Male Reproductive
Orchitis is an acute inflammation of the _____________ secondary to ____________ or ____________.
testes, virus, bacteria
Define the third stage of labor.
Time from delivery of baby to delivery of placenta.
A patient comes into your office with a strawberry cervix, copious yellow/green discharge. A sample of the vaginal discharge under the microscope shows mobile flagellated protozoa, which should make you think of what dx?
Trichomoniasis
Physical exam study to diagnosis hydrocele:
Transillumination
1st line treatment for acute cystitis
Macrobid (Nitrofurantoin) 100mg bid x 5 day
or TMP-SMX (Bactrim) 1 DS tablet bid x 3 days
or Fosfomycin (Manurol) 3g single dose
Inability to replace the foreskin back over the glans in an uncircumcised male:
Paraphimosis
What is the most common cause of secondary amenorrhea?
Pregnancy
A rope-like breast mass should make you think of what dx?
How do you diagnose Gonorrhea?
Nucleic acid amplification test (NAAT)
What can be considered if drugs fail in Peyronie's Disease?
surgery
Define cryptorchidism
Failure of testes to descend (one or both)
Which ethnic group is more at risk for developing a leiomyoma?
Leiomyoma
Painless hematuria in a smoker should make you think of what dx?
Bladder cancer
To test for femoral hernias, what must the patient do once the clinicians finger is in place?
strain down or cough
What is the first line treatment for mastitis?
Dicloxacillin
(Cephalexin or Erythromycin if PCN allergy)
What type of incontinence results from an overactive detrusor muscle?
Urge incontinence
adult breast
pubic hair on thighs
What Sexual Maturity Rating (SMR) (Tanner Stage)?
Loss of cremasteric reflex + Negative Prehn's sign
These are physical exam findings for what?
Testicular Torsion
What three labs should be ordered if you are considering secondary amenorrhea?
-hCG
-Prolactin
-TSH
Antibiotic for chancroid
Azithromycin
These two types of stones are radiopaque:
Calcium oxalate and Struvite
Pt comes in with the following sx:
-perihepatitis + PID
-RUQ pain
What is your dx?
Fitz-Hugh Curtis
A physical exam revealing a retroverted uterus or uterosacral ligament modularity should make you think of what dx?
Endometriosis
The pap smear results on a 23 year old patient come back as atypical squamous cell uncertain significance (ASCUS). What is your next step?
Repeat pap smear in 12 months although HPV test is acceptable.
What medication classes can not be taken with PDE5 inhibitors?
Nitrates or alpha blockers (May result in hypotension)