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102 Cards in this Set

  • Front
  • Back
What is the etiology of granuloma inguinale?
Klebsiella
A 22 y/o female pt comes to medical complaining of lower abdomenal pain, abnormal vaginal discharge and has positive cervical motion tenderness. What would be your likely diagnosis?
Pelvic inflammatory disease
A male pt comes into medical complaining of right side scrotal swelling that has been increasing over the last couple months. Upon palpation, you notice a mass and it transilluminates. What do you suspect the diagnosis is?
Hydrocele
What hormone is secreted by the ovaries and can lower blood cholesterol?
Estrogen
What hormone stimulates the leydig cells to secrete testosterone?
LH
A male pt comes to medical because his got his penis caught in his zipper. What would be the appropriate treatment?
1) Make one attempt w/ local anesthetic and mineral oil
2) If that is unsuccessful, use a wire cutter to cut the medican bar on the top of the zipper slider so the 2 sides come apart
What is the middle muscular layer of the uterus called?
Myometruium
What is the inner linning of the uterus called?
Endometrium
A male pt comes in complaining of problems urinating, fever, and suprapubic pain. Upon palpation, you noticed his prostate is grossly enlarged. You determine he needs to be hospitalized and have IV antibiotics. What medication would you use?
Ampicillin 1 g
What is a modifiable risk factor for breast cancer?
Nulliparous (never had children) or late first pregnancy
What stage of syphillis manifests as macular papillary lesions on the skin?
Secondary
A female complains of pain with urination, suprapubic pain and a slight fever. She has a hx of UTIs and is diagnosed with chronic cystitis. What med would you prescribe for her?
Cipro 500 mg
A pt comes in for a follow up from urinary stone disease. He is having flank pain and N/V. What is a possible complication?
Urinary stone obstruction
What molecule can buffer acids and bases?
Protein
A female complains of flank pain and N/V. She states that she was diagnosed with urinary stone disease and is on a high protein diet. How many weeks should you wait to refer her to Urology?
2-4 weeks
How many mL are excreted by the kidneys each day?
about 1500 mL
What components make up the urinary system?
- 2 kidneys
- 2 ureters
- 1 bladder
- 1 urethra

(not testes)
A male pt states he was punched in the testes a couple days ago and now he has necrotizing scrotal skin. What meds do you prescribe for him?
Hydrocortosone cream
A male pt complains of lower abdominal pain, difficultly urinating and sometimes urinary retention. Upon palpation, you notice his prostate is smooth, firm, and elastic BPH prostate. What is the treatment for him?
Urology consult
What is nephology?
The study of the anatomy, physiology, and disorders of the kidneys
What diagnosis consists of a painless lesion on the penis and a rash on the palms of hands and soles of feet?
Secondary syphilis
What diagnosis consists of a firm, irregular breast mass that has discolortion around the area?
Fat necrosis
How many mL flow into the kidneys per min via the right or left renal arteries?
1200 mL (about 20-25% of the resting cardiac input)
What phase of the female reproductive cycle stays the most constant?
Post ovulatory phase
A male pt complains of pain to scrotum, swelling, tenderness, and fever. You diagnose him with epidiymitis. What tx would you recommend in addition to antibiotics?
Ice the area
A pt complains of blood in the urine after completing a marathon but has no pain or abmormal discharge. What would you recommend the patient do for treatment?
- Increase PO fluid intake
- UA
A male pt states he was kicked in the scrotum a week ago and now has intense pain, discoloration, and an absent cremestaric reflex. What is the diagnosis and how would you treat it?
Testicular torsion

Tx - manual detorsion
If a patient has a testicular torsion and you are unable to MEDEVAC him immediately, what treatment should you preform?
Manual detorsion
What pair of ribs protect the superior parts of the kidneys?
11th and 12th
What is the glomerular filtration rate (GFR)?
Males = 125 mL/ min
Females = 105 mL/min
What is the first step in the production of urine?
glomerular filtration
A pt is positive for bacteria in the urine, has flank pain, fever, and chills. They are diagnosed with acute pylenophritis. What medication would you use to treat them?
Ofloxacin 300 mg
What is the terminal opening of the bladder?
urethra
What duct is formed when the ductus deferens and the seminal vesicle meet?
Ejaculatory duct
The bladder stores urine prior to its elimination and then expels urine into the urethra is known as what?
Micturition
A female pt is in for her annual exam and you notice discharge from both nipples. She states that she has been taking steriods and that the discharge is new. What other question would you ask her?
"Is this is in relationship to your menses?"
What are the 5 "D"'s of inspection of the nipples and areolas?
- Discharge
- Depression or inversion
- Discoloration
- Dermatologic changes
- Deviation
How does the body eliminate hydrogen?
Through 3 buffer systems:

- Protein Buffer system
- Carbonic Acid- bicarbonate Buffer system
- Phosphate Buffer system
The urinary bladder is made of 3 smooth muscular layers called?
Detrusor muscles
When during the menstrual cycle is there an excess amount of LH?
During ovulation.

LH stimulates the ovulation cycle to begin
What is the extracellular fluid that is found inside the ears?
Endolymph
A male pt presents with pan and swelling to his penis. He states he was wrestling with his girlfriend and bent it. What would be the treatment of choice for him?
Referral to Urology
What percentage of body fluids make up the total body mass in lean adults?
55-60%
Metabloic water gain account for how many mL per day?
200 mL/day
A pt presents with irriation while urinating and was diagnosed with acute pyelonephritis. What is the appropriate treatment for this patient?
- Cipro 750 mg
- Pt education
A male pt presents with urinary retention, focal nodules on his prostate and has an elevated PSA level. What would be your treatment plan?
Referral to Urology
At what age should females begin self breast exams?
Around age 20
What type of swab would you use for a GC/ Chlamydia test?
Dacron swab
A male pt complains of scrotal swelling. Upon palpation, you notice a mass that is non-tender, irregular and it does not transilluminate. What is your treatment plan?
Referal to Urology
A pt complains of slight fever, flank pain, and irritation when urinating. He states he has a hx of urinary stones and you diagnose him with acute cystitis. What meds would you prescribe for him?
Pyridium 200 mg
A male pt complains of irritation when urinating and fever x 2 days. Upon palpation, you notice he has an enlarged prostate and diagnose him with bacterial prostatitis. What med do you prescribe for him?
Erythromycin
What is a complication of urinary stone disease?
Sepsis
What hormone is the main regulator of calcium in the blood?
Parathyroid hormone (PTH)
PTH enhances reabsorption of calcium and it is filtered back into the blood and it increases the production of what?
Calcitriol (the second regulator of calcium in the blood)
What remains in the blood stream because it is too large to pass through the filtration membrane (impermeable)?
- Blood cells
- Plasma proteins
What is the small volume of ejaculatory fluid prior to ejaculation?
Emission
What is seamen?
A mixture of sperm and secretions of the seminal vesicles, prostate, and bulbourethral glands
What contains an antibiotic that can destroy certain bacteria?
Seamen
What glands secrete mucus in the urethra?
Periurethral glands
What is HCG?
human chorionic gonadotropin
What is a non-invasive form of permanent birth control for females?
Essure
The orange appearance (peau d'orange) of the breast indicate what?
A build up in the lymph nodes
When palpating the lymph nodes in the axillae and the upper arm, how do you want her to position her arm?
Flexed at the elbow
A female pt come in for a pregnancy counseling. What do you tell her can happen in the 2nd trimester?
vascular spider veins
What are painless, firm, rubbery lumps that do not flucuate with normal menses indicative of?
Fibroadenoma
A pt comes to you worried that she is at risk for ovarian cancer. What are some risk factors?
Family history of cancer
A female complains of vaginal pain x 4 days. She has no abnormal discharge or bleeding and is not related to any other HPI. What other question should you ask?
"Does this coincides with your menses?"
During a pelvic exam, you have the patient bare down. What are you observing?
- Uterine prolapse
- Urinary incontience
A female pt comes in complaining lower abdomen pain and pain with cervical motion. What would be your likely diagnosis?
Pelvic Inflammatory Disease (PID)
During a pelvic exam, you notice abnormal vaginal bleeding, edema in the legs, discharge, and a mass. What is this indicative of?
Vaginal carcinoma
If you notice discoloration around the L1, what would your treatment plan include?
Referal to Ortho
A male pt comes in with a partial penile amputation. The bleeding is controlled but he is in intense pain. What treatment will need to be done?
Micro vascular surgical reattachment
A male pt complains of scrotal pain and enlargment, pain to the inguinal area and swelling. What would the treatment for him be?
Referal to ortho
A male pt comes in complaining of sudden intense scrotal pain this morning. He states that he was punched in the scrotum the night before. When you conduct a cremastric reflex, you notice no movement. How would help this patient?
Manual detorsion - rotate teste clockwise (when viewed from the front)
A pt complains of blood in the urine after falling onto his back. He is also complaining of pain on his side. What would be the appropriate treatment for him?
Referal for an ultrasound
A pt presents with blood in the urine and pain while urinating. She is diagnosed with an UTI. What med would you treat her with?
Cipro 500 mg
A pt is diagnosed with acute cysititis. She has irritation while urination. What medication would you prescribe for her?
Cipro 500 mg
A pt has been diagnosed acute pyelonephritis. He has flank pain, fever, chills, frequent urination and irritation while urination. What medication would you give him?
Amoxicillin 1 g IV
A pt has a long hx of voiding problems and periprostatic tenderness. He is diagnosed with prostadynia. What medication would you prescribe for him?
Terazosin 1-10 mg
A pt is diagnosed with non-sexually transmitted epididimytis. What medication would you prescribe for them?
Cipro
A pt has diagnosed with sexually transmitted epididimytis and has scotal swelling and pain. What can you tell your patient to help with his treatment?
Use scrotal support or elevate scrotum
What phase shows late stage sphyllis after the first year of infection?
Early latent phase
When should you repeat an HIV test be repeated after being in a high prevalence area?
3 months
What is an alternate treatment for chlamydia?
Levofloxicin 500 mg QD x 7 days
A pt presents with superior posterior testicular pain, positive phren's sign, nausea and febrile. What is the diagnosis and how would you treat this patient?
- GC

- Doxy 100 mg
- Cefriaxone 250 mg
- Azithromycin 1 g
When looking under the microscope you notice multinucleated giant cells on a Tzanks smear. What is that indicative of?
Herpes simplex
What can you prescribe a pt with pubic lice?
- 1% permethrin rinse
- 5% topical cream

Add to the entire body for 8 hours
Upon inspection of the pubic region, you notice numerous small white eggs attached to the base of the hairs. What do you prescribe for this patient?
1% prermethrin cream
Pt presents to clinic with vaginal irritation, especially during intercourse. Upon a vaginal exam, you notice a greenish-yellow discharge. What is this indicative of?
Trichomoniasis
What is the treatment for trichomoniasis?
Tinidazole
What is the recommended fluid rate for a pt with hyponatremia?
1 - 1.5 L per day
When conducting a well women exam, you notice bruising to the upper genital and she is displaying advoidance. What would be your next course of action?
Find an Advocate, she may be a victim of sexual assualt
A female pt comes in complaining of burning, itchy and smelly vaginal discharge. What is your likely diagnosis?
Vaginal candidiasis
How would you treat vaginal candidasis?
Use a topical azoles
What is the definition of Amenorrhea?
the absence of a menses
What is a complication of using a diaphragm?
Possible UTI if not taken out properly
What is the most effect form of birth control?
Abstinence
Upon palpation of the scrotum, you notice a mass over the right spermatic cord that is more prominent when he is standing. It feels like a "bag of worms". What is your likely diagnosis?
Epididimitis or Varicocele
What category of medications are safe for pregnant women?
Drug category A (best) and B
A female pt presents with the complaint of dysmenorrhea. She stated she has been taking NSAIDs. What would you need to discuss with her?
- Educate her to take the NSAIDs only when needed
- Oral contraceptives may help regulate her menses
When you placing a urethral catheter in, what are you putting in the balloon of the catheter?
Normal saline
How many times should you swab the meatus prior to inserting a catheter?
3