Deck 10: Screening for Urogenital Disease

Question 1

At what stage of prostate cancer can the cancerous tumor first be palpated during a rectal examination?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Answer 1

B
During stage I the cancer cannot be felt during a rectal examination. During stage II the cancer has become large enough that it can be palpated during a rectal examination or from the biopsy. In stage III the cancer is spread outside the prostate to nearby tissues, and in stage IV the cancer is spread to lymph nodes and other portions of the body.

Question 2

What part of the body serves as the channel through which urine is passed from the bladder to the outside of the body?

A) Kidneys
B) Ureters
C) Renal nephron
D) Urethra

Answer 2

D
The urethra is connected to the bladder and serves as a channel through which urine is passed from the bladder to the outside of the body.

Question 3

What is the primary cause of end-stage renal disease (ESRD)?

A) Hypertension
B) Diabetes
C) Chronic urinary tract obstruction
D) Kidney transplantation

Answer 3

B
Diabetic neuropathy is the primary cause of ESRD, accounting for approximately 40% of newly diagnosed cases of ESRD.

Question 4

The kidneys should be assessed during an objective evaluation by percussion over what anatomic landmark?

A) ASIS
B) PSIS
C) Costovertebral angle
D) Umbilicus

Question 5

Why is the right kidney usually lower than the left?

A) To accommodate the spleen
B) To accommodate the liver
C) To accommodate the stomach
D) To accommodate the large intestine

Question 6

What classification of prostatitis is asymptomatic?

A) Type I
B) Type II
C) Type III
D) Type IV

Question 7

What is the most characteristic symptom of ureteral stones?

A) Sudden sharp pain
B) Inability to urinate
C) Swollen testicles
D) Dull aching lumbar pain

Question 8

What are the most common sites of costovertebral or costotransverse mechanical derangements that cause pseudorenal pain?

A) T6-T8
B) T8-T10
C) T10-T12
D) L1-L3

Question 9

What lobe of the prostate gland is usually affected by carcinoma?

A) Posterior lobe
B) Middle lobe
C) Lateral lobe
D) Medial lobe

Question 10

What type of incontinence is marked by a weak or underactive detrusor muscle?

A) Stress incontinence
B) Urge incontinence
C) Overflow incontinence
D) Functional incontinence

Question 11

The physician orders a urinary analysis for a patient with possible kidney dysfunction. What specifically is the physician looking for in the urine to determine possible kidney damage?

A) Albumin
B) Creatinine
C) Nitrogen
D) Potassium

Question 12

Which of the following would be considered an upper urinary tract infection?

A) Bladder infection
B) Cystitis
C) Urethritis
D) Ureteral infections

Question 13

Which of the following is an example of a primary urinary obstruction?

A) Prostatic enlargement
B) Pregnancy
C) Pelvic inflammatory disease
D) Congenital malformations

Question 14

A patient is being treated at the physical therapy clinic for cervical disk protrusion. During a treatment session the patient complains of a new onset of urinary incontinence. What is the correct course of action by the physical therapist?

A) Proceed with current interventions.
B) Begin cervical spinal manipulation.
C) Add cervical traction to the current treatment protocol.
D) Contact the referring physician immediately.

Question 15

What is the least common route of entry of bacteria into the urinary tract?

A) Ascending
B) Lymphatic
C) Descending
D) Blood borne