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1. Management of cauda equina syndrome - ANSWER Involves compression
of multiple lumbar nerve roots and is a medical emergency.
2. priapism tx - ANSWER aspiration of the corpus covernosum with dilute epi
or phenylephrine ... may need to create a communication through the glans
with a scalpel
3. Prostate cancer screening - ANSWER Beginning at age 50; age 45 for
African Americans. Have prostate-specific antigen (PSA) blood test and
digital recal exam (DRE) yearly.
4. BPH treatment - ANSWER -Alpha blockers [relax bladder neck muscles in
the prostate making urination easier]; alfuzosin (Uroxatral), doxazosin
(Cardura), tamsulosin (Flomax), and silodosin (Rapaflo),
-5-alpha reductase inhibitors [shrink your prostate by preventing hormonal
changes that cause prostate growth]; finasteride (Proscar), dutasteride (Avodart)
5. Management of prostate cancer - ANSWER Radical prostatectomy
Brachytherapy
Radiotherapy
Hormonal therapy (GnRH analogues)
Bisphosphonates for bone disease
,6. Acute prostatitis treatment - ANSWER Acute inflammation of the prostate
usually due to bacteria
7. A 27 year old female presents with a chief complaint of burning and pain on
urination. She has no previous history of urinary tract infection. what are
some additional symptoms consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch - ANSWER c. blood in urine
and frequency
8. The differential diagnosis for vertigo can be classified into which of the
following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - ANSWER d. all of the above
9. Sam is a 25-year-old man who has been diagnosed with low back strain
based on his history of localized low back pain and muscle spasm along with
a normal neurological examination. As the clinician, you explain to Sam that
low back pain is a diagnosis of exclusion. Which of the following symptoms
would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
a. morning stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the knee and are
equal to or greater than the back pain
, c. Fever, chills, and elevated erythrocyte sedimentation rate
d. pathologic fractures, severe night pain, weight loss and fatigue -
ANSWER b. unilateral radicular pain symptoms that extend below the
knee and are equal to or greater than the back pain
10.Preceptors must always see the patients that the students see in the clinical
setting
a. true
b. false - ANSWER a. true
11.An 82 year old man is seen in the primary care office with complaints of
dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above - ANSWER d. all of the above
12.Which causes the greatest percentage of mammalian bites?
a. dogs
b. cats
c. humans
d. rodents - ANSWER a. dogs
13.Janet is a 30 year old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room
, with suspician of cauda equna compression. Which of the following is a sign
or symptom of cauda equina compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks - ANSWER d. paresthesia
of the perineum and buttocks
Chronic prostatitis tx - ANSWER long duration (4-6weeks) of Bactrim or
fluoroquinolone
varicocele - ANSWER enlarged veins of the spermatic cord
Undescended testes cause infertility because - ANSWER sperm are exposed to
internal body temperature and are damaged by the heat.
hypospadias - ANSWER abnormal congenital opening of the male urethra on the
undersurface of the penis
Thyroid Disorders - ANSWER Cretinism
Hypothyroidism
Hyperthyroidism
Thyroiditis
Goiter
Thyroid cancer