Answer 15

15.  Choice C is the correct answer.  Pseudomonas usually is not the causative organism is uncomplicated cystitis.  Typically patients have comorbid problems such as diabetes or indwelling foley who have this.  E. Coli, proteus, and klebsiella are the most common organisms cause uncomplicated cystitis.

Question 15

15.  Which of the following bacteria is the least likely to cause a uncomplicated UTI?

A.  E. Coli
B.  Proteus
C.  Pseudomonas
D.  Klebsiella

Answer 14

14.  Choice D is the correct answer.  The pain is under control which is one of the discharge criteria for kidney stones.  The stone is 6 mm, which is above the 5 mm which decreases the rate of spontaneous passage.  Patients with kidney stones larger than 5 mm can still go home if there renal function is intact.  This patient has acute kidney injury and needs to be admitted, hydrated, and needs this stone to be removed.  An IVP would not be helpful in the management of this patient.

Question 14

14.  Your patient is a 33 year old that complains of left flank pain and vomiting that has been present for 4 days.  He is a previously healthy individual with no medical problems.  His workup reveals a 6 mm kidney stone left mid ureter and mild hydronephrosis.  His chemistry reveals the following:  sodium 134, chloride 101, potassium 4.3, CO2 22, BUN 44, Creatinine 2.2.  His pain is under control after 1 dose of morphine.  Which of the following is the best management option?

A.  Order 2 liters of NS and discharge the patient home
B.  Order an intravenous pyelogram
C.  Discharge the patient home
D.  Admit the patient to the hospital for IV hydration and urology consult

Answer 13

13.  Choice C is the correct answer.  Epididymitis and appendiceal torsion are causes of hydroceles.  Hydroceles can also be idiopathic.  Thrombi in the gonadal vein are not a known etiology of a hydrocele.

Question 13

13.  All of the following are etiologies of hydroceles except?

A.  Epididymitis
B.  Idiopathic
C.  Thrombus in gonadal vein
D.  Appendiceal torsion

Answer 12

12.  Choice C is the correct answer.  Smoking, cardiovascular disease, hypothyroidism, hyperthyroidism, SSRI's, clonidine, methyldopa, thiazide diuretics, and ketoconazole are risk factors for erectile dysfunction.  High prolactin level, not low prolactin level is a risk factor for erectile dysfunction.