GU (Peds) Practice Questions and Complete Solutions
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Course
GU Peds
Institution
GU Peds
When do the kidneys and ureters grow until? adult size at adolescence
Bladder capacity and urethra size change with? growth
Urinary system Eliminates nitrogenous wastes from the body. Regulates water, electrolyte and acid-base balance of the blood.
Parts of the urinary system kidneys, ureters, u...
GU (Peds) Practice Questions and
Complete Solutions
When do the kidneys and ureters grow until? ✅adult size at adolescence
Bladder capacity and urethra size change with? ✅growth
Urinary system ✅Eliminates nitrogenous wastes from the body. Regulates water,
electrolyte and acid-base balance of the blood.
Parts of the urinary system ✅kidneys, ureters, urinary bladder, urethra
A UTI can occur where? ✅infection anywhere along the urinary tract
For newborns, UTI's occur higher in? ✅males (d/t congenital anomaly or
uncircumcised)
S/s of UTI in a newborn? ✅Nonspecific (Lethargic, Poor Feeding, Temperature
Instability)
S/s of UTI in infants? ✅Fever, FTT, Poor Feeding, N & V, Foul Smelling Urine,
Generalized Abdominal Pain
S/s of UTI in older children? ✅Including Dysuria, Frequency, Hematuria, Daytime
Incontinence in Potty Trained Child, More Localized Pain
When does menarche stage usually occur in the tanner stage? ✅4th stage
What usually causes a UTI? ✅E. Coli (most common), staphylococcus,m more
Urinary stasis enhances the risk of? ✅UTI
Who do we diagnose a UTI? (3) ✅1. Bacteriuria (dipstick positive for LEUKOCYTES,
NITRATES, and WBC/RBC)
2. Urine culture and sensitivity
3. Ultrasound or voiding cystourthrogram
Treatment for UTI? ✅1. Antibiotics (Bactrim or Septra)
2. Cephalosporin (full course)
Detrusor muscle ✅Smooth muscle that compresses the urinary bladder and expels
urine into the urethra.
, Vesicoureteral reflux ✅Urine backflip into Kidneys (different grades)
What is the cause of Vesicoureteral reflex? ✅repeated persistent UTI
Diagnostics for Vesicoureteral reflex? (2) ✅1. Voiding Cystourethrogram
2. Cystogram (asses size and shape of bladder)
Treatment of Vesicoureteral Reflex? (3) ✅1. Depend on severity
2. Prevent UTI: prophylactic antibiotics
3. Surgery (urteral reimplantation)
Kidney ✅Filters waste from the blood like urea, water, salt and proteins.
Acute post infectious glomerulonephritis (APIGN) ✅Inflammation of glomeruli following
Group A Beta-Hemolytic Streptococcal infection
APIGN has what type of onsent? ✅abrupt
APIGN s/s? ✅Mild HEMATURIA And Periorbital Edema HYPERTENSION (Severe)
Abdominal & CV Tenderness ; Oliguria & Tea-Colored Urine Related to Hematuria
Pathophysiology of APIGN? (3) ✅1. Glomerular damage due to immune complex
reaction to antigen-antibody (causes inflammation)
2. Renal blood flow decreased (leads to damaged glomerular cell walls)
3. Na and water retention in intravascular space + resistant edema
How do we diagnose an Acute Postinfectious glomerulonephritis? (3) ✅1. Immunologic
test (serum complement, Streptozyme: Elevated ASO)
2. Culture (throat)
3. Clinical S/S
Treatment of Acute post infectious glomerulonephrititis? (2) ✅1. Symptomatic and
supportive
2. Hypertension management (IV antihypertensives)
Treatment of APGN and what do we NOT use? (4) ✅1. Antibiotics for strep infection
2. Monitor fluid status
3. Dietary restrictions (NA and K)
4. DO NOT use corticosteroids
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