泌尿外科选择题(英语).doc

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1、Urology-11.An84yearoldmanpresentstoyourofficecomplainingofafivedayhistoryofpassingterminalbrightredbloodyurine.Hereportsmarkedurgencyandfrequencybutisotherwisewellandafebrile.Inretrospect,heremembersbeingquiteillwithaninfectionintherecentpast.Analysisofavoidedspecimen

2、shows3smoothandroundedRBCs/hpf.WhichofthefollowingisNOTincludedinyourdifferentialdiagnosis?a)benignprostatichpertrophy(BPH)b)post-streptococcalglomerulonephritisc)astonelodgedatthevesico-uretericjunctiond)asuperficialbladdertumoure)acoliformpositiveUTI2.Ofthefollowing

3、conditions,whichisnotconsideredaurologicalemergency?a)paraphimosisb)priapismc)orchitisd)testiculartorsione)autonomicdysreflexia3.AnormalsemenanalysisincludesallofthefollowingEXCEPT:a)pHbetween7.5-8.1b)aspermcount>20millionsperm/mlc)WBC<10/hpfd)motility>50%e)>60%normal

4、morphologicalforms4.Amotherbringshertoilet-trained,5yearolddaughtertoseeyouwitha3dayhistoryofdysuria,increasedfrequency,andurgencyincontinence.Herpastmedicalhistoryissignificantforabag-specimenpositiveUTIcharaterizedbyhighfeverandvomitingat2yearsofage.Atthetime,shewas

5、losttofollowup.Whichofthefollowingwouldbeappropriateforyourinitialmanagementofthispatient?a)voidingcystourethrogram(VCUG)b)amidstreamurinespecimenc)nuclearcystogramd)DMSArenalscane)abdominalultrasound5.A55yearoldmanreluctantlyadmitstodifficultyinmaintaininganerections

6、ufficientforsexualintercourseforthepasttwoyears.Hereportsbeinghealthy,however,hehasnotseenaphysicianin10years.Whichofthefollowingwouldnotsuggestapotentialcauseforhiserectiledysfunction?a)elevatedbloodpressureb)galactorheac)acanthosisnigracansd)varicocelee)eruptivexant

7、homa6.A50yearoldmanpresentswitha2monthhistoryofirritativevoidingsymptomsandafever.Heinitiallysawhisfamilydoctorwhotreatedhimforcystitiswithciprofloxacinfor5days.Henowpresentstoyoubecausehissymptomshavereturnedsoonafterhefinishedhiscourseofantibiotics.Allofthefollowing

8、arelikelyTRUEexcept:a)heneverhadaUTIb)hemighthavecomplainedofdiscomfortwhenridingabicyclec)hemighthavealsoexperiencedbackpai