100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
ROSH REVIEW Genitourinary Practice Questions and Answers CA$17.92   Add to cart
Quickly navigate to
Preview
  2.  
  3. ROSH
  4.  
  5. ROSH

Exam (elaborations)

ROSH REVIEW Genitourinary Practice Questions and Answers
 5 views  0 purchase
  • Course
  • ROSH
  • Institution
  • ROSH

ROSH REVIEW Genitourinary Practice Questions and Answers Which of the following is the most common solid renal tumor of childhood? Adenocarcinoma Leiomyoma Nephroblastoma Renal lipoma - Answer️️ -Correct Answer ( C ) Explanation: Nephroblastoma, or Wilms tumor, is the most common solid ...

[Show more]

Preview 4 out of 198  pages

Document information

  • September 15, 2024
  • 198
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • rosh review genitourinary practice questions and a

Written for

  • ROSH
  • ROSH

Seller

avatar-seller
SophiaBennett

Reviews received

Content preview

©SOPHIABENNETT
EXAM_SOLUTIONS GUARANTEED SUCCESS 2024/2025 ACADEMIC YEAR




©SOPHIABENNETT 9/3/24 2024/2025

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM



ROSH REVIEW Genitourinary Practice
Questions and Answers


Which of the following is the most common solid renal tumor of childhood?




Adenocarcinoma

Leiomyoma

Nephroblastoma

Renal lipoma - Answer✔️✔️-Correct Answer ( C )

Explanation:

Nephroblastoma, or Wilms tumor, is the most common solid renal tumor of childhood. It

accounts for approximately 5% of all childhood cancers and in 5% of those cases the

cancer occurs bilaterally. There is a sporadic form that arises from two postzygotic

mutations and a familial form that arises after one pre-zygotic mutation and one

postzygotic mutation. Signs and symptoms range from the discovery of an

asymptomatic abdominal mass to abdominal pain, anorexia, abdominal distention,

vomiting, and hematuria. Urinalysis will demonstrate hematuria and a complete blood

count (CBC) may show anemia. Diagnosis can be made by obtaining abdominal

ultrasound or CT scans of the abdomen, although chest X-ray is used to evaluate for

metastatic lung disease. Treatment includes surgical resection of the kidney and is

usually accomplished through a radical nephrectomy through a transabdominal incision.

Chemotherapy and radiation therapy are also used as adjuncts to surgical resection. If

Page | 1

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM


the histology of the tumor is favorable, the prognosis is good with a 4-year-survival rate

around 90%.

One Step Further

Question: What is the peak age for presentation with a Wilms tumor? - Answer✔️✔️-

Answer: The third year of life.

A previously healthy, asymptomatic 21-year-old woman presents to your office with

questions about screening for sexually transmitted infections. She is sexually active and

would like to know what screening tests she should have done. Which of the following is

the next best step in management?



Annual testing for human papillomavirus

Annual testing for Neisseria gonorrheae and Chlamydia trachomatis

One time screening for hepatitis B

One time screening for herpes simplex virus - Answer✔️✔️-Correct Answer ( B )

Explanation:

Sexually transmitted infections (STIs) are a serious public health problem in the United

States and worldwide. Sequelae of untreated STIs include infertility, cervical cancer,

infections, and transmission to uninfected individuals. Many patients with STIs are

asymptomatic, and assessment of risk factors is an important aspect of determining

who and when to screen. STI counseling and an assessment of risk factors begins with

a thorough sexual history including questions about new partners, frequency of condom

use, history of multiple sexual partners, intercourse with trauma, and types of sexual

exposures. Risk factors for STIs include new and multiple sexual partners, age younger


Page | 2

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM


than 25 years, previous STIs, illegal drug use, incarceration at a correctional facility or

juvenile detention facility, intercourse with sex workers, and meeting sexual partners on

the internet. The United States Preventive Services Task Force (USPSTF) recommends

annual screening for Neisseria gonorrheae and Chlamydia trachomatis infection in

sexually active women under the age of 25 years.

A 67-year-old man presents to his primary care provider with dyspnea and fatigue. He

has a past medical history of hypertension, diabetes mellitus, and stage 3 chronic

kidney disease. A CBC shows a hemoglobin of 9 g/dL, hematocrit of 28%, total iron-

binding capacity of 220 mcg/dL, mean corpuscular volume of 80 fL, mean corpuscular

hemoglobin concentration of 31 g/dL, and ferritin of 310 ng/dL. A peripheral blood

smear shows normocytic, normochromic red blood cells with few reticulocytes. Which of

the following is the most appropriate management?



Cyanocobalamin

Darbepoetin

Ferrous gluconate and darbepoetin

Red blood cell transfusion - Answer✔️✔️-Correct Answer ( B )

Explanation:

The man in this case has anemia of chronic disease and should be managed with

darbepoetin. Anemia in chronic kidney disease (CKD) is primarily due to decreased

production of erythropoietin by the diseased kidney. Almost all of patients with

glomerular filtration rate less than 30 mL/min have some degree of anemia.

Erythropoietin is produced by the kidney in response to decreased blood oxygen levels.


Page | 3

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller SophiaBennett. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$17.92. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

84669 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$17.92
  • (0)
  Add to cart