Genitourinary Preview

Genitourinary Preview and Video

Free Genitourinary Preview  of the full PANCE/PANRE course. Full course has 104 questions and full lecture video (0:53:56)


Genitourinary Lecture Slides Preview

Title: Genitourinary Lecture Slide Show Preview

Details: This slide show is a preview of the full Genitourinary slide show for the PANCE and PANRE.

Total Length: 5 slides.  Full Genitourinary lecture slide presentation 87 slides

Full Slide Show Can Be Accessed:  Preview Genitourinary Lecture Slides


Genitourinary Questions (10 Questions)

Title: Genitourinary Questions Preview

Details: This slide show is a preview of the full  slide show for the PANCE and PANRE.

Total Length: 20 slides.  Full  section has 208 slides.

Full Slide Show Can Be AccessedGenitourinary Questions, Answers, and Explanations


Genitourinary Lecture Video Preview

Title: GU Lecture Video Preview

Details: This lecture video is a preview of the full GU slide show for the PANCE and PANRE.

Total Length:  4 minutes, and 1 second.  Full lecture video 53 minutes, and 56 seconds
Full Slide Show Can Be AccessedGU Lecture Video


Genitourinary Preview Lecture Notes

GU Tract Conditions
Benign Prostatic Hyperplasia (BPH)
Benign Prostatic Hypertrophy (BPH) presents with polyuria, nocturia, hesitancy, urgency and weak urinary stream.
Symptoms of BPH appear gradually over a number of years
Incidence increase with age
BPH is not believed to be a risk factor for prostate cancer

Benign Prostatic Hypertrophy
Differential diagnosis includes:  urethral stricture, bladder neck contracture, carcinoma of the prostate, carcinoma of the bladder, bladder calculi, urinary tract infection, prostatitis, and neurogenic bladder
Recommended test is urinalysis and serum PSA and renal panel
Patients with symptoms should have a digital rectal exam to assess prostate size and detect nodules and malignancy
Optional tests include maximal urinary flow rate (normal > 15 mL/sec), post residual urine volume, and urine cytology
Many agents used for treatment of BPH
Alpha 1 Adrenergic Antagonists (Terazosin, Doxazosin, and Tamsulosin) act against the dynamic component of bladder outlet obstruction by relaxing smooth muscle in the bladder neck, prostate capsule, and the prostatic urethra

Benign Prostatic Hypertrophy
-5 Alpha Reductase Inhibitors (Finasteride and Dutasteride) act by reducing the size of the prostate gland
Patients with frequency, urgency, and incontinence may be due to an overactive bladder
Surgical treatment for BPH includes TURP (transurethral resection of the prostate)
Open Prostatectomy can be for those who fail TURP
Urethral stent may be effective for selected patients

Congenital Abnormalities
Renal Agenesis- is almost always unilateral and does not cause symptoms.  It is when the kidney is absent or underdeveloped
Renal Hypoplasia-this appears as one small kidney with the other one larger than normal.  Small kidneys have small arteries that can lead to hypertension.  A nephrectomy maybe needed to correct this.
Supernumerary Kidneys-third kidney is very rare and not be confused with the relatively common unilateral duplication of the renal pelvis

NCCPA Topic List GU Blueprint

GU Tract Conditions
Benign prostatic hyperplasia
Congenital abnormalities
Erectile dysfunction
Testicular torsion

Infectious/Inflammatory Conditions
Neoplastic Diseases
Bladder cancer
Prostate cancer
Renal cell carcinoma
Testicular cancer
Wilms tumor

Renal Diseases
Acute renal failure
Chronic kidney disease
Nephrotic syndrome
Polycystic kidney disease
Renal vascular disease
Fluid and Electrolyte Disorders
Acid/Base Disorders


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