Genitourinary and Renal System Disorders Flashcards
7 cards from real Physician Assistant practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Genitourinary and Renal System Disorders flashcards as text
A 60-year-old smoker has painless gross hematuria. What is the most appropriate evaluation?
Answer: Cystoscopy and CT urography
Painless gross hematuria in a smoker requires cystoscopy and upper tract imaging to rule out urothelial carcinoma.
Which classic triad is associated with renal cell carcinoma, though present in only a minority of patients?
Answer: Hematuria, flank pain, palpable flank mass
Hematuria, flank pain, and a palpable mass form the classic but uncommon RCC triad.
Renal cell carcinoma may cause erythrocytosis through ectopic production of which substance?
Answer: Erythropoietin
RCC can secrete erythropoietin, producing secondary polycythemia as a paraneoplastic syndrome.
A 65-year-old man has nocturia and weak stream. Which medication improves symptoms and can reduce prostate size over months?
Answer: Finasteride
5-alpha-reductase inhibitors like finasteride shrink the prostate and lower PSA by about 50%.
A 35-year-old man has fever, perineal pain, dysuria, and an exquisitely tender boggy prostate. What should be avoided?
Answer: Vigorous prostatic massage
Prostatic massage in acute bacterial prostatitis is contraindicated as it may cause bacteremia.
A 4-year-old has an asymptomatic smooth abdominal mass that does not cross the midline. What is the most likely diagnosis?
Answer: Wilms tumor
Wilms tumor typically presents as a smooth flank mass that does not cross the midline, unlike neuroblastoma.
An elderly woman leaks urine with a sudden strong urge and cannot reach the bathroom in time. What is first-line therapy?
Answer: Bladder training and behavioral therapy
Behavioral therapy including bladder training is first-line for urge incontinence before antimuscarinics or beta-3 agonists.
How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy
Sources & references
Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy
- nccpa.net — Test dates, renewal, score validity, retake policy, score release, test delivery, eligibility, fees, registration, exam information · verified Nov 2026