Chapter 37 Urinary Problems in Patients With a Vagina and Associated Anatomical Structures
Multiple Choice
Identify the choice that best completes the statement or answers the question.
Your 24-year-old female patient complains of dysuria as well as frequency and urgency of urination that develops the
1.
day after she uses her diaphragm. Urine culture reveals a bacterial count of 100 CFU/mL. These signs and symptoms indicate:
A. Upper urinary tract infection
B. Lower urinary tract infection
C. Normal bacteriuria
D. Urethritis
An 18-year-old female patient presents with repeated urinary tract infections. She has no risk factors in her history, and
2.
her physical examination is unremarkable. She also has a normal pelvic exam. Which of the following should be obtained if anatomic
abnormalities are suspected?
A. Intravenous pyelogram
B. Ultrasound of the kidneys
C. Cystoscopy
D. Transvaginal ultrasound of the bladder
A 33-year-old female patient visits the clinic multiple times over the last year complaining of dysuria, frequency,
3.
urgency, suprapubic pain, and dyspareunia. Her physical examination, including a pelvic exam, is normal. Urinalysis and urine culture is
repeatedly negative. Her intravenous pyelogram is also normal. The clinician should recognize that this presentation is consistent with
symptoms of:
A. Asymptomatic bacteriuria
B. Upper urinary tract infection
C. Interstitial cystitis
D. Polycystic kidneys
An important sign that indicates nerve compression at the cauda equina section of the spinal cord is:
4.
A. Urinary incontinence
B. Urinary retention
C. Bladder spasms
D. All of the above
5.. A 77-year-old female patient with heart failure complains of frequency and urgency of urination during the day and nocturia of
2 to 3 times a night. Which of the following medications can cause these symptoms?
A. Beta adrenergic blocker
B. Diuretic
C. ACE inhibitor
D. Digitalis
6.. A 15-year-old female patient presents with complaints of constant thirst, urination up to 20 times a day, and recent
unintentional weight loss of 10 pounds over the last month. It is important for the clinician to recognize these symptoms as those of:
A. Renal cancer
B. Bladder cancer
C. Diabetes mellitus
D. Interstitial cystitis
Answer Section
MULTIPLE CHOICE
PTS: 1
1. ANS: B
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