Urology-1 1. An 84 year old man presents to your office complaining of a five day history of passing terminal bright red bloody urine. He reports marked urgency and frequency but is otherwise well and afebrile. In retrospect, he remembers being quite ill with an infection in the recent past. Analysis of a voided specimen shows 3 smooth and rounded RBCs/hpf. Which of the following is NOT included in your differential diagnosis? a) benign prostatic hpertrophy (BPH) b) post-streptococcal glomerulonephritis c) a stone lodged at the vesico-ureteric junction d) a superficial bladder tumour e) a coliform positive UTI 2. Of the following conditions, which is not considered a urological emergency? a) paraphimosis b) priapism c) orchitis d) testicular torsion e) autonomic dysreflexia 3. A normal semen analysis includes all of the following EXCEPT: a) pH between 7.5-8.1 b) a sperm count > 20 million sperm/ml c) WBC < 10/hpf d) motility > 50% e) > 60% normal morphological forms 4. A mother brings her toilet-trained, 5 year old daughter to see you with a 3 day history of dysuria, increased frequency, and urgency incontinence. Her past medical history is significant for a bag-specimen positive UTI charaterized by high fever and vomiting at 2 years of age. At the time, she was lost to follow up. Which of the following would be appropriate for your initial management of this patient? a) voiding cystourethrogram (VCUG) b) a mid stream urine specimen c) nuclear cystogram d) DMSA renal scan e) abdominal ultrasound 5. A 55 year old man reluctantly admits to difficulty in maintaining an erection sufficient for sexual intercourse for the past two years. He reports being healthy, however, he has not seen a ph...
