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9-3
| Question | Answer |
|---|---|
| Rx for UTI? | TMP SMX, amoxicillin, quinolone |
| Rx of UTI in preggers? | amoxicillin, nitrofurantoin, cephalosporins |
| What is the cause of bladder cancer in third world? | SCC (d/t schistosoma)....TCC (smoking) is in USA |
| imaging done for bladder ca? best dx tool? | CT, IVP. best Dx: cystoscope + biopsy |
| how do you detect clamidya colonies? | PCR |
| treatment for NG/CT | NG: ceftriaxone. CT: doxycycline/azithromycin |
| Prostatitis in <35 yo? in >35yo? | <35= NG or CT. >35= enterobacterecceae |
| proper way to get a urine sample for prostatitis | mid-stream..NEVER massage (it will disseminate the infxn) |
| Rx of prostatitis? | TMP SMX |
| Prostate Ca location on gland? BPH location? DRE presentation | Ca= peripheral growth. BPH= central growth. for this reason, Ca is palpable as a nodule, whereas BPH feels like whole gland is enlarged |
| BPH treatment for HTNive pt vs non HTNive? | HTN pt: give non-selective alpha blocker (prazocin). non-HTNive: give a1 blocker (Tamsulosin) |
| 2nd therapy (after alpha blocker) for BPH? | Fenasertide: 5a reductase inh. (causes impotence) |
| Prostate Ca mets to spine are osteo____ic | osteablastic |
| Prostate Ca mets Rx? | radiation beam therapy |
| If too late for surgery of Prostate Ca, what medical rx do you do? | leuprolide (anti-androgen...i.e. GnRH continuous) |
| unique feature of testicular torsion pain? | can't be relieved with lifting up the testicle. also cremaster reflex is absent |
| test torsion surgical treatment needs to be done within ____ hours | 6 hours |
| Rx differences for <35yo, >35yo epididimytis? | assume NG/CT for <35, therefore give cef/doxy. for >35 assume enterobacterecea, so give quinolone |
| Prognosis is good for testicular ca, except for which type | non seminomatous (AFP + bHCG) |
| Varicocele can cause infertility due to ______ | raising temp in scrotum (due to blood flow) |
| if patient has impotence, but nocturnal erections occur, work them up for? | depression |
| MCC of palpable flank mass in kids? | wilms tumor |
| peeing your bed is normal up to what age? when do you start treatment? | 5yo. treat at 7yo |