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DUNPHY GU EXAM QUESTIONS AND ANSWERS
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DUNPHY GU EXAM QUESTIONS AND ANSWERS
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DUNPHY GU EXAM QUESTIONS AND ANSWERSA pt is seen in the clinic with a CC of hematuria. To make a differential dx, which of the
following questions should be asked?
a. "Do you have a h/o liver dz?"
b. "What meds are you currently taking?"
c. "Have you noticed any swelling in your ankles?"
d. All of the above - Answers- b. "What meds are you currently taking?"
The result of the pt's 24hr urine for protein was 4.2g/day. The clinician should take
which of the following actions?
a. Repeat the test.
b. Refer to a nephrologist
c. Measure the serum protein
d. Obtain a blood urea nitrogen (BUN) and creatinine - Answers- b. Refer to a
nephrologist
A pt is seen c/o "leaking urine when I sneeze." Which of the following actions should the
clinician take first?
a. Order a cystometrogram
b. Obtain a computed tomography scan
c. Instruct the pt on Kegel exercises
d. Prescribe imipramine - Answers- c. Instruct the pt on Kegel exercises
A pt is seen in the clinic w/hematuria confirmed on microscopic examination. The
clinician should inquire about the ingestion of which of these substances that might be
the cause of hematuria?
a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat - Answers- a. NSAIDs
a 27yo female presents with a CC of burning and pain on urination. She has no
previous h/o UTI. What are some additional symptoms consistent with a dx of lower
UTI?
a. Back and abd pain
b. Fever, chills, costovebral angle (CVA) tenderness
c. Blood in urine and frequency
d. Foul-smelling discharge, perineal itch - Answers- c. Blood in urine and frequency
, A 30yo pt presents w/pain on urination. The urine microscopy of unspun urine greater
than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is the probable dx? -
Answers- Lower UTI
A pt presents w/CVA tenderness and several-day h/o high fever, chills, and dysuria.
Which of the following dx's is most likely given the above info?
a. Pyelonephritis
b. Cystitis
c. Renal calculi
d. Bladder tumor - Answers- a. Pyelonephritis
Which of the following info is essential before prescribing Bactrim DS to a 24yo woman
w/a UTI?
a. LMP
b. Method of birth control
c. Last unprotected sexual contact
d. All of the above - Answers- d. All of the above
A pt is seen in the office c/o severe flank pain. The clinician should assess this pt for
which risk factor for kidney stones?
a. HTN
b. Constipation
c. Tubal ligation
d. Diabetes - Answers- a. HTN
A pt is diagnosed w/urge incontinence. Before prescribing Detrol XL, the provider should
question the pt about which of these contraindications to this med?
a. Diarrhea
b. Parkinson's disease
c. Closed-angle glaucoma
d. Breast cancer - Answers- c. Closed-angle glaucoma
A pt is diagnosed w/overactive bladder. Which of the following instructions should be
given to this woman?
a. "Limit the amount of water that you drink."
b. "Eliminate caffeine from your diet."
c. "Wear panty liners."
d. All of the above - Answers- b. "Eliminate caffeine from your diet."
A 34yo pt was treated for a UTI and has not responded to antibiotic therapy. Which of
the following actions should be taken next?
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