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Author Question: A 78-year-old female comes to the office because she has pain when she urinates. She has been seen ... (Read 98 times)

KimWrice

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A 78-year-old female comes to the office because she has pain when she urinates. She has been seen three times for this problem in the last 3 months. Each time she was told she had a UTI and was given antibiotics.
 
  She carefully followed the instructions but has had no relief of symptoms. Last sUA:
  WBCs: 2-3/high-power field
  RBCs: 0-2/high-power field
  Epithelial cells: Few
  Nitrite: Negative
  Leuckocyte esterase: Negative
  Which of the following should be done next?
  A. Obtain a clean catch urine for UA and urine for C&S
  B. Perform a pelvic examination
  C. Reassure the patient that she has asymptomatic bacteriuria and does not need antibiotics
  D. Order a pelvic ultrasound

Question 2

Mrs. Smith, a 65-year-old woman presents to clinic for the first time and complains of urinary incontinence and dyspareunia. She went through menopause 10 years ago without any hormone replacement therapy and had a hysterectomy for a fibroid.
 
  Her mother had a hip fracture at 82 years of age. The patient's most recent mammogram was 5 years ago and no known family history of breast cancer. She is not taking any medications. Her physical examination is unremarkable except for findings consistent with atrophic vaginitis. You decide to begin topical hormone replacement therapy. Which of the following evaluations would be necessary prior to initiating hormone replacement therapy?
  A. Mammogram
  B. Endometrial biopsy
  C. Bone mineral density measurement
  D. Papanicolaou smear



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ebenov

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Answer to Question 1

B

Answer to Question 2

A




KimWrice

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Reply 2 on: Jul 11, 2018
Gracias!


xiaomengxian

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Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

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Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

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