Question 1

Read the health record information found below: ASSESSMENT
Hematuria/albuminuria: Doug clearly has a nephropathy. The differential diagnosis includes post streptococcal glomerulonephritis, basement membrane disease, lupus nephritis, membranoproliferative glomerulonephritis. Since he had a recent throat infection, post streptococcal glomerulonephritis is the most likely cause. We will wait for the labs to confirm a recent strep infection.
Given this information, which of the following statements is NOT true?

Accepted Answer

The patient has albuminuria (protein in the urine).

Question 2

Read the following excerpt from a patient's health record: Assessment:
This is a 24-year-old male with a right-sided testicular mass. Given the u/s results, this is most likely testicular carcinoma. The differential diagnosis also includes epididymitis, testicular torsion, hydrocele, spermatocele, and varicocele.
Which of the following statements is NOT part of this patient's differential diagnosis, given this information?

Accepted Answer

The differential diagnosis includes testicular carcinoma, epididymitis (inflammation of the epididymis: the organ that sits on top of each testicle and stores sperm), testicular torsion, hydrocele (fluid-filled mass in the testicle), spermatocele (hernia or distention of the epididymis caused by sperm cells), and varicocele (overexpansion of the blood vessels of the testicles, leading to a soft tumor).

Question 3

Read the following excerpt from a patient's health record: Subjective:
Mr) Hector Joules presents to the office today for swelling in his right testicle. The swelling has been present for the past month. He reports orchialgia, described as a dull ache in the testicle. He also has had a feeling of heaviness in his abdomen. He has not had any recent injury to the area. He denies risky sexual behavior, urethrorrhea, dysuria, nocturia, or polyuria.
Which symptom is exhibited by Mr. Joules?

Accepted Answer

The patient reports orchialgia (pain in the testicle).

Question 4

Read the following excerpt from a patient's health record: Plan:
Since there is significant risk for cancer, we will schedule Mr. Joules for a radical orchidectomy. We will send samples to Pathology to confirm the diagnosis and staging. I outlined the general treatment and follow-up plan with Mr. Joules. Today, we will check a sperm count to establish a baseline, as azoospermia and oligospermia are risks of surgery.
Which of the following statements is NOT true, given the health record information?

Accepted Answer

The patient will not undergo a spermatolysis (destruction of sperm cells).

Question 5

Read this patient's physical exam and lab work: Physical Exam
General: WDWN. Nontoxic. NAD.
Head: PERRLA. EOMI bilaterally. Periorbital edema. No erthyma. No proptosis. Mucous membranes moist and pink. TMs normal.
Cardiovascular: Regular in rate and rhythm without murmurs, gallop, or rubs. No jvd.
Respiratory: Clear to auscultation.
Abdomen: Soft, nontender, nondistended, no hepatosplenomegaly. No CVA tenderness.
Neurologic: Alert, oriented.
Skin: Pink, warm.
Extremities: Edema of feet. Dorsal pedal pulses present.
Labs: Elevated BUN and creatinine. Hypocomplementemia. Antistreptolysin O and antiDNAase B.
Imaging: None.
According to this information, which of the following statements is true?

Accepted Answer

The patient's labs revealed elevated BUN (blood urea nitrogen; nitrogen in the blood in the form of urea; it is the product of the breakdown of amino acids for energy).

Question 6

Read the following excerpt from a patient's health record: Chief Complaint: Hematuria.
History of Present Illness: Doug Harper is a 5-year-old boy with a 2-day history of gross hematuria. Doug's parents noted that Doug had had oliguria the past 2 days and had very dark, tea-colored urine. They took Doug to his primary care provider, Nelda Lopez, NP. Ms. Lopez performed a urinalysis, and the results showed hematuria and albuminuria. She also noted Doug had periorbital edema and that he was hypertensive in the office. The parents report that Doug had a recent throat infection (last week) that resolved on its own.
Which of the following statements is NOT true, given this information?

Accepted Answer

The primary care provider "also noted Doug had periorbital edema and that he was hypertensive in the office. The parents report that Doug had a recent throat infection."

Question 7

Read the health record information found below: HPI
Miss Susan Nesbit is a 12-year-old female who first visited her primary care provider for dysuria. A UA was ordered, but the patient could not urinate in the office. She took the UA cup home but did not return with the sample. The next day, Susan's dysuria worsened, and she developed a fever of 102.3°F, as well as vomiting and hematuria, so she returned to the clinic. A urinalysis performed in the office revealed significant pyuria, hematuria, and albuminuria. Since Susan was not able to keep any fluids down, her primary care provider sent her to the emergency department for evaluation for admission.
Which of the following statements is NOT true, given this information?

Accepted Answer

There is no mention of polyuria (excessive urination).

Question 8

What are the correct translations of the underlined words in the health record below? Imaging
VCUG: No VUR noted.
RUS: No hydronephrosis noted. Normal.
Spiral CT of kidneys on day 3 of admission revealed perinephric abscess formation of the left kidney.

Accepted Answer

VCUG: voiding cystourethrogram (imaging procedure of the bladder and urethra produced during urination); VUR: vesicoureteral reflux (abnormal flow of urine from the bladder back into the ureters); hydronephrosis kidney condition caused by the obstruction of urine flow.

Question 9

Dr. Jonas Wallin stated "that Mr. Johnson has benign prostate hyperplasia." What is NOT true about this assessment?

Accepted Answer

The diagnosis benign prostate hyperplasia breaks into benign (friendly) + prostate + hyper (over) + plas (formation) + ia (condition) and means a noncancerous overdevelopment of the prostate. It is also called an enlarged prostate or benign prostate hypertrophy.

Question 10

Which is the correct breakdown and translation of the underlined term below? Imaging:
Transabdominal ultrasound revealed significant postvoid residual. Consistent with bladder outlet obstruction.
Cystoscopy to r/o urethral stricture was normal.

Accepted Answer

Cystoscopy breaks into cysto (bladder) + scopy (looking procedure) = process for examining the bladder.

Question 11

Read the following excerpt from a patient's health record: Review of Systems: Positive for nausea, but no emesis. Otherwise negative.
Medications: None.
Allergies: No known drug allergies.
Past Medical History: Noncontributory.
Past Surgical History: Balanoplasty for hypospadias at age 1.
Social History: Doug lives with his parents and older sister. He is going into kindergarten in the fall.
Family History: Paternal grandfather with polycystic kidney disease.
Which of the following statements is NOT true, given this information?

Accepted Answer

The patient's past medical history is noncontributory (not related to this specific problem).

Question 12

What is the correct breakdown and translation of the term underlined below? Patient: Susan Nesbit
Date of Admission: 7/7/2015
Date of Discharge: 7/17/2015
Admission Diagnosis
1) Dysuria
2) Fever
Discharge Diagnosis
1) Pyelonephritis
2) Perinephric Abscess
Discharge Condition:
Stable
Consultations
Nephrology
Urology

Accepted Answer

Pyelonephritis breaks into pyelo (pelvis) + nephr (kidney) + itis (inflammation) = inflammation of the kidney and renal pelvis.

Question 13

Read the following excerpt from a patient's health record: Plan:
We will be starting initial treatment: fluid intake restriction and medicine. I explained to Mr. Johnson that if he fails this therapy, the next step would be surgical. There are several options available. I discussed these options, including TURP versus open prostatectomy versus transurethral incision of prostate (TUIP). Mr. Johnson will return to my clinic for follow-up in 6 weeks.
Which of the following is NOT a surgical option presented to the patient?

Accepted Answer

Prostatovesiculectomy (surgical removal of the prostate and seminal vesicles) was not a surgical option.

Question 14

What is the correct breakdown and translation for the bolded term in the health record below? PLAN
Hypertension, edema: We will begin Doug on diuretics and fluid restriction, as well as a low-sodium diet.

Accepted Answer

Diuretic breaks into di (through) + ure (urine) + tic (pertaining to) = which literally breaks down into pertaining to urination but is an agent that causes urination.

Question 15

Read the following excerpt from a patient's health record: PMHx: Cryptorchidism as a child.
PSHx: Orchidopexy at 4 years.
Which of the following statements is true, given the health record information?

Accepted Answer

The patient had cryptorchidism (hidden testicle) as a child and an orchidopexy (surgical fixation of a testicle) at 4 years.

Question 16

Read the health record information below: Hospital Course
On arrival to the ED, Susan was alert and oriented, but she looked a little pale and tired. She was treated with IVF for dehydration and given antipyretics for her fever. Within an hour, she had improved some, but given her inability to tolerate PO, the pediatric on-call physician recommended that she be admitted. She was admitted for a UTI and treated with IV antibiotics, and a urine culture was sent. On hospital day 2, her fever had improved, and she was looking better overall. Unfortunately, on hospital day 3, Susan's fever returned, and she looked acutely ill.
According to the health record information, for what was the patient admitted to the hospital?

Accepted Answer

"She was admitted for a UTI" (urinary tract infection).

Quiz 12: The Urinary and Male Reproductive Systems Urology

What are the correct translations of the underlined words in the health record below? Imaging VCUG: No VUR noted. RUS: No hydronephrosis noted. Normal. Spiral CT of kidneys on day 3 of admission revealed perinephric abscess formation of the left kidney.

Dr. Jonas Wallin stated "that Mr. Johnson has benign prostate hyperplasia." What is NOT true about this assessment?

Which is the correct breakdown and translation of the underlined term below? Imaging: Transabdominal ultrasound revealed significant postvoid residual. Consistent with bladder outlet obstruction. Cystoscopy to r/o urethral stricture was normal.

What is the correct breakdown and translation for the bolded term in the health record below? PLAN Hypertension, edema: We will begin Doug on diuretics and fluid restriction, as well as a low-sodium diet.

Read the following excerpt from a patient's health record: PMHx: Cryptorchidism as a child. PSHx: Orchidopexy at 4 years. Which of the following statements is true, given the health record information?