Male Genitourinary Clinical Examination

Male Genitourinary Clinical Examination

Dysuria:

• The following sign is not a manifestation of dysuria:

• D. Frequent urination throughout the day.

• The most prominent symptom of dysuria is:

• B. Straining to urinate.

• In normal adults, the average urine flow rate is:

• C. 20 ml/second.

• Not a cause of dysuria:

• B. Ureteral stricture.

• The most common consequence of prolonged dysuria:

• A. Urinary tract infection.

Urinary retention:

• Diagnosis of acute urinary retention is based on:

• E. All of the above except D.

• Diagnosis of chronic urinary retention is based on:

• E. All of the above.

• A long-term consequence of dysuria is vesicoureteral reflux. The method that helps to diagnose this condition quickly and accurately is:

• E. Ureteropelvic retrograde pyelography (UPR).

• Differential diagnosis of acute and chronic urinary retention does not rely on:

• C. Characteristics of the bladder: severely painful and tense or soft and less painful.

• The most common cause of acute urinary retention in older adults is:

• E. Bladder stones.

• Not a cause of chronic urinary retention:

• D. Urethral trauma.

Other symptoms:

• Intermittent urinary flow is a typical symptom of:

• B. Bladder stones.

• Dysuria (frequent urination throughout the day) is manifested by:

• D. Frequent urination throughout the day but reduced urine volume per urination.

• Dysuria (frequent urination throughout the day) is a manifestation of:

• C. Bladder irritation.

• Dysuria (frequent urination throughout the day) is a symptom of:

• C. Bladder stones.

• Cystitis syndrome includes:

• E. All of the above.

• Ureteral stones at the bladder wall cannot cause:

• E. Terminal hematuria.

• Bladder stones cannot cause:

• B. Initial hematuria.

• Total hematuria due to bladder stones is due to:

• D. Severe complications of cystitis.

• Initial hematuria is due to:

• D. Urethral damage (urethral stones, urethral tumors, urethral trauma without urinary retention).

• Terminal hematuria is manifested by:

• D. Clear urine but the last drops contain blood.

• Terminal hematuria is not due to:

• D. Urethral damage (urethral stones, urethral tumors, urethral trauma without urinary retention).

• Urethral tumor in the pelvic region (tumor of the upper urinary tract) can:

• B. Cause terminal hematuria.

• Renal tumor (renal cell tumor) can:

• C. Cause total hematuria.

• Kidney stones can:

• C. Cause total hematuria.

• The damage causing initial hematuria is located in:

• A. Urethra.

• The damage causing terminal hematuria is located in:

• B. Bladder.

• The damage causing total hematuria is located in: (select multiple correct answers)

• C. Upper urinary tract.

• D. Kidney.

• E. Pre-renal (renal vessels).

Urinary tract endoscopy:

• Contraindications of retrograde urinary tract endoscopy: (select multiple situations)

• B. Progressive urinary tract infection.

• E. Coagulation disorder.

• Contraindications of percutaneous antegrade urinary tract endoscopy from the kidney: (select multiple situations)

• B. Progressive urinary tract infection.

• E. Coagulation disorder.

• Complications of retrograde urinary tract endoscopy: (select multiple situations)

• A. Urinary tract perforation.

• B. Bleeding.

• C. Ascending infection.

Urinary tract obstruction:

• Classic renal colic is due to chronic obstruction of the upper urinary tract:

• B. False.

• Dull, throbbing back pain is due to acute obstruction of the upper urinary tract:

• B. False.

• The most common cause of hydronephrosis in Vietnam is ………………………. (maximum 6 words)

• hydronephrosis due to obstruction

• Two tests that help diagnose most causes of hydronephrosis are A ……………………… B …………………………..

• Ultrasound

• Non-contrast renal imaging

Clinical Examination:

• Clinical examination of a young man reveals an enlarged testicle on one side. The cause of testicular enlargement is considered to be testicular tumor:

• B. False.