genitourinary Conditions in Males
o : urethral meatus in on the underside of the penis
Treatment: surgical repair at 6-12 mo old usually w/ foreskin
- A family history of a male relative with GU problems may be
reported.
- other findings include inguinal hernia or undescended testicles
(10%), and/or chordee Correct Answer Hypospadias
Clinical Signs of Pyelonephritis Correct Answer · Fever
· Irritability, and vomiting in an infant
· Urinary symptoms associated with fever, bacteriuria, vomiting,
and renal tenderness in older children.
DM 2 Ongoing management
specify screening intervals for each
1. HbA1c
2. Antithyroid peroxidase and antithyroglobulin antibodies
3. TSH
4. tTG-IgA, IgA for Celiac disease
5. Fasting lipids
6. Nephropathy: Random spot urine albumin to creatinine ratio
, 7. Retinopathy Dilated eye exam
8. Neuropathy Foot exam Correct Answer 1. • Every 3 months
(every 6 months if stable)
2. • Not required
3. • Not required
4. • Not required
5. • At diagnosis, if ≥10 years of age, repeat every 3-5 years
6. • At diagnosis, repeat yearly
7. • At diagnosis, repeat yearly
8. • Yearly
Down Syndrome - Trisomy 21
1. Increased risk for
2. Clinical manifestation: Correct Answer 1. leukemia
- Systemic screening for celiac disease
-Increased risk for tetralogy of falet
2. - Intellectual disability
- Microcephaly-small head
- brachycephaly (elongated soft palate)
- Short stature
- protruding tongue
- Flat nasal bridge
- Neonates: placid, rarely cry, hypotonia
Down Syndrome - Trisomy 21
o Primary care issues: Correct Answer - Careful review of
newborn screen or hypothyroid
- Careful review of newborn critical congenital heart disease
- Ongoing ophthalmologic exam for cataracts
- Increased risk for duodenal atresia
- High risk for atlantoaxial instability
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