Ipapburke Gu Test 1- S/s Ut D/o

Front 1

What is pain in the GU tract usually associated with?

Back 1

distention of a hollow viscous or the capsule of an organ

Front 2

When pain associated with a malignancy is present, what does that indicative?

Back 2

It is a late manifestation that is indicative of ADVANCED disease.

Front 3

Where is renal pain found?

Back 3

at the CVA

Front 4

Where does renal pain radiate?

Back 4

to the umbilicus

Front 5

Where does the renal pain refer?

Back 5

ipsilateral testicle/labia

Front 6

Is pain with renal infection constant or intermittent?

Back 6

constant

Front 7

Is pain with renal obstruction usually constant or intermittent?

Back 7

intermittent

Front 8

Patients with obstructive renal pain--do they move around or lie motionless?

Back 8

move around looking for position of comfort

Front 9

If there is upper ureteral obstruction, where does the pain refer?

Back 9

scrotum or labia

Front 10

If there is mid ureteral obstruction, where is the pain felt?

Back 10

in the lower quadrant, right or left

Front 11

If there is lower ureteral obstruction, what symptoms will usually be present also?

Back 11

symptoms of vesicle (bladder) irritability

Front 12

Ureteral pain is usually a result of _________?

Back 12

acute obstruction

Front 13

Type of pain felt as a result of acute urinary retention.

Back 13

severe suprapubic discomfort

Front 14

Type of pain felt with chronic urinary retention.

Back 14

usually painless

Front 15

Where is acute cystitis pain usually referred?

Back 15

to the distal urethra and associated with micturation

Front 16

Prostatic pain is usually associated with what process?

Back 16

inflammation

Front 17

Prostatic pain is usually located where?

Back 17

in the perineum

Front 18

Prostatic pain may radiate to where?

Back 18

lumbosacral spine, inguinal canals, or lower extremities

Front 19

Why does an inflamed prostate result in irritative voiding complaints?

Back 19

because of inflammation near the bladder neck

Front 20

An erect penis that is painful is a sign of what disease?

Back 20

Peyronie’s disease

Front 21

A flaccid penis that is painful is a sign of what?

Back 21

secondary to inflammatory processes such as STDs or paraphimosis

Front 22

Causes of scrotum pain that radiates to the ipsilateral groin.

Back 22

acute testicular conditions such as trauma, testicular torsion, or epididymo-orchitepididymitisis

Front 23

Duration of pain in epididymitis.

Back 23

chronic pain may last months after successful treatment

Front 24

Type of symptoms that may be present with varicocele or hydrocele

Back 24

scrotal “heaviness” without radiation

Front 25

(4) irritative voiding symptoms

Back 25

frequency, urgency, nocturia, dysuria

Front 26

Definition of frequency.

Back 26

increased number of voids during the daytime

Front 27

Definition of urgency.

Back 27

sudden desire to void

Front 28

Definition of nocturia.

Back 28

nocturnal frequency

Front 29

Definition of dysuria.

Back 29

painful urination usually as a result of inflammation

Front 30

(6) obstructive voiding symptoms.

Back 30

hesitancy, decreased force of stream, intermittency, postvoid dribbling, double voiding, and straining

Front 31

Definition of hesitancy.

Back 31

delay in the initiation of micturation

Front 32

Why does hesitancy occur?

Back 32

results from increased time require for the bladder to attain the high pressure necessary to exceed that of the urethra in the obstructed setting

Front 33

What causes decreased force of stream?

Back 33

high resistance bladder encounters

Front 34

Definition of intermittency.

Back 34

interruption of the urinary stream

Front 35

What is postvoid dribbling?

Back 35

uncontrolled release of the terminal few drops of urine

Front 36

What is double voiding?

Back 36

urinating twice in 2 hour period

Front 37

What is urinary incontinence?

Back 37

involuntary loss of urine

Front 38

Four classifications of urinary incontinence.

Back 38

total incontinence, stress incontinence, urge incontinence, and overflow incontinence

Front 39

What is hematospermia?

Back 39

presence of blood in the ejaculate

Front 40

Why does hematospermia usually occur?

Back 40

results from inflammation of the prostate or seminal vesicles

Front 41

When do you do a urology referral for hematospermia?

Back 41

It is usually transient and benign, but refer if persistent/recurrent

Front 42

What is pneumaturia?

Back 42

presence of gas in the urine--patient complains of bubbles in the urine and bad smell

Front 43

What is the usual cause of pneumaturia?

Back 43

secondary to fistula between the bladder and GI tract --usually diverticulitis, but also seen with Crohn’s and colon cancer

Front 44

Most common symptom of sexually transmitted diseases

Back 44

urethral discharge associated with dysuria

Front 45

If an elderly patient has bloody urethral discharge, what must be ruled out?

Back 45

urethral carcinoma

Front 46

Fevers are __________ with upper tract infection (pyelonephritis), but _________ with lower tract infection (acute cystitis).

Back 46

typical; not typical

Front 47

Fever when associated with other signs of urinary tract infection in men, may indicate what conditions?

Back 47

acute prostatitis or acute epididymitis

Front 48

Fever may be a late finding in ___________ of the kidney, bladder, or testes.

Back 48

malignancy

Front 49

Weight loss and malaise can be associated with _________ and ________________.

Back 49

tumors; chronic kidney disease.