NEW
Font size
WorksheetsMedical Case Studies Quiz1
Total questions: 4
Worksheet time: 2mins
A 78-year-old malnourished woman with a history of prior pelvic radiation for cervical cancer has a radical cystectomy and ileal conduit with bilateral ureteral stents for urothelial cancer. Four days postoperatively, her urine output decreases with a marked increase in output from her abdominal drain. The next step is:
TPN.
placement of a catheter into the ileal stoma.
bilateral percutaneous nephrostomy tube placement.
revision of the ureteroileal anastomoses.
excision of the ileal conduit and replacement with a transverse colon conduit.
A 24-year-old man has a transpubic urethroplasty in the extended lithotomy position. Postoperatively, he has anteromedial thigh paresthesia and right lower extremity weakness. The nerve most likely injured is the:
femoral.
obturator.
genitofemoral.
sciatic.
ilioinguinal.
A 52-year-old man with a history of lung cancer has a 5 cm adrenal mass with an attenuation of 45 Hounsfield units noted on follow-up non-contrast CT scan. Metastatic evaluation is otherwise negative. Metabolic evaluation is normal. The next step is:
repeat imaging and metabolic evaluation in six months.
MRI scan.
MlBG scan.
percutaneous needle biopsy.
adrenalectomy.
A 45-year-old hypertensive man with a family history of renal failure is noted to have bilaterally enlarged cystic kidneys and hepatic and pancreatic cysts during an abdominal ultrasonographic examination for abdominal/flank pain and fever. He also complains of marked dysuria. He is admitted with a presumptive diagnosis of pyelonephritis. Urine culture has been sent. Initial antibiotic therapy should be:
gentamicin.
ampicillin.
cephalexin.
ciprofloxacin.
nitrofurantoin.