Part of the Medical Emergencies practice questions exam area.
This page holds 200 free practice questions for Chapter 22, Genitourinary and Renal Emergencies, covering kidney and urinary anatomy, UTIs and pyelonephritis, kidney stones, urinary retention, acute kidney injury, dialysis and its complications, hyperkalemia, testicular torsion and other male GU emergencies, and urinary devices. They are written for paramedic and EMT students working through Nancy Caroline's Emergency Care in the Streets, 9th edition. Every question shows the correct answer with a short explanation as soon as you tap, so you learn while you test rather than waiting until the end.
Study it two ways: the 10 Question Blitz, a quick round where every right answer lights a siren and any misses lead into Lights & Sirens, a 5-in-a-row drill on that section, or the full 100-question test drawn at random from the whole chapter. After each test you get a score and a section-by-section breakdown. Progress on the full test is saved on your device, so you can stop and pick up later.
Glucose begins to spill into the urine when the blood glucose rises above about:
Answer: D. 180 mg/dL
The kidney tubules reabsorb all filtered glucose until their capacity is exceeded at roughly 180 mg/dL, after which glucose appears in the urine and pulls water with it, causing polyuria. Normal fasting glucose (70 to 100) does not cause glycosuria.
A resident with a long-term urinary catheter has cloudy urine in the bag but no fever and is at her baseline. How should you interpret this?
Answer: D. Cloudy urine alone is not infection
Bacteria colonize nearly all long-term catheters, so cloudy or smelly urine without fever, new confusion, or other signs is not enough to diagnose a catheter-associated UTI. Look for systemic signs before labeling it an infection.
A patient with a 4-mm ureteral stone was prescribed tamsulosin. This drug helps by:
Answer: A. Relaxing the ureter so the stone passes
Tamsulosin is an alpha-blocker that relaxes smooth muscle in the distal ureter and may help larger distal stones pass. It does not dissolve stones or treat infection, and it can cause dizziness from low blood pressure.
Most students use the 10 Question Blitz for daily practice and take the full 100-question test in the days before a class exam or NREMT practice. Lights & Sirens after a blitz is the fastest way to close gaps the night before a test.
Every question in this chapter is also listed by section, with answers, on the topic pages above. See all paramedic topics or take the NREMT paramedic practice test.
Ch. 1 Ch. 2 Ch. 3 Ch. 4 Ch. 5 Ch. 6 Ch. 7 Ch. 8 Ch. 9 Ch. 10 Ch. 11 Ch. 12 Ch. 13 Ch. 14 Ch. 15 Ch. 16 Ch. 17 Ch. 18 Ch. 19 Ch. 20 Ch. 21 Ch. 22 Ch. 23 Ch. 24 Ch. 25 Ch. 26 Ch. 27 Ch. 28 Ch. 29 Ch. 30 Ch. 31 Ch. 32 Ch. 33 Ch. 34 Ch. 35 Ch. 36 Ch. 37 Ch. 38 Ch. 39 Ch. 40 Ch. 41 Ch. 42 Ch. 43 Ch. 44 Ch. 45 Ch. 46 Ch. 47 Ch. 48 Ch. 49 Ch. 50 Ch. 51 Ch. 52 Ch. 53
These practice questions were written for this site. They are not the publisher's test bank and are not affiliated with or endorsed by Jones & Bartlett Learning, the American Academy of Orthopaedic Surgeons, or the National Registry of Emergency Medical Technicians. Use them alongside your textbook and your instructor's objectives.