Genitourinary System Discussion Questions

Genitourinary System Discussion Questions
Genitourinary System Discussion Questions
 
1. MOST noncomplicated, on nosocomial urinary tract infections are
caused by
A. Escherichia coli
B. Chlamydia trachomatis
C. Neisseria gonorrhoeae
D. Pseudomonas aeruginosa
E. Gardnerella vaginalis
2. Which of the following is NOT a sign or symptom of acute cystitis?
Dysuria
Suprapubic pain
Urgency
Flank pain > POOR Nocturia
2 / Physician Assistant Examination Review
3. Which of the following is NOT indicated in the evaluation of acute
bacterial prostatitis?
p BUOD
Rectal examination
Urinalysis
Transurethral instrumentation ~
CBC
Urine culture and sensitivity
In males, gonococcal urethritis =
C;
A.
B.
Cc;
D.
E.
is always symptomatic
spontaneously resolves after three months
presents with a scant, clear discharge
is transmitted by vaginal intercourse only
usually presents with urethral discharge and dysuria
trachomatis
rarely causes epididymitis in men under 35 years old
is always symptomatic
is not a sexually transmitted disease
is present in 80% of men with Reiter’s syndrome
is a gram-negative, intracellular diplococcus
Renal calculi are MOST commonly
SSO FS
uric acid
calcium oxalate
calcium phosphate
cystine
a combination of calcium oxalate and phosphate
The common sites of renal stone impaction include all of the following EXCEPT
PS SOR
the ureteropelvic junction
the ureterovesical junction
the level of crossing of the ureter over the iliac vessels
the vesicourethral junction
Genitourinary System / 3
8. Which of the following findings on IVP indicates the need for immediate referral to a urologist for a patient with renal colic?
> oO
Bilateral renal calculi
Prompt excretion of dye by both kidneys
Nonobstructing ureteral stone
Unilateral total obstruction of ureter
Bladder stone
9. A thin clear discharge that continues following penicillin treatment
of gonococcal urethritis is MOST likely due to
Roope
inadequate treatment
a resistant strain of N. gonorrhoeae
urethral inflammation
benign posttreatment discharge
concurrent infection by C. trachomatis
10. The single most useful SCREENING test for GU disease is
2 BS He
urinalysis
CBC
24-hour urine
BUN
creatinine
11. Acontraindication to catheterization in the management of acutely
injured patients is
> MOA
pelvic injury
abdominal injury
spinal fracture
blood in the urethral meatus
shock
12. Which of the following is NOT consistent with nephrotic syndrome?
wD oO
Massive edema
Less than one gram proteinuria in 24-hour urine
Hypoalbuminemia
Hyperlipidemia
Anemia
4 / Physician Assistant Examination Review
13. The MOST common sign of a genitourinary tract tumor is
A. pain
B. dysuria
C. hematuria
D. palpable mass
14. Nephroblastoma (Wilms’ tumor) is a malignant renal tumor that
occurs primarily in
A. males
B. females
C. blacks
D. whites
-E. children
15. The MOST common tumor of the GU tract is cancer of the
A. urethra
_ B. prostate
C. bladder
D. ureter
E. kidney
16. Which of the following is NOT true of prostate cancer?
A. It is rarely diagnosed in men under 50 years of age
B. Common metastatic sites are the spine and pelvis
C. Soft, indiscreet, symmetrical nodules usually are cancerous
D. Obstructive symptoms are common
17. Which of the following should increase suspicion of prostatic cancer?
A. Rapid onset and progression of symptoms
B. Incomplete emptying of bladder and pain
C. Hesitancy, dribbling, and urgency
D. Loss of force and decreased caliber of stream
18. Malignancy of the testis
is relatively common
is directly related to testicular trauma
generally presents as a painful mass
occurs primarily in younger men