Answer 40

40.  Choice B is the correct answer.  Wilms tumors are the most common renal malignancy in children.  Peak incidence of testicular cancer is between the ages of 15-35.

Question 40

40.  Which of the following is the most common genitourinary malignancy in children?

A.  Testicular Cancer

B.  Wilms Tumor

C.  Renal Cell Carcinoma

D.  Ureter mass  

Answer 39

39.  Choice C is the correct answer.  Referral for cryptorchism is appropriate between the ages of 6-12 months and should definitely be done before the age of 2 years.

Question 39

39.  At what age is it appropriate to refer to urology for cryptorchism?

A.  After 3 months of age
B.  Between 6-12 months
C.  Between 24-36 months
D.  Not until the child is over 3 years of age

Answer 38

38.  Varicoceles occur usually on the lefts side because of the difference in the anatomy on that side.  There is more retrograde blood flow on the left side because how the plexus of veins drain into the pelvis.  The remainder of answers are true regarding varicoceles.

Question 38

38.  Which of the following is not true regarding varicoceles?

A.  Varicoceles usually occur on the right side
B.  Varicoceles are caused by the dilation of the pampinform plexus of the spermatic veins
C.  Varicoceles can cause decreased fertility
D.  Treatment involves ligating the gonadal veins so there can be no more retrograde blood flow to the plexus of veins in the scrotum

Answer 37

37.  Choice D is the correct answer.  Kegel exercises, pessary, bladder retraining, bladder stimulators, and magnets are all non surgical interventions for urinary incontinence.

Question 37

37.  All of the following are non surgical intervention strategies for urinary incontinence except:

A.  Kegel exercises
B.  Pessary
C.  Bladder retraining
D.  TENS unit

Answer 36

36.  Choice C is the correct answer.  This patient is tachycardic, febrile, has leukocytosis, and has the comorbid condition of diabetes and needs to be admitted with pyelonephritis.  Cipro and Bactrim are both medicines that could be used on discharge but patients with pyelonephritis needs to have antibiotics for 10-14 days.  

Question 36

36.  Your patient is a 46 year old diabetic female that presents with a fever, flank pain, dysuria, polyuria, nausea and vomiting. Her vitals are as follows Temp 102 F, HR 121, RR 20, BP 120/80.  Her CBC reveals of WBC 14.7, Hgb 15, Hct 44.3.  Her BMP is normal. Her urine reveals WBC > 200, many bacteria and is nitrite positive.  Which of the following is the best management plan.

A.  Give the patient Rocephin 1 gram IV Piggy Back and discharge the patient home on Bactrim for 14 days
B.  Discharge the patient home on Cipro 500 mg BID for 7 days
C.  Give the patient  Rocephin 1 gram IV Piggy Back and admit the patient to the hospital.
D.  Discharge the patient home on Bactrim DS one PO BID for 7 days.