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The nitrite dipstick test is used in the assessment of which of the following?
A 55-year-old patient with long-standing treated hypertension complains of impotence. Which of the following should not be suspected as a cause of this problem?
A 63-year-old man has hypertension and benign prostatic hyperplasia manifest by urinary frequency and nocturia five to six times a night. Which of the following is the preferred management of the patient?
After 1 week of sulfonamide therapy, a 32-year-old woman has fever and a maculopapular rash. Eosinophilia is noted on peripheral blood examination. Urinalysis shows pyuria and eosinophiluria. Which of the following is the most likely diagnosis?
An angiotensin converting enzyme inhibitor is contraindicated in which of the following conditions?
A 21-year-old presents to your emergency department for evaluation of a prolonged penile erection for the past 5 hours. He is in moderate discomfort and has had no relief from self-treatment with an ice pack. Which of the following is the least likely cause of this problem?
After 1 week of lisinopril therapy a 69-year-old woman has weakness of both legs. Which of the following electrocardiographic abnormalities is most suggestive of hyperkalemia?
A 55-year-old man has the typical symptoms of urinary outflow obstruction due to benign prostatic hyperplasia. Which of the following is the preferred medicinal therapy?
A 14-year-old presents with complaints of a sudden onset of pain in the groin, followed by nausea and vomiting. He was riding horses this past weekend for several hours both days. He denies urinary urgency and frequency. On physical examination, he is febrile and is noted to have scrotal swelling on the left with absent cremasteric reflex. Which of the following is the most likely diagnosis?
A patient is followed regularly in the office after having prostate cancer. Which of the following tests would be used to monitor possible recurrence of prostate cancer?
Which of the following signs and symptoms is the one most indicative of pyelonephritis?
Which of the following drugs is/are most commonly associated with renal damage?
A 67-year-old woman with DM type II, chronic renal failure, and recent onset of cough with sputum arrives at the emergency department. Significant physical examination findings include temperature of 100.7°F, BP of 70/50, HR of 128 beats/minute and regular, and RR of 38 with O2 saturation of 88% on 35% face mask. The ABG shows pH of 7.27, PCO2 of 22, and PO2 of 60 mm Hg. The acid-base disturbance is best described as:
When evaluating a patient with a complaint of impotence, a clinician must consider many contributing factors. Which of the following is least likely to be of help in determining the etiology of gradually worsening impotence in a 49-year-old diabetic patient?
In which of the following conditions is a renal biopsy indicated?
In patients with priapism, which is the most common etiologic factor?
Which of the following treatments is contraindicated in a patient with priapism?
Which of the following is the least common symptom in men with benign prostatic hypertrophy?
Which of the following is the most appropriate oral antibiotic for the treatment of acute cystitis for women?
Which of the following is a characteristic of dehydration in an infant?
A 42-year-old female presents with a persistent bladder infection, which has been treated with fluoroquinolone for 5 days. The patient’s original irritative voiding symptoms are currently accompanied by fever, flank pain, and vomiting. Urinalysis shows hematuria and WBC casts. What additional findings would you expect to see in this patient?
A 35-year-old male patient arrives at the clinic complaining of severe pain on the left testicular pain. His left testicle is retracted and manipulation does not ease the pain in his testicle. Based on this information, which of the following diagnoses is most likely to be correct?
A 68-year-old diabetic female presents with unintentional urine leakage and increased frequency and urgency of urination. This is a classic case of urinary incontinence. Which of the following medications would you prescribe in order to treat this disorder?
A 65-year-old African-American male presents with a recent diagnosis of chronic kidney disease. Which of the following medications would you prescribe for treatment of chronic kidney disease?
Orchiopexy is the surgical procedure performed in order to correct which of the following disorders?
Individuals who suffer from gout should adhere to a diet consisting of low quantities of which of the following substances?
A 30-year-old female comes to the office complaining of fever, chills, nausea and vomiting, back and flank pain, frequent urination, pain on urination, and hematuria. You suspect pyelonephritis. Urinalysis shows bacterial infection with the type of bacteria commonly found in 90 percent of urinary tract infections. Which bacteria is that?
An 80-year-old male comes to the office complaining of a frequent need to urinate, especially at night. He also complains of difficulty starting urination and holding back urine flow. He also reports occasional burning on urination, hematuria, and pain in his lower back, hips, and upper thighs. A digital rectal exam of the prostate shows it to be enlarged, hard, and lumpy. The patient’s prostate-specific antigen (PSA) result is 9.0 ng/mL. What test would you most likely order next?
A 32-year-old woman comes to the clinic with burning on urination, hematuria, and low-grade fever (100 degrees F). She has just returned from a weekend vacation with her husband, and she reports they had frequent sexual intercourse. She has pain when palpated in the lower abdomen, just above the pubic bone. What is the most likely diagnosis?
A 21-year-old male patient comes to the office complaining of a “funny-looking penis.” He appears very distressed. He says his penis is “bent down” when it is erect. The patient also says his “peehole” is located in the wrong place. He says he has to sit on the toilet to urinate to prevent urine from spraying in different directions. He says he is too embarrassed to have sexual intercourse. He has heard there is a type of surgery to correct his condition, but usually it is done on babies. After examining the patient, what do you tell him his condition is called?