QUESTIONS AND ACCURATE ANSWERS
GRADED A+
●● What is the most common cause of dysuria?
Answer: Lower urinary tract infection.
●● What urinary symptom suggests bladder irritation or inflammation?
Answer: Frequency and urgency.
●● What condition should be suspected in a male with dysuria and
tender prostate?
Answer: Prostatitis.
●● What female condition may mimic dysuria because of external
irritation?
Answer: Vaginitis.
●● Which medications may cause dysuria due to anticholinergic effects?
Answer: SSRIs, opioids, scopolamine.
●● What is hematuria?
,Answer: Blood in urine.
●● What is the difference between gross and microscopic hematuria?
Answer: Gross is visible; microscopic is detected by microscopy.
●● What finding strongly suggests glomerular disease?
Answer: RBC casts.
●● What should gross painless hematuria raise concern for?
Answer: Urinary tract malignancy.
●● What color urine may occur with rifampin or phenazopyridine?
Answer: Red-orange urine.
●● What urine finding suggests bacterial infection?
Answer: Positive leukocyte esterase or nitrites.
●● What is the most accurate test for quantifying proteinuria?
Answer: 24-hour urine protein collection.
●● What proteinuria level suggests nephrotic syndrome?
Answer: >3.5 g/day.
, ●● What is orthostatic proteinuria?
Answer: Proteinuria occurring after prolonged standing but absent first
thing in the morning.
●● What malignancy is associated with Bence Jones proteins?
Answer: Multiple myeloma.
●● What does RBC casts usually indicate?
Answer: Glomerular disease.
●● What is gross painless hematuria concerning for?
Answer: Malignancy.
●● What do nitrites on urinalysis commonly suggest?
Answer: Bacterial infection.
●● What may dysuria with vaginal discharge in females indicate?
Answer: Vaginitis or STI.
●● What is the first-line diagnostic test for hematuria?
Answer: Urinalysis.