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You are here: Home / Podcast / Topic Specific Content Blueprint Review / Genitourinary (6%) / Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35

Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35

March 14, 2016 By Stephen Pasquini PA-C Leave a Comment

The Audio PANCE and PANRE Genitourinary Review 1Welcome to episode 35 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint.

This week we will be covering 10 topic specific Genitourinary board review questions.

GU accounts for 6% of your PANCE/PANRE board exam.  

Below you will find an interactive exam to complement the podcast.

I hope you enjoy this free audio component to the examination portion of this site. The full genitourinary board review includes over 72 GU specific questions and is available to all members of the PANCE and PANRE Academy.

  • You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio.
  • You can listen to the latest episode, take an interactive quiz and download your results below.

Listen Carefully Then Take The Quiz

If you can't see the audio player click here to listen to the full episode.

Genitourinary PANCE and PANRE Podcast Quiz

 

The Audio PANCE and PANRE GU Quiz 1

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Congratulations - you have completed The Audio PANCE and PANRE GU Quiz 1. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
A 65 year-old patient presents with hypertension and peripheral edema. Urinalysis reveals pale urine, with a specific gravity of 1.002, 2+ protein, trace glucose, and is negative for red blood cells and leukocytes. Serum electrolytes include BUN of 58 mg/dl and creatinine of 4.5 mg/dl. These are unchanged from previous results obtained 3 months and 6 months ago. Of the following, what other laboratory abnormalities would you expect?
A
Hypercalcemia
Hint:
Patients with chronic renal failure typically present with hypocalcemia, hyperphosphatemia, and metabolic acidosis.
B
Metabolic alkalosis
Hint:
See A for explanation
C
Hypophosphatemia
Hint:
See A for explanation
D
Anemia
Question 1 Explanation: 
Anemia of chronic disease is associated with chronic renal failure
Question 2
A 65 year-old male with a 60 pack-year smoking history presents with painless hematuria for two days. He also complains of frequency and dysuria. He denies a history of recent upper respiratory tract infection. Which of the following is the most likely diagnosis?
A
Bladder cancer
B
Wegener's granulomatosis
Hint:
Wegener's granulomatosis disease involves the kidneys and the lungs. Renal signs include hematuria, red blood cells casts, and proteinuria.
C
IgA nephropathy
Hint:
IgA nephropathy typically presents after an upper respiratory tract infection and presents with hematuria and proteinuria.
D
Benign prostatic hypertrophy
Hint:
BPH presents with voiding symptoms such as hesitancy, straining, weak stream and postvoid dribbling.
Question 2 Explanation: 
Bladder cancer is associated with smoking and presents with painless hematuria.
Question 3
A patient on acetazolamide for glaucoma complains of increasing shortness of breath. The patient denies cough, chest pain, or fever. Physical examination is unremarkable except for an increased respiratory rate of 30/minute. Labs include Na 132 mEq/L, K 5.6 mEq/L, Cl 120 mEq/L, and CO2 10 mEq/L. Arterial blood gas results are pH 7.18, pO2 98 mmHg, pCO2 22 mmHg, and HCO3 8 mEq/L. Based upon these results, what is the diagnosis?
A
Metabolic alkalosis
Hint:
See B for explanation
B
Metabolic acidosis
C
Respiratory alkalosis
Hint:
See B for explanation
D
Respiratory acidosis
Hint:
See B for explanation
Question 3 Explanation: 
Acetazolamide inhibits carbonic anhydrase, which inhibits bicarbonate ion regeneration, with resulting normal anion-gap, hyperchloremic acidosis. Respiratory compensatory mechanisms lead to hyperventilation.
Question 4
Which of the following is the most appropriate intervention for a stage I testicular seminoma?
A
Watchful waiting
Hint:
Surveillance is an option in stage I disease of a nonseminoma testicular tumor.
B
Chemotherapy initially
Hint:
Patients with stage IIC and stage III are treated with chemotherapy
C
Orchiectomy and radiation
D
Orchiectomy and chemotherapy
Hint:
Chemotherapy is used for later stage tumors (II/III) and followed by surgery in stage III tumors.
Question 4 Explanation: 
Inguinal orchiectomy followed by retroperitoneal radiation therapy cures about 98% of patients with stage I seminoma.
Question 5
A patient with prostate cancer has a nonpalpable, focal lesion, and the patient is reluctant to have surgery at this time. Which of the following would best monitor disease progression?
A
Periodic rectal exams
Hint:
Many prostate carcinomas are contained within the gland, making it difficult to assess progression with a digital examination alone.
B
Transrectal ultrasonography
Hint:
Ultrasonography is used largely for staging disease, not monitoring disease progression.
C
Measurements of serum acid phosphatase
Hint:
Serum acid phosphatase is more predictive of metastatic disease than PSA measurement, but its use has largely been replaced by PSA.
D
Measurements of prostate-specific antigen
Question 5 Explanation: 
PSA measurement correlates well with volume and stage of disease and is the recommended examination for monitoring disease progression.
Question 6
When the diagnosis of gonococcal urethritis is confirmed, which of the following is the treatment of choice?
A
Ceftriaxone (Rocephin)
B
Amoxicillin (Amoxil)
Hint:
Effective single-dose regimens for uncomplicated gonococcal urethritis include cefixime or one of the fluoroquinolones, but NOT amoxicillin due to penicillin-resistant strains of gonorrhea.
C
Penicillin G benzathine (Bicillin LA)
Hint:
Penicillin G benzathine is the treatment of choice for primary syphilis.
D
Doxycycline (Vibramycin)
Hint:
Doxycycline is the treatment of choice for Chlamydia urethritis, not gonococcal urethritis.
Question 6 Explanation: 
Ceftriaxone is recommended therapy for gonococcal urethritis.
Question 7
A patient presents with edema, which is most noticeable in the hands and face. Laboratory findings include proteinuria, hypoalbuminemia, and hyperlipidemia. The most likely diagnosis is
A
congestive heart failure
Hint:
Dependent edema is the most typical finding with CHF. Laboratory findings do not generally include proteinuria or hypoalbuminemia.
B
end-stage liver disease
Hint:
Symptoms of end-stage liver disease usually include increased abdominal girth indicating ascites. Hypoalbuminemia can occur as a result of malnutrition or concurrently with nephrotic syndrome.
C
nephrotic syndrome
D
malnutrition
Hint:
Malnutrition is marked by physical wasting, not edema. Hypoalbuminemia may be seen, but hyperlipidemia is not typical.
Question 7 Explanation: 
Proteinuria, hyperlipidemia, and hypoalbuminemia are consistent with nephrotic syndrome.
Question 8
Which of the following is most frequently associated with bladder cancer?
A
Hematuria
B
Dysuria
Hint:
Dysuria, urgency, and frequency are associated with irritative voiding symptoms associated with cystitis.
C
Urgency
Hint:
See B for explanatioon
D
Frequency
Hint:
See B for explanatioon
Question 8 Explanation: 
Significant persistent hematuria >3 RBC/HPF on three urinalysis, a single urinalysis with >100 RBC, or gross hematuria, identifies significant renal or urologic lesions. Bladder cancer usually presents with painless hematuria.
Question 9
A 35 year-old pregnant patient presents with fever, chills, and left-sided flank pain. On physical examination left-sided CVA tenderness is noted. Urinalysis reveals numerous white blood cells and white blood cell casts. Which of the following is the most appropriate treatment?
A
Oral ciprofloxacin (Cipro)
Hint:
See B for explanation
B
Oral trimethoprim-sulfamethoxazole (Bactrim)
Hint:
The fluoroquinolones and trimethoprim-sulfamethoxazole are contraindicated in pregnancy.
C
IV gentamicin (Garamycin)
Hint:
Gentamicin is not indicated as first line therapy in the treatment of pyelonephritis in a pregnant patient.
D
IV ceftriaxone (Rocephin)
Question 9 Explanation: 
IV cephalosporins are first line treatment of pyelonephritis in a pregnant patient, followed by oral step-down therapy.
Question 10
The most definitive treatment for primary enuresis is
A
oxybutynin chloride (Ditropan)
Hint:
Oxybutynin chloride is used for bladder spasms. It cannot be used for children under 5 years of age and is not indicated in primary enuresis.
B
imipramine (Tofranil)
Hint:
Imipramine is an older form of treatment that is moderately effective, but many patients relapse when therapy is stopped. This is no longer considered the treatment of choice.
C
trimethoprim-sulfamethoxazole (Bactrim)
Hint:
TMP-SMX is indicated for urinary tract infections that may cause secondary enuresis, but it is not used in primary enuresis.
D
desmopressin (DDAVP)
Question 10 Explanation: 
Intranasal desmopressin is effective in 50% of patients treated and is the treatment of choice.
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  • The Audio PANCE and PANRE Board Review Podcast Episode 1
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  • The Audio PANCE and PANRE Board Review Podcast Episode 21
  • The Audio PANCE and PANRE Board Review Podcast Episode 23
  • The Audio PANCE and PANRE Board Review Podcast Episode 25
  • Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27
  • Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29
  • Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31
  • EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33
  • Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35
  • Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37
  • Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39
  • Episode 41: The Audio PANCE and PANRE Board Review Podcast
  • Episode 43: The Audio PANCE and PANRE Board Review Podcast
  • Murmur Madness: The Audio PANCE and PANRE Episode 45
  • Episode 47: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
  • Episode 49: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
  • Episode 51: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
  • Episode 53: General Surgery End of Rotation Exam – The Audio PANCE and PANRE Podcast
  • Episode 55: The Audio PANCE and PANRE Board Review Podcast
  • Episode 57: The Audio PANCE and PANRE Board Review Podcast
  • Episode 59: Emergency Medicine EOR – The Audio PANCE and PANRE Board Review Podcast
  • Episode 61: The Audio PANCE and PANRE Board Review Podcast
  • Episode 63: The Audio PANCE and PANRE PA Board Review Podcast
  • Podcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-C
  • Podcast Episode 67: Ten PANCE and PANRE Board Review Audio Questions
  • Podcast Episode 69: Ten PANCE and PANRE Board Review Audio Questions
  • Podcast Episode 71: Ten PANCE and PANRE Board Review Audio Questions
  • Podcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review Questions
  • Podcast Episode 75: Ten FREE PANCE and PANRE Audio Board Review Questions
  • Podcast Episode 77: The Audio PANCE and PANRE Board Review Podcast
  • How to Study for Your PANCE: Podcast Episode 79
  • Podcast Episode 81: Internal Medicine EOR Cardiology Questions
  • How to Answer the Hardest PANCE and PANRE Test Questions: Podcast Episode 82
  • How to Answer Tricky PANCE and PANRE Test Questions Part 2: Podcast Episode 83
  • Cardiac Pharmacology Part One: The Audio PANCE and PANRE Episode 84
  • Podcast Episode 85: Ten Mixed Multiple Choice Questions
  • How to Be a Better PA Part 1: Nurses, Lab Techs, and X-Ray Technicians
  • Podcast Episode 87: Ten Internal Medicine EOR Questions
  • How to Be a Better PA Part 2: Medical Staff, Administrators, and Supervisors
  • Podcast Episode 89: Ten PANCE, PANRE, and Rotation Review Questions
  • Podcast Episode 90: Ten PANCE, PANRE, and Rotation Review Questions

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About Stephen Pasquini PA-C

Stephen has been a family practice PA since 2004 and is the creator of The PA Life and Smarty PANCE Board Review websites. A National Health Service Corps Scholar and a graduate of The University of Medicine and Dentistry of NJ (Rutgers) PA Program and the University of Washington in Seattle, WA. Stephen's goal is to provide one-of-a-kind online resources for those interested in or practicing in the PA profession, to promote better access to healthcare for all, and foster universal recognition/awareness of the PA profession. Read more about Stephen.

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Murmur Madness - The Audio PANCE and PANRE Physician Assistant Board Review Podcast

Murmur Madness: The Audio PANCE and PANRE Episode 45

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Episode 43: The Audio PANCE and PANRE Board Review Podcast

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Episode 41: The Audio PANCE and PANRE Board Review Podcast

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Reproductive System Board Review Podcast

Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39

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Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37

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The Audio PANCE and PANRE Genitourinary Review 1

Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35

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PANCE and PANRE HEENT Audio Review Part One

EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33

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Gastroenterology 1 The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

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Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29

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The Audio PANCE and PANRE Board Review Podcast Episode 27

Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27

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Episode 25 The Audio PANCE and PANRE Board Review Podcast They Physician Assistant Life

The Audio PANCE and PANRE Board Review Podcast Episode 25

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EPISODE 23 THE AUDIO PANCE AND PANRE PODCAST

The Audio PANCE and PANRE Board Review Podcast Episode 23

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The Audio PANCE and PANRE Board Review Podcast Episode 21

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The Audio PANCE and PANRE Board Review Podcast Episode 19

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The Audio PANCE and PANRE Board Review Podcast Episode 17

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The Audio PANCE and PANRE Board Review Podcast Episode 15

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The Audio PANCE and PANRE Board Review Podcast Episode 13

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The Audio PANCE and PANRE Board Review Podcast Episode 11

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The Audio PANCE and PANRE Board Review Podcast Episode 9

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The Audio PANCE and PANRE Episode 7

The Audio PANCE and PANRE Board Review Podcast Episode 7

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The Audio PANCE and PANRE Board Review Podcast Episode 5

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The Audio PANCE and PANRE Board Review Podcast Episode 3

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The Audio PANCE and PANRE Board Review Podcast Episode 1

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