Genitourinary 1 The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35

Welcome to episode 35of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue tocover topic specific PANCE and PANRE review from the Academy course content following the NCCPA content blueprint. This week we will be covering 10 topic specific Genitourinary board review questions. GU accounts for 6% of your PANCE/PANRE board exam. Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full genitourinary boardreview includes over 72 GUspecific questions andis available to all members of the PANCE and PANRE Academy. You can download and listen to past FREE episodes here,oniTunesor StitcherRadio. You can listen to the latest episode, take an interactive quizand download your results below. Listen Carefully Then Take The Quiz If you can't see the audio player click here to listen to the full episode. GenitourinaryPANCE and PANREPodcast Quiz The Audio PANCE and PANRE GU Quiz 1 Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Start Congratulations - you have completed The Audio PANCE and PANRE GU Quiz 1. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%% Your answers are highlighted below. Question 1A 65 year-old patient presents with hypertension and peripheral edema. Urinalysis reveals pale urine, with a specific gravity of 1.002, 2+ protein, trace glucose, and is negative for red blood cells and leukocytes. Serum electrolytes include BUN of 58 mg/dl and creatinine of 4.5 mg/dl. These are unchanged from previous results obtained 3 months and 6 months ago. Of the following, what other laboratory abnormalities would you expect?AHypercalcemiaHint: Patients with chronic renal failure typically present with hypocalcemia, hyperphosphatemia, and metabolic acidosis.BMetabolic alkalosis Hint: See A for explanationCHypophosphatemia Hint: See A for explanationDAnemiaQuestion 1 Explanation: Anemia of chronic disease is associated with chronic renal failureQuestion 2A 65 year-old male with a 60 pack-year smoking history presents with painless hematuria for two days. He also complains of frequency and dysuria. He denies a history of recent upper respiratory tract infection. Which of the following is the most likely diagnosis?ABladder cancerBWegener's granulomatosis Hint: Wegener's granulomatosis disease involves the kidneys and the lungs. Renal signs include hematuria, red blood cells casts, and proteinuria.CIgA nephropathyHint: IgA nephropathy typically presents after an upper respiratory tract infection and presents with hematuria and proteinuria.DBenign prostatic hypertrophyHint: BPH presents with voiding symptoms such as hesitancy, straining, weak stream and postvoid dribbling.Question 2 Explanation: Bladder cancer is associated with smoking and presents with painless hematuria.Question 3A patient on acetazolamide for glaucoma complains of increasing shortness of breath. The patient denies cough, chest pain, or fever. Physical examination is unremarkable except for an increased respiratory rate of 30/minute. Labs include Na 132 mEq/L, K 5.6 mEq/L, Cl 120 mEq/L, and CO2 10 mEq/L. Arterial blood gas results are pH 7.18, pO2 98 mmHg, pCO2 22 mmHg, and HCO3 8 mEq/L. Based upon these results, what is the diagnosis?AMetabolic alkalosisHint: See B for explanationBMetabolic acidosis CRespiratory alkalosis Hint: See B for explanationDRespiratory acidosisHint: See B for explanationQuestion 3 Explanation: Acetazolamide inhibits carbonic anhydrase, which inhibits bicarbonate ion regeneration, with resulting normal anion-gap, hyperchloremic acidosis. Respiratory compensatory mechanisms lead to hyperventilation.Question 4Which of the following is the most appropriate intervention for a stage I testicular seminoma?AWatchful waitingHint: Surveillance is an option in stage I disease of a nonseminoma testicular tumor.BChemotherapy initiallyHint: Patients with stage IIC and stage III are treated with chemotherapyCOrchiectomy and radiationDOrchiectomy and chemotherapyHint: Chemotherapy is used for later stage tumors (II/III) and followed by surgery in stage III tumors.Question 4 Explanation: Inguinal orchiectomy followed by retroperitoneal radiation t herapy cures about 98% of patients with stage I seminoma.Question 5A patient with prostate cancer has a nonpalpable, focal lesion, and the patient is reluctant to have surgery at this time. Which of the following would best monitor disease progression?APeriodic rectal examsHint: Many prostate carcinomas are contained within the gland, making it difficult to assess progression with a digital examination alone.BTransrectal ultrasonographyHint: Ultrasonography is used largely for staging disease, not monitoring disease progression.CMeasurements of serum acid phosphatase Hint: Serum acid phosphatase is more predictive of metastatic disease than PSA measurement, but its use has largely been replaced by PSA.DMeasurements of prostate-specific antigenQuestion 5 Explanation: PSA measurement correlates well with volume and stage of disease and is the recommended examination for monitoring disease progression.Question 6When the diagnosis of gonococcal urethritis is confirmed, which of the foll owing is the treatment of choice?ACeftriaxone (Rocephin)BAmoxicillin (Amoxil)Hint: Effective single-dose regimens for uncomplicated gonococcal urethritis include cefixime or one of the fluoroquinolones, but NOT amoxicillin due to penicillin-resistant strains of gonorrhea.CPenicillin G benzathine (Bicillin LA) Hint: Penicillin G benzathine is the treatment of choice for primary syphilis.DDoxycycline (Vibramycin)Hint: Doxycycline is the treatment of choice for Chlamydia urethritis, not gonococcal urethritis.Question 6 Explanation: Ceftriaxone is recommended therapy for gonococcal urethritis.Question 7A patient presents with edema, which is most noticeable in the hands and face. Laboratory findings include proteinuria, hypoalbuminemia, and hyperlipidemia. The most likely diagnosis isAcongestive heart failureHint: Dependent edema is the most typical finding with CHF. Laboratory findings do not generally include proteinuria or hypoalbuminemia.Bend-stage liver diseaseHint: Symptoms of end-stage liver disease usually include increased abdominal girth indicating ascites. Hypoalbuminemia can occur as a result of malnutrition or concurrently with nephrotic syndrome.Cnephroti c syndromeDmalnutritionHint: Malnutrition is marked by physical wasting, not edema. Hypoalbuminemia may be seen, but hyperlipidemia is not typical.Question 7 Explanation: Proteinuria, hyperlipidemia, and hypoalbuminemia are consistent with nephrotic syndrome.Question 8Which of the following is most frequently associated with bladder cancer?AHematuria BDysuriaHint: Dysuria, urgency, and frequency are associated with irritative voiding symptoms associated with cystitis.CUrgency Hint: See B for explanatioonDFrequencyHint: See B for explanatioonQuestion 8 Explanation: Significant persistent hematuria >3 RBC/HPF on three urinalysis, a single urinalysis with >100 RBC, or gross hematuria, identifies significant renal or urologic lesions. Bladder cancer usually presents with painless hematuria.Question 9A 35 year-old pregnant patient presents with fever, chills, and left-sided flank pain. On physical examination left-sided CVA tenderness is noted. Urinalysis reveals numerous white blood cel ls and white blood cell casts. Which of the following is the most appropriate treatment?AOral ciprofloxacin (Cipro)Hint: See B for explanationBOral trimethoprim-sulfamethoxazole (Bactrim)Hint: The fluoroquinolones and trimethoprim-sulfamethoxazole are contraindicated in pregnancy.CIV gentamicin (Garamycin)Hint: Gentamicin is not indicated as first line therapy in the treatment of pyelonephritis in a pregnant patient.DIV ceftriaxone (Rocephin)Question 9 Explanation: IV cephalosporins are first line treatment of pyelonephritis in a pregnant patient, followed by oral step-down therapy.Question 10The most definitive treatment for primary enuresis isAoxybutynin chloride (Ditropan)Hint: Oxybutynin chloride is used for bladder spasms. It cannot be used for children under 5 years of age and is not indicated in primary enuresis.Bimipramine (Tofranil)Hint: Imipramine is an older form of treatment that is moderately effective, but many patients relapse when therapy is stopped. This is no longe r considered the treatment of choice.Ctrimethoprim-sulfamethoxazole (Bactrim)Hint: TMP-SMX is indicated for urinary tract infections that may cause secondary enuresis, but it is not used in primary enuresis.Ddesmopressin (DDAVP)Question 10 Explanation: Intranasal desmopressin is effective in 50% of patients treated and is the treatment of choice. Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results There are 10 questions to complete. List Return Shaded items are complete. 12345678910End Return You have completed questions question Your score is Correct Wrong Partial-Credit You have not finished your quiz. If you leave this page, your progress will be lost. Correct Answer You Selected Not Attempted Final Score on Quiz Attempted Questions Correct Attempted Questions Wrong Questions Not Attempted Total Questions on Quiz Question Details Results Date Score Hint Time allowed minutes seconds Time used Answer Choice(s) Selected Question Text All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joiningThe PANCE and PANRE Exam Academy. I will bereleasing new episodes every few weeks. The Academy isdiscounted, so sign up now. Resources and Show Notes: My list of recommended PANCE and PANRE review books My secret upcoming website which will cover the entire NCCPA Content Blueprint (coming soon) USE CODE PALIFE TO GET 10% OFF THE RUTGERS PANCE AND PANRE REVIEW COURSE This Podcast is also available on iTunes and Stitcher Radio for Android iTunes:The Audio PANCE AND PANRE Podcast iTunes Stitcher Radio:The Audio PANCE and PANRE Podcast Stitcher document.createElement('audio'); http://traffic.libsyn.com/pasquini/Genitourinary_-The_Audio_PANCE_and_PANRE_Board_Review_Podcast.mp3Podcast: Download () | EmbedSubscribe: Apple Podcasts | Android | Email | Google Podcasts | Stitcher | RSS | PANCE and PANRE Podcast PlayerView all posts in this seriesThe Audio PANCE and PANRE Board Review Podcast Episode 1The Audio PANCE and PANRE Board Review Podcast Episode 3The Audio PANCE and PANRE Board Review Podcast Episode 5The Audio PANCE and PANRE Board Review Podcast Episode 7The Audio PANCE and PANRE Board Review Podcast Episode 9The Audio PANCE and PANRE Board Review Podcast Episode 11The Audio PANCE and PANRE Board Review Podcast Episode 13The Audio PANCE and PANRE Board Review Podcast Episode 15The Audio PANCE and PANRE Board Review Podcast Episode 17The Audio PANCE and PANRE Board Review Podcast Episode 19The Audio PANCE and PANRE Board Review Podcast Episode 21The Audio PANCE and PANRE Board Review Podcast Episode 23The Audio PANCE and PANRE Board Review Podcast Epis ode 25Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39Episode 41: The Audio PANCE and PANRE Board Review PodcastEpisode 43: The Audio PANCE and PANRE Board Review PodcastMurmur Madness: The Audio PANCE and PANRE Episode 45Episode 47: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 49: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 51: The Audio PAN CE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 53: General Surgery End of Rotation Exam The Audio PANCE and PANRE PodcastEpisode 55: The Audio PANCE and PANRE Board Review PodcastEpisode 57: The Audio PANCE and PANRE Board Review PodcastEpisode 59: Emergency Medicine EOR The Audio PANCE and PANRE Board Review PodcastEpisode 61: The Audio PANCE and PANRE Board Review PodcastEpisode 63: The Audio PANCE and PANRE PA Board Review PodcastPodcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-CPodcast Episode 67: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 69: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 71: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 75: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 77: The Audio PANCE and PANRE Board Review Podcast You may also like -Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29Welcome to episode 29of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. 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