Genitourinary 5

Which of the following is not a clinical manifestation of hypercalcemia?

A 65-year-old woman comes to the office with complaints of painless vaginal bleeding beginning approximately 2 weeks ago. She denies previous episodes, fever, chills, and urinary symptoms. On pelvic examination, two to three small, raised, irregularly shaped lesions are noted that are located on the upper third region of the vaginal canal. The most likely diagnosis is:

Of the following, the most important approach to reducing reoccurrence of renal calculi is:

What is the most likely causative organism in a 60-year-old patient with chronic prostatitis?

Which of the following is not a prerenal cause of acute renal failure?

An indication for dialysis in the patient with chronic renal failure includes:

The cancer in which epithelial neoplasms are the primary histopathologic finding and that often remains asymptomatic until the advance stage is:

A risk factor associated with the development of symptomatic hemorrhoids includes:

Central diabetes insipidus is associated with which of the following?

Which of the following is characteristic of an inguinal hernia?

Which of the following is characteristic of a femoral hernia?

Which of the following is characteristic of an incisional hernia?

A 72-year-old man comes to the office complaining of leaking urine for 2 months. He has had nocturia and reduced stream for the past year. Which of the following would best diagnose overflow incontinence in this patient?

Which of the following is an adverse effect unique to cyclophosphamide and not a common adverse effect seen with other cancer chemotherapeutic agents?

The anticholesterol drug that may prevent absorption of fat-soluble vitamins is:

Peripheral blood eosinophilia, white blood cell casts, hematuria, and proteinuria are most commonly associated with which of the following?

Which of the following is a characteristic of hemolytic-uremic syndrome?

A 53-year-old man complains of intermittent, cramping abdominal pain for 4 days. The patient admits to having abdominal pain, fever of 100°F, vomiting, and flatus and has had similar episodes over the past 3 years—since his abdominal surgery. Abdominal radiographs demonstrate air-fluid levels in the small bowel, without free air under the diaphragm. The next step in the management of this patient is:

A 28-year-old man has a 3-month history of nontender, “heavy” sensation in the scrotum. The patient denies trauma, heavy lifting, and urinary problems. Physical examination discloses a 3-cm, hard, nonmobile, nontender, and nontransilluminating mass of the left testicle. The most appropriate treatment for this patient is:

The most common cause of chronic hyperkalemia is:

An 81-year-old nursing home patient with a history of diabetes mellitus has developed dysuria, flank pain, and tachycardia within the past 24 hours. Urine analysis shows pyuria and hematuria. Urine culture is pending. Which of the following is the most likely diagnosis?

Which of the following lab results is most consistent with chronic renal failure?

Which of the following is associated with polycystic kidney disease?

A 46-year-old patient arrives at the office with bilateral flank pain, fever, and gross hematuria that started 4 days prior. The patient had also had a rash that lasted 2 days but resolved. The patient started taking allopurinol for gout 2 weeks prior. Which of the following is the most likely diagnosis?

A 70-year-old man is seen in the office with a 1-month history of involuntary loss of small amounts of urine not associated with position, coughing, or sneezing. The patient also describes a sensation of incomplete bladder emptying and a weak urine stream. Which of the following is appropriate treatment for this patient?

Which of the following is a cause of hypovolemic hyponatremia?

Which of the following is a characteristic of hyperkalemia?

What is the most definitive diagnostic test for a patient who is suspected of having renal artery stenosis?

Which of the following is an indication for prophylactic treatment for cystitis?

Management of BPH includes: