GU/NEPHROLOGY - SHANKER'S QUIZ + PREPU.
Perfect Prep for Every Paper | Precision in Every Answer!
A 16-year-old male presents to the emergency department with sudden onset of pain
and swelling of his right scrotum. On examination, the right testicle is enlarged and
extremely tender to palpation; cremasteric reflex is absent. Testicular ultrasonography
reveals decreased blood flow to the testicle. What is the most appropriate next
intervention? - Answer: emergency surgery
What is the most common pathogen in uncomplicated urinary tract infections (utis) or
cystitis? - Answer: E. Coli
A 29-year-old female who is 24 weeks pregnant presents complaining of a sudden
onset of a severe intermittent pain originating in the right flank and radiating into the
right groin. She also complains of nausea and vomiting. Fundal height is consistent with
her dates. She exhibits tenderness to palpation along the right flank with no rebound.
Urinalysis reveals microscopic hematuria. Ultrasonography reveals right hydroureter
and hydronephrosis. What is the most likely diagnosis? - Answer: nephrolithiasis
A 27-year-old female presents complaining of left flank pain that has been present for
the past 8 hours. She states that for the past couple of days she has been experiencing
frequency and dysuria and today began to experience fever and chills. Examination
reveals a fever of 102.0°F with left costovertebral angle tenderness. What is the most
likely diagnosis? - Answer: pyelonephritis
Which of the following ECG changes is consistent with hyperkalemia? - Answer: peaked
T-waves
A 34-year-old male presents with dysuria and milky urethral discharge. History reveals
recent intercourse with a new partner without protection. Gram stain is positive for
intracellular diplococci. Which of the following is the antibiotic regimen of choice? -
Answer: ceftriaxone and azithromycin
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, Which of the following urinalysis results is most consistent with a urinary tract infection
(UTI)? - Answer: 20-30 wbcs/HPF, 5-10 rbcs/HPF, positive leukocyte esterase, positive
nitrite
A sexually-active 19-year-old male complains of fever, urinary frequency and urgency,
and dysuria and scrotal pain for the past 2 days. On physical examination he has a
temperature of 101°F, scrotal swelling, and purulent urethral discharge. Microscopic
examination of the discharge shows gram-negative intracellular diplococci. What is the
most appropriate antibiotic therapy? - Answer: ceftriaxone
Microscopic hematuria is found on urinalysis for a 50-year-old male undergoing a
routine physical exam. He is asymptomatic and cannot recall if he ever had hematuria
before. Presence of which additional factor increases the likelihood that there is a
serious underlying abnormality? - Answer: cigarette smoking
Which of the following is an indication for admission to the hospital in a patient with
acute renal colic? - Answer: inability to tolerate oral fluids or pain medications
A 32-year-old male construction worker was working on a building demolition when a
large chunk of concrete fell onto his thigh. His coworkers were unable to free him. He
was finally freed after 75 minutes when rescue workers were able to extricate him.
Which of the following laboratory studies is expected to be elevated? - Answer: creatine
phosphokinase (CPK)
A 69-year-old male with a 55-pack-year smoking history presents with painless
hematuria for 2 days. Further questioning reveals progressing frequency and dysuria as
well as mild flank pain over the past few weeks. He is afebrile and denies a history of
recent upper respiratory tract infection. Urine dip is positive for blood. What is the most
likely diagnosis? - Answer: renal cell carcinoma
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
Perfect Prep for Every Paper | Precision in Every Answer!
A 16-year-old male presents to the emergency department with sudden onset of pain
and swelling of his right scrotum. On examination, the right testicle is enlarged and
extremely tender to palpation; cremasteric reflex is absent. Testicular ultrasonography
reveals decreased blood flow to the testicle. What is the most appropriate next
intervention? - Answer: emergency surgery
What is the most common pathogen in uncomplicated urinary tract infections (utis) or
cystitis? - Answer: E. Coli
A 29-year-old female who is 24 weeks pregnant presents complaining of a sudden
onset of a severe intermittent pain originating in the right flank and radiating into the
right groin. She also complains of nausea and vomiting. Fundal height is consistent with
her dates. She exhibits tenderness to palpation along the right flank with no rebound.
Urinalysis reveals microscopic hematuria. Ultrasonography reveals right hydroureter
and hydronephrosis. What is the most likely diagnosis? - Answer: nephrolithiasis
A 27-year-old female presents complaining of left flank pain that has been present for
the past 8 hours. She states that for the past couple of days she has been experiencing
frequency and dysuria and today began to experience fever and chills. Examination
reveals a fever of 102.0°F with left costovertebral angle tenderness. What is the most
likely diagnosis? - Answer: pyelonephritis
Which of the following ECG changes is consistent with hyperkalemia? - Answer: peaked
T-waves
A 34-year-old male presents with dysuria and milky urethral discharge. History reveals
recent intercourse with a new partner without protection. Gram stain is positive for
intracellular diplococci. Which of the following is the antibiotic regimen of choice? -
Answer: ceftriaxone and azithromycin
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, Which of the following urinalysis results is most consistent with a urinary tract infection
(UTI)? - Answer: 20-30 wbcs/HPF, 5-10 rbcs/HPF, positive leukocyte esterase, positive
nitrite
A sexually-active 19-year-old male complains of fever, urinary frequency and urgency,
and dysuria and scrotal pain for the past 2 days. On physical examination he has a
temperature of 101°F, scrotal swelling, and purulent urethral discharge. Microscopic
examination of the discharge shows gram-negative intracellular diplococci. What is the
most appropriate antibiotic therapy? - Answer: ceftriaxone
Microscopic hematuria is found on urinalysis for a 50-year-old male undergoing a
routine physical exam. He is asymptomatic and cannot recall if he ever had hematuria
before. Presence of which additional factor increases the likelihood that there is a
serious underlying abnormality? - Answer: cigarette smoking
Which of the following is an indication for admission to the hospital in a patient with
acute renal colic? - Answer: inability to tolerate oral fluids or pain medications
A 32-year-old male construction worker was working on a building demolition when a
large chunk of concrete fell onto his thigh. His coworkers were unable to free him. He
was finally freed after 75 minutes when rescue workers were able to extricate him.
Which of the following laboratory studies is expected to be elevated? - Answer: creatine
phosphokinase (CPK)
A 69-year-old male with a 55-pack-year smoking history presents with painless
hematuria for 2 days. Further questioning reveals progressing frequency and dysuria as
well as mild flank pain over the past few weeks. He is afebrile and denies a history of
recent upper respiratory tract infection. Urine dip is positive for blood. What is the most
likely diagnosis? - Answer: renal cell carcinoma
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
