Packrat Questions - Urology | 45 Questions with 100% Correct Answers | Updated & Verified | 23 Pages

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History & Physical/Urology/Renal When performing a rectal examination, prostatic massage is contraindicated in Answers A. prostatodynia. B. non-bacterial prostatitis. C. chronic bacterial prostat... itis. D. acute bacterial prostatitis. - ANS - Explanations (u) A. Prostatodynia is an inflammatory disorder involving voiding dysfunction and pelvic floor musculature dysfunction. There is no bacterial involvement. (u) B. Non-bacterial prostatitis is similar to chronic bacterial prostatitis, but no bacteria are cultured, and the cause is unknown. (u) C. Prostate massage can be performed in the absence of fever. Expressed prostatic secretions are cultured to help identify the organism. (c) D. Vigorous manipulation of the prostate during rectal examination may result in septicemia. This is contraindicated in the presence of fever, irritative voiding symptoms, and perineal/sacral pain. Diagnostic Studies/Urology/Renal A 38 year-old female presents with right flank pain for several days, shaking chills, fever to 102°F, and general malaise. The flank pain has been intermittently severe, and she has a history of kidney stones. Urinalysis reveals 3+ red blood cells, 3+ leukocyte esterase, trace protein and negative glucose. Which of the following findings would most likely be seen on a renal ultrasound? Answers A. Small echogenic kidneys B. Cysts C. Hydronephrosis D. Capsular hemorrhage - ANS - Explanations [Show More]

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