Hematology Unit Test Questions Solved
Correctly.
What is cystitis? - Answer Inflammation/Infection of the bladder usually caused by GI
bacteria.
What findings from a UA may indicate a UTI? - Answer + leukocyte esterase
WBCs
Nitrites (slam dunk positive)
Blood
Culture reveals exogenous bacteria
What are the classic manifestations of a UTI? - Answer Increased urinary frequency/urgency
Dysuria
Suprapubic pain
Hematuria and lower flank pain
What is the number one sign of a UTI in older patients? - Answer Confusion
What is pyelonephritis? - Answer A bacterial infection of the kidneys
What are other s/sx of pyelonephritis? - Answer CVA tenderness, elevated temperature,
malaise, HA, N/V
How do we manage UTIs? - Answer Antibiotics, Antispasmotics, increase fluids, cranberry
juice, avoid coffee, tea, colas, and other UT irritants
What are the classic antibiotics for UTI? - Answer Sulfamethoxazole and trimepthoprim
(Bactrim), Cipro, Nitrofurantoin, Phenazopyridine
Let's remember urinary incontinence and what they are characterized by: - Answer stress -
increased pressure causes leakage
urge - sudden need to urinate without earlier warning signs
, mixed- mixed
Overflow - when the bladder is so full that the urine leaks out into the urethra, or when a
blockage in urethra blocks urine flow until pressure is too great and urine flows around blockage
Functional - neurologic
What does DIAPPERS stand for? - Answer Delirium
Infection
Atrophic vaginitis
Pharmaceuticals
Psych-depression
Excessive urine production
Reduced mobility
Stool impaction
How do we manage stress incontinence without surgery - Answer exercise, drugs,
standardized voiding frequency, diet therapy
What is PVR goal to rule out urinary retention - Answer <50-100mL PVR
What is the main sign and symptom of urolithiasis? - Answer Flank pain (renal colic)
What is lithotripsy? - Answer a procedure that uses sound waves to break the stones
What foods do we avoid to prevent urolithiasis? - Answer spinach, rhubarb, nuts, wheat bran
What is the most common cause of bladder cancer? - Answer Smoking
How do we manage Bladder Cancer - Answer TUR or cauterization: patients require periodic
evals for rest of lives
Cystectomy (removal of bladder)
Radical cystectomy: men: bladder, prostate, seminal vesicles, and perivesicular tissue
women: bladder, lower ureter, uterus, fallopian tubes, ovaries, anterior vagina, and urethra
Chemo
Radiation