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Sim 1

Total questions: 13

Worksheet time: 26mins

Name
Class
Date
1.

You have a patient with nephrolithiasis, they have the most common stone. What is a medication you would think they would be on that may have helped cause this?

a)

Allopurinol

b)

Indapamide

c)

Bactrim

d)

Acetazolamide

2.

Your male patient presents with flank pain that radiates to the groin. He rates the pain a 10/10 on a pain scale and a non contrast CT confirms your suspicion. No fever. What is your gonna be your initial management?

a)

IV Toradol

b)

Hydration

c)

IV Ciprofloxacin

d)

Levofloxacin

3.

You are discharging your patient from the hospital after passing a calcium kidney stone. What are some things you will educate your patient on to prevent them from getting another one?

a)

Restrict salt intake

b)

Eat less animal protein

c)

Drink lots of water

d)

Citrate supplement

4.

You have confirmed your patient has a 3 mm struvite kidney stone due to the alkaline urine and non contrast CT. How will you manage this patient.

a)

Extracorporeal shock wave lithotripsy

b)

Percutaneous nephrolithomy

c)

Manage for spontaneous passage

d)

Antibiotic regimen for prophylaxis of pyelonephritis

5.

You have a patient come in to your office complaining of flank pain and hematuria. They have CVA tenderness and leukocytosis and proteinuria on their UA. You rule out nephrolithiasis. What is the first line treatment for your most suspicious next diagnosis.

a)

Broad Spectrum Antibiotics

b)

Reassurance with education of high fluid intake

c)

Anticoagulation Therapy

d)

Emergent Surgery

6.

What is the most common location for an ectopic pregnancy?

a)

Abdomen

b)

Ovary

c)

Ampulla of the fallopian tube

d)

Cervix

7.

You have a 32-year old female pt who comes in with lower abdominal pain. She states her last menstrual period was 6 weeks ago. The chandelier sign was positive. Her beta-hCG is positive. She states that she does not think she is pregnant. What is the treatment you would give if your highest suspicion is right and the patient is stable?

a)

Methotrexate

b)

Hydroxychloroquine

c)

Rituximab

d)

Backed Red Blood Cells because she about to lose some blood

8.

You have a 40-year-old patient pt who comes in with fever, chills, and back pain. They can not stop vomiting. Their HR is 120 bpm and WBC casts are seen in UA. How are you going to manage this patient? Pick all that apply

a)

Ceftriaxone Regimen

b)

Admit Patient

c)

Bactrim Regimen

d)

Doxycycline Regimen

9.

You guys are all so smart !! Choose the true answer!

a)

We will be PA-S2 VERY soon

b)

these

c)

are

d)

wrong

10.

What is the definitive diagnosis of pyelonephritis?

a)

UA

b)

Urine Culture

c)

Ultrasound

d)

CBC

11.

You have just confirmed your 25-year-old patient has epididymitis, what is the most common cause?

a)

Streptococcus pneumoniae

b)

E. coli

c)

Chlamydia trachomatis

d)

Klebsiella

12.

You are discharging your ectopic pregnancy patient, what are you going to follow post-discharge?

a)

INR

b)

CBC w/ diff for potential post-op infection

c)

Beta-hCG

d)

CMP for electrolytes

13.

You have a 52-year-old pt come in complaining of unilateral abdominal pain. You do a whole workup and find nothing. Which answer would you not be not surprised to see a couple of days later when he comes back to your office?

a)

Leukocytosis

b)

Vesicular rash

c)

A hugeeee bruise

d)

Fever