PAEA INTERNAL MEDICINE EOR EXAM
QUESTIONS AND REVISED 100% VERIFIED
SOLUTIONS
what are RF for developing renal cell carcinoma? - ANSWER *male*
*cigarette smoking*
dialysis
HTN
Obesity
exposure ot cadmium, asbestos, and solvents
what is the classic triad for renal cell carcinoma? - ANSWER hematuria, flank
pain, palpable abdominal mas
how is renal cell carcinoma MC though of as a dx? - ANSWER usually due to
systemic sxs
fatiguability, weight loss, cachexia, intermittent fever, anemia
what are (3) paraneoplastic syndromes associated with renal cell carcinoma? -
ANSWER *hyperclacemia* (parathyroid hormone)
galactorrhea (prolactin)
cushing's syndrome (glucocorticoids)
an older male is a L-sided varicocele = ? - ANSWER RCC until proven otherwise
what is the method of choice for diagnosing RCC? - ANSWER CT scan
what is the treatment of choice for RCC? what if there is bilateral involvement? -
ANSWER total nephrectomy if there is no evidence of mets
if bilateral, do a partial nephrectomy so there is some kidney left
, what are sxs of cystitis? - ANSWER dysuria, increased frequency, urgency,
hematuria, suprapubic discomfort
tx of cystitis? - ANSWER nitrofurantoin (macorbid) in pregnancy
FQ is most affective (cipro)
Can also give Bactrim (but there is low efficacy in NYC)
what can you give in the tx of cystitis to help with the pain?
what are complications? - ANSWER phenazopyridine
can cause urine orange
cannot use for >48 hrs
can cause hemolytic
anemia
what is considered a "uncomplicated" cystitis? - ANSWER women
what is considered a "complicated" cystitis? - ANSWER men
pregnant people
children (rare)
how do you treat complicated cystitis? - ANSWER FQ PO ar IV
aminoglycosides
in prego ppl can give amoxicillin, bactrim, nitorfurantoim
what do you do to test for cystitis? - ANSWER Urine dipstick
See Leukocyte esterase, nitrites
what is definitive dx for cystitis? - ANSWER urine culture
MC organism for cystitis? - ANSWER e coli
MC organism for cystitis in sexually active women? - ANSWER staph
, saprophyticus
WBC casts on UA = - ANSWER pyelo
sxs of pyelo - ANSWER *fever, chills,*
CVA tenderness
Back/flank pain
dx of pyelonephritis? - ANSWER CBC shows leukocytosis with left shift
+ WBC casts
tx of pyelo? - ANSWER fluoroquinolnoes PO or IV and ahminoglycosides
what si emphysematous pyelonephritis and who is it MC seen in? dx? - ANSWER
E. coli shows fermented gas on CT scan
Seen in diabetics
what are sxs of acute prostatitis - ANSWER perineal, sacral, suprapubic pain
fever
irritative voiding sxs
how do you dx acute bacteria prostatitis - ANSWER gentle rectal exam, do NOT
massage bc it will cause sepsis
how do you tx chronic bacteria prostatitis? - ANSWER FQ + aminoglcoside
what is prostatodynia? who is it seen in? sxs? tx? - ANSWER a non-inflammatory
disorder where the prostate is NORMAL but there is hesitancy and disruptive flow of
urine due to a bladder neck or urethral spasm or sricute
seen in young and middle aged males
tx with antispasmodic
MC sexually transmitted dz? - ANSWER chalymidia
tx of chalymidia? gonorrhea? - ANSWER C- azithromycin
G- Rocephin
QUESTIONS AND REVISED 100% VERIFIED
SOLUTIONS
what are RF for developing renal cell carcinoma? - ANSWER *male*
*cigarette smoking*
dialysis
HTN
Obesity
exposure ot cadmium, asbestos, and solvents
what is the classic triad for renal cell carcinoma? - ANSWER hematuria, flank
pain, palpable abdominal mas
how is renal cell carcinoma MC though of as a dx? - ANSWER usually due to
systemic sxs
fatiguability, weight loss, cachexia, intermittent fever, anemia
what are (3) paraneoplastic syndromes associated with renal cell carcinoma? -
ANSWER *hyperclacemia* (parathyroid hormone)
galactorrhea (prolactin)
cushing's syndrome (glucocorticoids)
an older male is a L-sided varicocele = ? - ANSWER RCC until proven otherwise
what is the method of choice for diagnosing RCC? - ANSWER CT scan
what is the treatment of choice for RCC? what if there is bilateral involvement? -
ANSWER total nephrectomy if there is no evidence of mets
if bilateral, do a partial nephrectomy so there is some kidney left
, what are sxs of cystitis? - ANSWER dysuria, increased frequency, urgency,
hematuria, suprapubic discomfort
tx of cystitis? - ANSWER nitrofurantoin (macorbid) in pregnancy
FQ is most affective (cipro)
Can also give Bactrim (but there is low efficacy in NYC)
what can you give in the tx of cystitis to help with the pain?
what are complications? - ANSWER phenazopyridine
can cause urine orange
cannot use for >48 hrs
can cause hemolytic
anemia
what is considered a "uncomplicated" cystitis? - ANSWER women
what is considered a "complicated" cystitis? - ANSWER men
pregnant people
children (rare)
how do you treat complicated cystitis? - ANSWER FQ PO ar IV
aminoglycosides
in prego ppl can give amoxicillin, bactrim, nitorfurantoim
what do you do to test for cystitis? - ANSWER Urine dipstick
See Leukocyte esterase, nitrites
what is definitive dx for cystitis? - ANSWER urine culture
MC organism for cystitis? - ANSWER e coli
MC organism for cystitis in sexually active women? - ANSWER staph
, saprophyticus
WBC casts on UA = - ANSWER pyelo
sxs of pyelo - ANSWER *fever, chills,*
CVA tenderness
Back/flank pain
dx of pyelonephritis? - ANSWER CBC shows leukocytosis with left shift
+ WBC casts
tx of pyelo? - ANSWER fluoroquinolnoes PO or IV and ahminoglycosides
what si emphysematous pyelonephritis and who is it MC seen in? dx? - ANSWER
E. coli shows fermented gas on CT scan
Seen in diabetics
what are sxs of acute prostatitis - ANSWER perineal, sacral, suprapubic pain
fever
irritative voiding sxs
how do you dx acute bacteria prostatitis - ANSWER gentle rectal exam, do NOT
massage bc it will cause sepsis
how do you tx chronic bacteria prostatitis? - ANSWER FQ + aminoglcoside
what is prostatodynia? who is it seen in? sxs? tx? - ANSWER a non-inflammatory
disorder where the prostate is NORMAL but there is hesitancy and disruptive flow of
urine due to a bladder neck or urethral spasm or sricute
seen in young and middle aged males
tx with antispasmodic
MC sexually transmitted dz? - ANSWER chalymidia
tx of chalymidia? gonorrhea? - ANSWER C- azithromycin
G- Rocephin
