泌尿外科选择题(英语).pdfVIP

Urology-1

1.An84yearoldmanpresentstoyourofficecomplainingofafivedayhistoryofpassingterminal

brightredbloodyurine.Hereportsmarkedurgencyandfrequencybutisotherwisewellandafebrile.

Inretrospect,heremembers

beingquiteillwithaninfectionintherecentpast.Analysisofavoidedspecimenshows3smooth

androundedRBCs/hpf.WhichofthefollowingisNOTincludedinyourdifferentialdiagnosis?

a)benignprostatichpertrophy(BPH)

b)post-streptococcalglomerulonephritis

c)astonelodgedatthevesico-uretericjunction

d)asuperficialbladdertumour

e)acoliformpositiveUTI

2.Ofthefollowingconditions,whichisnotconsideredaurologicalemergency?

a)paraphimosis

b)priapism

c)orchitis

d)testiculartorsion

e)autonomicdysreflexia

3.AnormalsemenanalysisincludesallofthefollowingEXCEPT:

a)pHbetween7.5-8.1

b)aspermcount20millionsperm/ml

c)WBC10/hpf

d)motility50%

e)60%normalmorphologicalforms

4.Amotherbringshertoilet-trained,5yearolddaughtertoseeyouwitha3dayhistoryofdysuria,

increasedfrequency,andurgencyincontinence.Herpastmedicalhistoryissignificantfora

bag-specimenpositiveUTIcharaterizedbyhighfeverandvomitingat2yearsofage.Atthetime,

shewaslosttofollowup.Whichofthefollowingwouldbeappropriateforyourinitialmanagement

ofthispatient?

a)voidingcystourethrogram(VCUG)

b)amidstreamurinespecimen

c)nuclearcystogram

d)DMSArenalscan

e)abdominalultrasound

5.A55yearoldmanreluctantlyadmitstodifficultyinmaintaininganerectionsufficientforsexual

intercourseforthepasttwoyears.Hereportsbeinghealthy,however,hehasnotseenaphysicianin

10years.Whichofthefollowingwouldnotsuggestapotentialcauseforhiserectiledysfunction?

a)elevatedbloodpressure

b)galactorhea

c)acanthosisnigracans

d)varicocele

e)eruptivexanthoma

6.A50yearoldmanpresentswitha2monthhistoryofirritativevoidingsymptomsandafever.He

initiallysawhisfamilydoctorwhotreatedhimforcystitiswithciprofloxacinfor5days.Henow

presentstoyoubecausehissymptomshavereturned