Deck 33: Assisting in Urology and Male Reproduction

Question 1

Patient education for renal angiography includes which of the following?

A) The patient must be NPO for at least 12 hours before the exam.
B) The exam is performed with the patient under anesthesia.
C) It is noninvasive and painless.
D) Patient history on shellfish allergies must be obtained.

Answer 1

Patient history on shellfish allergies must be obtained.

Question 2

Which of the following diagnostic studies is performed on a patient with symptoms of urinary tract obstruction?

A) Arteriography
B) Arthroscopy
C) Cholangiography
D) Myelography
E) Pyelography

Answer 2

Pyelography

Question 3

Which of the following medications is ordered to treat genital herpes simplex?

A) Wycillin
B) Cipro
C) Vibramycin
D) Aldara
E) Valtrex

Answer 3

Valtrex

Question 4

Which statement is true about patient preparation for renal ultrasonography?

A) The patient must be kept NPO for at least 8 hours before the exam.
B) The patient should be prepared for the loud noises made by the equipment.
C) The procedure is noninvasive and painless.
D) Intravenous dye is used.

Question 5

Which of the following is not typically transmitted sexually?

A) HIV
B) Gonorrhea
C) Chlamydia
D) E. coli

Question 6

In the order of occurrence, the three processes that result in urine formation are

A) medullary filtration, reabsorption, and transference.
B) glomerular filtration, reabsorption in the medulla, and excretion in the ureters.
C) filtration, reabsorption, and excretion in the nephron unit.
D) reabsorption, filtration, and excretion into the renal pelvis.

Question 7

A noncancerous cause of urinary problems in older men is

A) testicular carcinoma.
B) BPH.
C) PSA.
D) torsion.

Question 8

A KUB is an x-ray study of the

A) kidneys, uterus, and bladder.
B) kidneys, umbilicus, and back.
C) kidneys, urethra, and bladder.
D) kidneys, urethra, and back.
E) kidneys, ureters, and bladder.

Question 9

Surgical removal of the prostate gland is called

A) prostatitis.
B) prostatocystitis.
C) prostatolith.
D) prostatectomy.

Question 10

Peritoneal dialysis is performed by

A) connecting the machine to a shunt that has been surgically implanted in the patient.
B) transferring the patient's blood to the machine to be cleansed.
C) using the abdomen as the filtering mechanism for waste.
D) treating the patient with high doses of diuretics and antihypertensive medications.

Question 11

Which of the following medications is ordered to treat chronic incontinence?

A) Lasix
B) Actifed
C) Dulcolax
D) Isuprel
E) Ditropan

Question 12

Urinary reflux disorder may be caused by

A) a problem with a ureteral valve.
B) neurologic damage to the bladder.
C) an obstruction that causes blockage.
D) All of the above

Question 13

Which part of the urinary system is responsible for transporting urine from the kidneys to the bladder?

A) Proximal convoluted tubule
B) Distal convoluted tubule
C) Collecting tubule
D) Ureters

Question 14

Balanitis is an inflammation of the

A) testes.
B) meatus.
C) glans penis.
D) vas deferens.

Question 15

Which of the following terms refers to scanty urine production?

A) Glycosuria
B) Anuria
C) Oliguria
D) Polyuria

Question 16

Which of the following is a diagnostic tool for detecting prostate cancer?

A) AFP
B) HCG
C) CEA
D) PSA

Question 17

Which of the following refers to the passage of urine from the body?

A) Micturition
B) Urination
C) Voiding
D) All of the above

Question 18

What is the most common cause of UTIs in women?

A) Streptococci
B) E. coli
C) Staphylococci
D) H. pylori

Question 19

The most successful kidney transplantations are done between

A) mother and child.
B) father and child.
C) siblings.
D) donors with the same blood type.
E) donors with the same antibodies.

Question 20

Which of the following drugs is used to treat UTIs?

A) Ampicillin (Amoxil)
B) Cimetidine (Tagamet)
C) Cyclobenzaprine (Flexeril)
D) Triamterene-hydrochlorothiazide (Dyazide)
E) Trimethoprim-sulfamethoxazole (Septra or Bactrim)

Question 21

Measures for preventing recurrence of renal calculi include which of the following?

A) Drinking 3 to 4 quarts of fluid a day
B) Diet low in sodium and animal protein
C) Avoiding certain fruits and vegetables
D) Both A and B
E) All of the above

Question 22

Which of the following is true about the NMP22 diagnostic test?

A) It is a urine test that screens for bladder cancer recurrences.
B) It is a blood test used for patients being diagnosed with bladder cancer.
C) It is an x-ray film that identifies prostate cancer.
D) It is a cystoscopic view of the bladder.

Question 23

Any healthcare worker who has an accidental needle stick from an individual who may be HIV positive should receive which of the following?

A) Truvia
B) PEP medication
C) Three or more antiretroviral drugs
D) Both B and C
E) All of the above

Question 24

An increase in the size of the prostate gland that frequently occurs in older men is called

A) BPH.
B) prostatitis.
C) prostatic atrophy.
D) DRE.

Question 25

Which stage of chronic renal failure is marked by oliguria that progresses to anuria, edema, hypertension, acidosis, and azotemia?

A) Early stage
B) Middle stage
C) End stage
D) Kidney failure

Question 26

Which of the following is(are) helpful for treating male incontinence?

A) Artificial urinary sphincter
B) Suburethral sling
C) External catheter
D) Pelvic muscle exercises
E) Both A and C

Question 27

Which of the following is a cluster of capillaries extending from the distal renal artery?

A) Bowman's capsule
B) Glomerulus
C) Convoluted tubules
D) Medulla

Question 28

The surgical procedure known as orchiopexy is used for which of the following pediatric disorders?

A) Nocturnal enuresis
B) Urinary reflux disorder
C) Cryptorchidism
D) All of the above

Question 29

Which of the following sexually transmitted infections is treated successfully with penicillin?

A) Chlamydia
B) Syphilis
C) Genital herpes
D) Genital warts
E) Both A and B

Question 30

Cryptorchidism is

A) a hernia of the veins of the scrotum.
B) the surgical procedure to repair an undescended testicle.
C) a result of chronic STDs.
D) an undescended testicle.

Question 31

Chronic hydronephrosis may lead to which of the following complications?

A) Enuresis
B) Prostatitis
C) Renal failure
D) Hydrocele
E) Reflux disorder

Question 32

Pharmaceutical treatment of ED must be used with caution if the patient

A) is prescribed nitrate drugs.
B) has a history of uncontrolled hypertension, MI, or CVA.
C) is taking a beta blocker for an enlarged prostate.
D) All of the above

Question 33

Which of the following occurs most often in uncircumcised patients or in men with diabetes?

A) Epididymitis
B) Balanitis
C) Acquired hydroceles
D) Testicular carcinoma

Question 34

An androgen is

A) produced by the body to maintain bone health.
B) testosterone.
C) a hormone that maintains glucose levels.
D) a chemical that aids in cellular production.

Question 35

Which of the following is an oral medication that acts as a topical anesthetic as it is released through the renal system?

A) Macrodantin
B) Pyridium
C) Furadantin
D) Levaquin
E) Valtrex

Question 36

The NMP22 urine test screens for recurrence of which of the following diseases?

A) Bladder cancer
B) Renal carcinoma
C) Hydronephrosis
D) Polycystic kidneys

Question 37

Renal scanning is contraindicated in which of the following patients?

A) Child with Wilms' tumor
B) Pregnant woman
C) Patient with chronic UTIs
D) Patient with an iodine allergy

Question 38

Which of the following is more common in men and is typically caused by chlamydia or gonorrhea bacteria?

A) Urethritis
B) Cystitis
C) Pyelonephritis
D) Glomerulonephritis

Question 39

All of the following are true about polycystic kidney disease except

A) patients with polycystic disease have a family history of kidney disease.
B) the problem can be cured with antihypertensive drugs and diuretics.
C) symptoms include flank pain, hematuria, hypertension, UTIs, and renal calculi.
D) it is a chronic progressive disease of the kidneys.

Question 40

Which of the following structures contains the renal pelvis, where the urine is deposited before passing down the ureters?

A) Medulla
B) Glomerulus
C) Calyces
D) Urinary bladder

Question 41

Tony Rocco is a 42-year-old patient with a history of renal calculi. He is scheduled for his first ESWL tomorrow. Summarize the patient education he should receive about the procedure.

Question 42

________________ is cancer of the kidney in children.

Question 43

Explain the difference between renal hemodialysis and peritoneal dialysis.

Question 44

________________ is a malignancy frequently seen in patients with AIDS that causes purple papules to form on the skin.

Question 45

Carl Simpson is a 17-year-old patient whose brother was diagnosed with testicular carcinoma last week. The physician showed Carl how to perform a testicular exam, but he asks you to reinforce the information. Describe the important features of patient education for a testicular self-exam.

Question 46

Male sex hormones are grouped as ___________.

Question 47

____________ is a painful symptom in the flank, abdomen, and groin regions that occurs when a calculus moves inside a ureter.

Question 48

A complaint of pain on urination would be documented as ___________.

Question 49

_____________ is the waste material of muscle breakdown that is excreted in the urine in large amounts when a patient has severe kidney disease.

Question 50

________________________ causes genital warts.

Question 51

Explain the difference between acute and chronic glomerulonephritis. Include in your explanation the typical signs and symptoms of each, as well as the treatment protocols.

Question 52

Which of the following is an FDA-approved HIV test designed for home screening?

A) HIV-1 Test System
B) OraQuick Advance HIV1/2 Antibody Test
C) Enzyme Immunoassay (EIA)
D) Viral load test

Question 53

Explain why most UTIs occur in women. How are they typically treated? Summarize significant patient education factors for female patients diagnosed with a UTI.

Question 54

In a(n) __________ procedure, an electric current or laser is used to destroy cancer cells in the lining of the bladder.

Question 55

The __________ is the functional unit of the kidney.

Question 56

___________________________ is caused by an antigen-antibody reaction in the glomerular capsule.

Question 57

A(n) ___________ forms on the male genitalia within a few days of exposure to the gonorrhea bacillus.

Question 58

____________ is marked by hypertension and anuria.

Question 59

_____________ promotes the production of RBCs.

Question 60

If a child has an undescended testicle, a(n) ____________ is done to attach the testicle surgically within the scrotal sac.

Question 61

Aging sedentary men, especially those in long-term care facilities, are prone to hydrocele formation.

Question 62

The glomerulus is a capillary extension of the renal artery.

Question 63

The HIV virus invades T lymphocytes, resulting in a weakened resistance to infection.

Question 64

Testicular self-examination should be started at puberty.

Question 65

In ESWL, lasers are used to destroy renal calculi.

Question 66

Testicular tumors generally are benign.

Question 67

Azotemia occurs when nitrogen wastes build up in the bloodstream.

Question 68

Cryptorchidism may result in sterility.

Question 69

Summarize what you learned in the chapter about the prostate-specific antigen test.

Question 70

Stress incontinence occurs because of weak pelvic floor muscles.

Question 71

The functional unit of the kidney is located in the renal medulla.

Question 72

Patients receiving peritoneal dialysis must report to the hospital or dialysis center for the procedure.

Question 73

UTIs frequently are caused by Escherichia coli from the anal region.

Question 74

No specific patient preparation is required for a KUB.

Question 75

A urine sample from a patient with pyelonephritis will show albuminuria and casts.

Question 76

Individuals with HIV are treated with a single antiviral drug to control the spread of the virus.

Question 77

Lasix can be used to help control urinary incontinence.

Question 78

Hemodialysis is done four times a week to maintain health.

Question 79

Polycystic kidney disease is an inherited defect.

Question 80

Renal calculi may result in hydronephrosis.