100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Family Medicine EOR Urology /Renal Latest Exam Questions And All Correct Answers. £8.36   Add to cart

Exam (elaborations)

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

 8 views  0 purchase
  • Module
  • Family Medicine EOR
  • Institution
  • 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...

[Show more]

Preview 4 out of 46  pages

  • October 16, 2024
  • 46
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Family Medicine EOR
  • Family Medicine EOR
avatar-seller
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

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 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 TestSolver9. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for £8.36. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

84866 documents were sold in the last 30 days

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

Start selling
£8.36
  • (0)
  Add to cart