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 is not typically transmitted sexually?

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

Answer 2

E. coli

Question 3

Which of the following terms refers to scanty urine production?

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

Answer 3

Oliguria

Question 4

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 5

Balanitis is an inflammation of the

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

Question 6

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 7

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

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

Question 8

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

Question 9

Surgical removal of the prostate gland is called

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

Question 10

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 11

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 12

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

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

Question 13

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 14

What is the most common cause of UTIs in women?

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

Question 15

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 16

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 17

A noncancerous cause of urinary problems in older men is

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

Question 18

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

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

Question 19

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 20

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 21

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 22

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 23

Chronic hydronephrosis may lead to which of the following complications?

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

Question 24

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 25

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 26

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 27

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 28

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 29

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 30

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 31

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 32

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 33

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 34

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 35

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 36

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 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

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 39

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 40

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 41

The __________ is the functional unit of the kidney.

Question 42

_____________ promotes the production of RBCs.

Question 43

________________________ causes genital warts.

Question 44

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

Question 45

Male sex hormones are grouped as ___________.

Question 46

Match the following signs and symptoms with prostatitis. (Select all that apply.)

A) Hematuria
B) Dysuria
C) Frequent UTIs
D) Nocturia
E) Urinary urgency and frequency
F) Difficulty starting urination
G) Secretion of pus from the tip of the penis

Question 47

________________ is cancer of the kidney in children.

Question 48

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

Question 49

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 50

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

Question 51

Match the following signs and symptoms with prostate cancer. (Select all that apply.)

A) Hematuria
B) Dysuria
C) Frequent UTIs
D) Nocturia
E) Urinary urgency and frequency
F) Difficulty starting urination
G) Secretion of pus from the tip of the penis

Question 52

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

Question 53

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

Question 54

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

Question 55

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

Question 56

____________ is marked by hypertension and anuria.

Question 57

Match the following signs and symptoms with benign prostatic hyperplasia. (Select all that apply.)

A) Hematuria
B) Dysuria
C) Frequent UTIs
D) Nocturia
E) Urinary urgency and frequency
F) Difficulty starting urination
G) Secretion of pus from the tip of the penis

Question 58

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 59

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

Question 60

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 61

Testicular tumors generally are benign.

Question 62

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

Question 63

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

Question 64

Lasix can be used to help control urinary incontinence.

Question 65

Cryptorchidism may result in sterility.

Question 66

Renal calculi may result in hydronephrosis.

Question 67

In ESWL, lasers are used to destroy renal calculi.

Question 68

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

Question 69

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 70

Azotemia occurs when nitrogen wastes build up in the bloodstream.

Question 71

Polycystic kidney disease is an inherited defect.

Question 72

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

Question 73

Testicular self-examination should be started at puberty.

Question 74

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

Question 75

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

Question 76

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

Question 77

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 78

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

Question 79

Hemodialysis is done four times a week to maintain health.

Question 80

Explain the difference between renal hemodialysis and peritoneal dialysis.