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