Urinary and Reproductive System Disorders
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Questions and Answers

Which of the following is the most common cause of healthcare-associated infections (HAIs)?

  • Surgical site infection
  • Urinary Tract Infection (UTI) (correct)
  • Bloodstream infection
  • Pneumonia

Which of the following symptoms is most commonly associated with pyelonephritis?

  • Pelvic pain
  • Costovertebral tenderness (correct)
  • Frequent urination without discomfort
  • Clear urine

Which urinary analgesic may cause the urine to turn orange?

  • Trimethoprim
  • Phenazopyridine (correct)
  • Nitrofurantoin
  • Ciprofloxacin

Which of the following conditions is characterized by the presence of kidney stones?

<p>Nephrolithiasis (B)</p> Signup and view all the answers

Which of the following dietary changes increases the risk of kidney stone formation?

<p>High sodium intake (D)</p> Signup and view all the answers

Which of the following is the most common cause of chronic kidney disease (CKD)?

<p>Diabetes mellitus (B)</p> Signup and view all the answers

Which symptom is of greatest concern in a patient with hyperkalemia?

<p>Cardiac arrhythmias (A)</p> Signup and view all the answers

Which of the following dietary plans is most appropriate for a patient with CKD?

<p>Low sodium, low potassium (B)</p> Signup and view all the answers

Which of the following is the most common type of bladder cancer?

<p>Transitional cell carcinoma (B)</p> Signup and view all the answers

Which of the following is a hallmark symptom of bladder cancer?

<p>Painless hematuria (C)</p> Signup and view all the answers

What bacteria is the most common cause of UTIs?

<p>Escherichia coli (B)</p> Signup and view all the answers

Which of the following is a symptom of pyelonephritis?

<p>Costovertebral angle tenderness (B)</p> Signup and view all the answers

Which factor increases the risk of kidney stones?

<p>High protein diet (C)</p> Signup and view all the answers

What electrolyte imbalance is most dangerous in CKD?

<p>Hyperkalemia (D)</p> Signup and view all the answers

Which of the following symptoms is common in CKD?

<p>Uremic frost (C)</p> Signup and view all the answers

Loss of protein in the urine is a key characteristic of which condition?

<p>Nephrotic syndrome (A)</p> Signup and view all the answers

Which of the following is a common cause of erectile dysfunction?

<p>Diabetes mellitus (D)</p> Signup and view all the answers

What is the primary function of the prostate gland?

<p>Producing seminal fluid (D)</p> Signup and view all the answers

Which symptom is commonly associated with prostate cancer?

<p>Nocturia and weak urine stream (B)</p> Signup and view all the answers

Increased intra-abdominal pressure, like from coughing or sneezing, leads to which type of incontinence?

<p>Stress incontinence (A)</p> Signup and view all the answers

An individual with nephrolithiasis is most likely to exhibit which of the following?

<p>Presence of calculi in the kidney. (B)</p> Signup and view all the answers

A patient who chronically consumes excessive amounts of salt is at increased risk for which of the following?

<p>Increased calcium in the urine. (D)</p> Signup and view all the answers

Progressive hyperglycemia is most likely to cause which of the following conditions?

<p>Chronic kidney disease. (A)</p> Signup and view all the answers

A patient presents with cardiac arrythmias. Which electrolyte imbalance is most likely the cause?

<p>Hyperkalemia (A)</p> Signup and view all the answers

When planning the diet for a patient with chronic kidney disease(CKD) it is most important to:

<p>Reduce sodium and potassium. (C)</p> Signup and view all the answers

A physician suspects a patient of having bladder cancer. Which finding during the intial workup would support this diagnosis?

<p>Blood in the urine without pain. (C)</p> Signup and view all the answers

The origin of a transitional cell carcinoma cells is in what part of the body?

<p>The urothelium. (C)</p> Signup and view all the answers

What is the most likely finding in a male patient that has diabetes that is now complaining of erectile dysfunction?

<p>Damage to blood vessels (D)</p> Signup and view all the answers

What is the most important risk factor when accessing a man for potential prostate cancer?

<p>Older age (D)</p> Signup and view all the answers

The presence of prostate-specific antigen (PSA) in the blood is used to:

<p>Suggest the presence of prostate cancer. (A)</p> Signup and view all the answers

Which condition is characterized by endometrial tissue growing outside the uterus?

<p>Endometriosis (A)</p> Signup and view all the answers

A key sign of polycystic ovary syndrome (PCOS) is the presence of:

<p>Hirsutism (D)</p> Signup and view all the answers

Which of the following STIs is caused by the bacterium Treponema pallidum?

<p>Syphilis (C)</p> Signup and view all the answers

Painless genital ulcers are commonly associated with which sexually transmitted infection?

<p>Syphilis (B)</p> Signup and view all the answers

Which sexually transmitted infection is most strongly associated with an increased risk of cervical cancer?

<p>Human papillomavirus (HPV) (A)</p> Signup and view all the answers

Which vaccine is most effective in preventing infections that can lead to cervical cancer and genital warts?

<p>Gardasil (A)</p> Signup and view all the answers

A patient presents with a noticeable fishy odor during a vaginal examination. Which STI should be suspected?

<p>Bacterial vaginosis (B)</p> Signup and view all the answers

Which condition is the most likely cause of scrotal swelling due to fluid accumulation?

<p>Hydrocele (D)</p> Signup and view all the answers

The majority of epididymitis cases in men younger than 35 years old is caused by which of the following?

<p>Sexually transmitted diseases (A)</p> Signup and view all the answers

Which procedure is considered the primary surgical intervention for relieving urinary obstruction in severe benign prostatic hyperplasia (BPH)?

<p>Transurethral resection of the prostate (TURP) (D)</p> Signup and view all the answers

Flashcards

What are Health-care associated infections(HAIs)?

Infections associated with medical care.

Most common Healthcare-Associated Infection (HAI)

UTIs, mainly from catheter use.

What is pyelonephritis?

Inflammation of the kidney due to a UTI.

Common symptom of pyelonephritis

Costovertebral Tenderness. Pain upon percussion in the back.

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Phenazopyridine side effect

Orange discoloration of urine.

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What is Nephrolithiasis?

Kidney stone formation.

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Calcium Oxalate

Kidney stones are often composed of this.

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How does high sodium intake affect kidney stone risks?

High sodium intake increases calcium excretion.

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How does Diabetes cause Chronic Kidney Disease?

It damages kidney blood vessels.

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Most dangerous electrolyte imbalance in CKD

Hyperkalemia

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Diet for CKD patients:

Restrict Potassium and Sodium

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What is uremic frost?

Can occur in severe CKD due to waste accumulation.

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What is nephrotic syndrome?

Protein loss causing edema.

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Most common type of bladder cancer?

Transitional cell carcinoma

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Hallmark symptom of bladder cancer?

Painless hematuria.

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How does diabetes cause erectile dysfunction?

Damage to blood vessels that affect function.

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Prostate Cancer Diagnosis

Elevated prostate-specific antigen levels.

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Which STI increases risk of cervical cancer?

Human Papilloma Virus (HPV)

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STI with Painful Genital Ulcers

Herpes Simplex Virus (HSV)

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What is testicular torsion?

Twisting of the spermatic cord cutting off blood flow

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Phenazopyridine

Urinary analgesic that causes orange discoloration of urine.

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Diabetes Mellitus

Chronic kidney disease cause

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Endometriosis

Tissue growth outside of the uterus

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Hirsutism

Excessive androgen levels

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Syphilis

Bacterial infection treated with Penicillin

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Gardasil

Protect against HPV

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Bacterial vaginosis

Characteristic fishy odor

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Benign Prostatic Hyperplasia (BPH)

Enlargement of prostate causing urinary obstruction

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TURP

Surgical procedure to relieve urinary obstruction

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Endometriosis symptom

Painful sexual intercourse

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Hormonal suppression

Hormonal treatments reduce symptoms of endometriosis

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Menorrhagia

Abnormally heavy or prolonged menstrual bleeding

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Luteinizing Hormone (LH)

LH triggers ovulation and corpus luteum formation.

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Menopause

The natural cessation of menstruation

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Hot flashes

Common symptom of menopause.

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Testicular Torsion

A medical emergency requiring immediate intervention

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Hydronephrosis

Urine backs up into the kidneys

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Stress Incontinence

Increased intra-abdominal pressure

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Urosepsis cause

Untreated UTI

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Pap Smear

Detection of cervical abnormalities

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Study Notes

Urinary System Disorders

  • Urinary Tract Infections (UTIs) due to catheter use are common Healthcare-Associated Infections (HAIs).
  • Costovertebral tenderness is a common symptom of pyelonephritis (an upper UTI causing kidney inflammation, fever and nausea).
  • Phenazopyridine (Pyridium), a urinary analgesic, turns urine orange and relieves dysuria.
  • Nephrolithiasis is characterized by kidney stones, often composed of calcium oxalate.
  • High sodium intake increases calcium excretion, promoting kidney stone formation.

Chronic Kidney Disease (CKD) and Renal Disorders

  • Diabetes mellitus causing prolonged damage from hyperglycemia is the most common cause of CKD.
  • Hyperkalemia is a concerning symptom in CKD patients, able to cause life-threatening cardiac arrhythmias.
  • A dietary restriction of low sodium and low potassium is ideal for CKD patients to prevent hypertension and hyperkalemia.

Reproductive System Disorders

  • Transitional cell carcinoma, originating in the urothelium, is the most common type of bladder cancer.
  • The hallmark symptom of bladder cancer is painless hematuria (blood in the urine).
  • E. coli, found in feces, is the most common pathogen causing UTIs.
  • Pyelonephritis, a kidney infection, presents with fever, nausea, and flank pain.
  • Phenazopyridine (Pyridium) is a urinary analgesic that causes orange urine discoloration.
  • A high protein diet increases calcium and uric acid excretion, promoting stone formation.
  • Diabetes damages kidney blood vessels, leading to CKD.
  • Hyperkalemia can cause life-threatening cardiac arrhythmias.
  • Restricting sodium and potassium helps manage CKD symptoms.
  • Uremic frost occurs in severe CKD caused by waste accumulation.
  • Nephrotic syndrome leads to protein loss, causing edema.
  • Smoking is the most significant risk factor for bladder cancer.

Male Reproductive Disorders

  • Diabetes mellitus damages blood vessels, affecting erectile function.
  • Older age increases the risk of prostate cancer.
  • An elevated prostate-specific antigen (PSA) suggests prostate cancer.

Female Reproductive Disorders

  • Endometriosis causes tissue growth outside the uterus, leading to pain and infertility.
  • Polycystic ovary syndrome (PCOS) causes excess androgen levels, leading to hirsutism (excess hair growth).
  • Syphilis, caused by Treponema pallidum, is a bacterial infection treated with penicillin.
  • Primary syphilis presents with painless sores.
  • Human papillomavirus (HPV) increases the risk of cervical cancer and is strongly linked to it.
  • HPV can be prevented with the Gardasil vaccine.
  • Bacterial vaginosis causes a characteristic fishy odor.
  • Painless hematuria is often the first sign of bladder cancer.
  • Benign prostatic hyperplasia (BPH) is associated with increased urinary frequency, urgency, and nocturia in older men as it causes prostate enlargement, leading to urinary obstruction.

Menstrual Disorders & Female Reproductive Health

  • BPH causes prostate enlargement, which leads to urinary obstruction.
  • Untreated BPH can lead to urinary retention and kidney damage.
  • Transurethral resection of the prostate (TURP) is a common surgical procedure to relieve urinary obstruction caused by severe BPH.
  • Endometriosis causes pelvic pain, infertility, and painful intercourse.
  • Hormonal treatments like oral contraceptives reduce symptoms of endometriosis.
  • Menorrhagia refers to abnormally heavy or prolonged menstrual bleeding.
  • Luteinizing hormone (LH) triggers ovulation and corpus luteum formation.
  • PCOS causes hormonal imbalances, leading to irregular menstrual cycles.
  • Menopause is the natural cessation of menstruation.
  • Hormonal changes during menopause cause vasomotor instability, leading to hot flashes.
  • Estrogen decline during menopause leads to reduced bone density, a complication of menopause that results in osteoporosis.

Sexually Transmitted Infections (STIs)

  • HPV causes genital warts and cervical cancer.
  • Gonorrhea in women is commonly asymptomatic, increasing transmission risk.
  • Untreated Chlamydia can cause pelvic inflammatory disease (PID), leading to infertility.
  • Herpes simplex virus is an STI associated with painful genital ulcers, causing painful blisters and ulcers.

Miscellaneous Urological & Reproductive Conditions

  • Hydrocele characterized by scrotal swelling due to fluid accumulation and is a fluid-filled sac in the scrotum.
  • Chlamydia and gonorrhea are leading causes of epididymitis in younger men.
  • The primary prostate gland function is producing seminal fluid for sperm composition.
  • The prostate gland contributes to seminal fluid composition.
  • Surgical removal of the affected testicle (orchiectomy) is the primary treatment for testicular cancer.
  • Testicular torsion is a medical emergency.
  • Testicular torsion causes twisting of the spermatic cord, cutting off blood flow, requiring emergency surgery.
  • Prostate cancer often presents with nocturia (frequent urination at night) and a weak urine stream due to obstruction.
  • Testicular cancer commonly presents as a painless lump or swelling.
  • Hydronephrosis is caused by urine obstruction, leading to kidney swelling.
  • Stress incontinence is caused by increased intra-abdominal pressure on the bladder while coughing or sneezing, causing urine leakage.
  • Untreated UTIs can spread to the bloodstream, leading to life-threatening urosepsis (systemic infection).
  • Ovarian cancer can commonly present with bloating and early satiety.
  • A Pap smear is used for cervical cancer screening.
  • Early Pap smear cancer detection due to detecting abnormal cervical cells.

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Description

Overview of common urinary system disorders like UTIs, pyelonephritis, and nephrolithiasis, including symptoms and management. Also covers chronic kidney disease (CKD) and reproductive system disorders, including causes, symptoms, and dietary considerations.

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