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Family Medicine EOR Urology /Renal Latest Exam Questions And All Correct Answers. £8.62   Add to cart

Exam (elaborations)

Family Medicine EOR Urology /Renal Latest Exam Questions And All Correct Answers.

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  • Module
  • Family Medicine EOR
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  • Family Medicine EOR

Antibiotic of choice for treatment of UTI in pregnancy? - Answer Amoxicillin What pH of urine predisposes a patient to form uric acid crystals? - Answer Acidic urine with or without hyperuricemia Initial diagnostic studies for nephrolithiasis? - Answer Noncontrast helical CT <---s...

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  • October 16, 2024
  • 46
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Family Medicine EOR
  • Family Medicine EOR
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Family Medicine EOR Urology
/Renal Latest Exam Questions And All
Correct Answers.
Antibiotic of choice for treatment of UTI in pregnancy? - Answer Amoxicillin



What pH of urine predisposes a patient to form uric acid crystals? - Answer Acidic urine with or without
hyperuricemia



Initial diagnostic studies for nephrolithiasis? - Answer Noncontrast helical CT <---study of choice

24 hour urine x2

Strain urine to analyze stone

UA with culture



Additional workup for kidney stones? - Answer Labs: CBC, CMP, PTH, BUN/Cr, oxalate, citrate, pH

AXR

KUB

Intravenous pyelogram (IVP) <-- rarely indicated

Renal U/S



Which renal calculi are radioopaque? Which are radiolucent? - Answer Ca oxalate and struvite are
radiopaque

Uric acid and cystine stones are radiolucent



Medical tx for all types and sizes of kidney stones? - Answer Analgesia is most important first step
(narcotics +/- NSAIDs)

Vigorous hydration

Alpha blocker

All stones should be chemically analyzed with metabolic workup

,Surgical tx options for kidney stones - Answer Extracorporeal shock wave lithotripsy (ESWL)

Ureteroscopic removal

Perc lithotripsy

Perc nephrostomy

Open surgery



Treatment for nephrolithiasis when stone is <5mm? - Answer <5mm: stone is likely to pass on its own.
Fluids, analgesia, strain urine, alpha blocker or CCB to help stone pass. Most pass in 2-4 weeks.



Treatment for nephrolithiasis when stone is 5-10mm? - Answer Elective lithotripsy or ureteroscopy
with stone basket extraction



Treatment for nephrolithiasis when stone is >10mm - Answer Inpatient treatment

Ureteral stent or percutaneous nephrostomy <---- gold standard

ESWL



Chronic treatment for kidney stones - Answer Increase fluid intake

Ca stones - Decrease Na and animal protein intake. D/c thiazides.

Uric acid - Allopurinol, urine alkalinization

Struvite - Antibiotics

Cystine - urine alkalinization



What is benign prostatic hypertrophy (BPH)? - Answer Growth of prostatic tissue in transition zone. It
compresses the urethra



What percent of men will develop BPH? When? - Answer 80% - usually starting in the 5th decade of
life. 50% will need treatment



What are signs/symptoms of BPH? - Answer Urinary frequency, urgency, nocturia (common)

,Stream hesitancy and poor flow (common), intermittency, straining, dribbling



What will BPH feel like on DRE? - Answer Enlarged



How do you decide whether or not to treat a patient with BPH? - Answer American Urological
Association (AUA) scoring index

Patient's perception of severity of condition - most influential

Degree the condition interferes with patient's lifestyle and causes embarrassment - most influential



How do you diagnose BPH? - Answer History

DRE



What are non-pharm options for treatment for BPH? What is the most effective treatment? - Answer
Watchful waiting

Lifestyle/behavioral management (fluid restriction)

Surgery - most effective



What is the gold standard for prostate surgery due to BPH? - Answer Transurethral resection of
prostate (TURP) - Visualize prostate through urethra, remove tissue by electrocautery or sharp
dissection.



How do you medically treat BPH? - Answer Alpha adrenergic blockers (Tamsulosin, doxazosin, etc)

5 alpha-reductase inhibitors (Finasteride)

Cialis

Catheterization



What causes acute bacterial prostatitis? - Answer Ascending infection of Gram neg rods in the prostatic
ducts



What organism usually causes acute bacterial prostatitis? - Answer E. coli

, What are clinical features of acute bacterial prostatitis? - Answer Sudden onset of high fever, chills, low
back pain, and perineal pain

Irritative voiding symptoms

Prostate is swollen and tender



Clinical features of chronic prostatitis? - Answer More variable symptoms

Irritative voiding symptoms

Some obstruction



What will prostatitis feel like on DRE? - Answer Slightly enlarged, unchanged, or smaller.

Swollen and tender

Flattened longitudinal furrow



What will a UA show with acute bacterial prostatitis? - Answer Leukocytosis

Culture is positive (usually for E. coli)



How do you treat acute prostatitis? - Answer Cipro or Levo for 2-6 weeks

Bactrim for 6 weeks

Culture urine 1 week after therapy

NSAIDs and alpha 1 blockers for symptomatic tx



What is Epididymitis? - Answer Infection of epididymis acquired by spread of organisms through the
vas deferens.



What is the common cause of epididymitis in men <35? >35? - Answer <35: Chlamydia and Gonorrhea

>35: E. coli



What are clinical features of epididymitis? - Answer Heavy, dull, aching discomfort of testes

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