Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
28 Cards in this Set
- Front
- Back
|
Define dysuria |
sensation of pain, burning discomfort while urinating |
|
|
What diagnostic test DOES not belong when treating UTI a) U/S b)urinalysis c) CBC d) kOh test
|
c) least likely
|
|
|
What are UTI risk factors? |
obstruction, resistance to organisms, foreign bodies, trauma, anatomical, female |
|
|
What is the most common cause of a UTI? a) kleisbella b) E. coli c) entercocci d) saphrolyticus |
a) E. coli |
|
|
What clinical symptoms would be present with failure to void? a) hesitancy b) frequency c) urgency d) dysuria |
a) Hesitancy |
|
|
What clinical symptoms would be present with a failure to store? a) hesitancy b) post- void dribbling c) double void d) urgency |
d) urgency |
|
|
Who is most likely to experience dysuria? A) women b) men c) elderly d) children |
A) women |
|
|
What age is m/c to experience dysuria a) 25-54 b)16-25 c)25-35 d) sexually active
|
A &D |
|
|
What can the bladder hold? a) 150-300 ml b) 300-550 ml c) 300-350 ml d) >200 ml |
C) 300- 350 ml |
|
|
WHat are the common causes of
KEEPS |
kleibella, E.coli, enterococci, proteus mirabilis, pseudomonas, saprophyticus, S. fecalis
others ;TB, chlamydia tracy, candid, herpes, gonorrhea |
|
|
What are top 2 labs to run for dysuria |
urine culture, U/A |
|
|
What condition is typically present 1-2 weeks following infection? a) cystitis b) pyelonphiritis c) urethritis d) vaginitis |
C) urethritis |
|
|
Pick 2 top causes of urethritis a) gon. neisurrea b) chlamydia trichomosa c) herpes simplex d) diabetes
|
A &B |
|
|
What colour would most likely be the discharge in a case with gonnorhea urethritis? a) yellow b) clear c) green d) while |
Green |
|
|
What condition is most likely to be asxs a) vaginitis b) subclinical pyelonprhitis c) cystitis d) urethritis |
D) urethritis |
|
|
What is the diagnostic criteria for urethritis |
a) mucopurulent / purulent urethral discharge b) urethral smear > 5 leukocytes/ field c) 1st void specimen > leukocytes esterase on dispatch > 10 WBC/field |
|
|
What should patients with urethritis be tested for |
gonnorhea/ chlamydia |
|
|
Who is most affected by interstitial cystitis a) women b) men c) diabetes d) elderly |
90% women |
|
|
What organ is affected by interstitial cystitis? a) ovaries b) cysts c) bladder d) urethral |
bladder |
|
|
50 year old females has complaints of dysuria - increase frequency and urgency. there is pain associated and she feels as if her bladder is never completely empty. This started a few hour ago and ever since has felt the compulsion to urinate. She is never to leave the house. What condition might she have? |
Interstitial cystitis |
|
|
What are 2 types of classifications of Interstitial cystitis? |
ulcerative and non ulcerative |
|
|
What is the name of the ulcer in IC - what can it lead to? |
Hunner ulcer: can lead to fissures and cracks. inflammatory changes lead to mast cell infiltration resulting in decreased bladder capacity |
|
|
What can cause scaring of the kidneys? |
Acute pyelonphritis |
|
|
25 YOA female presents with dysuria. Upon examination notice she has temperature of 38.5. She is experiencing some pain along her sides and nauseous. This started rapidly last evening. Upon palpation of CVA she reports tenderness. What is most likely her condition? What symptom might be present in elderly with this condition? |
Acute pyelonephritis Confusion |
|
|
What exams do you want to do with acute pyelonephritis a) abdominal exam b) pelvic exam c) temperature d) CVA tenderness |
ALL |
|
|
When and why would you investigate acute pyelonphritis? |
if fever, pain and leukocytosis do not get better within 48-72 hr. |
|
|
45 YOA male present in office with dysuria. He appears to be withering from the pain and points to side as the source of pain. He worries because he notices blood in his urine. a) acute pyeloneprhtisi B) BPH c) nepholithiasis d) prostate cancer |
C |
|
|
What is m/c urologic diagnosis in men <50 yoa? a) prostate cancer b) STI c) acute bacterial prostitis d) nepholithiasis |
C |
