Summer CME 2025 Aug 18 Quiz SPC2025 August 18 Quiz Name First Last Email Interesting Urological Cases – Lori Dulabon, D.O.(Required)All of the following are TRUE, except: Penile abscess is an uncommon urologic condition typically presenting with penile swelling and pain Active surveillance is considered an NCCN treatment option for stage I pure testicular seminomas Buried phallus due to obesity enhances carcinogenesis and represents a new group of patients that must be carefully examined and counseled regarding the risk penile carcinoma Ketamine is becoming a recreational drug that has known calming and soothing effects on the bladder. Scrotal Ultrasound and testicular serum tumor markers are very important diagnostic tools in the work up of testicular cancer Overview of Endocrine Disruptors – Nicole Temofonte, D.O.(Required)A 28 year old female presents to the office to discuss inability to conceive after trying to become pregnant for the past two years. Menarche was at age 12. She has a history of irregular menstrual cycles since the age of 24. She denies medical history and is not taking any medications. She has no history of substance use. On physical exam, BMI is 21 and there are no clinical signs of hormone over or underproduction. She does admit to routinely drinking from plastic water bottles, using plastic containers for food storage and reheating in microwave and eating canned foods on a regular basis. Which of the following endocrine disruptors may be contributing to her symptoms? Bisphenol A (BPA) Brominated flame retardants Diethylstilbestrol Glyphosphate Lead Perioperative Management of Cardiovascular Medications – Carmine D'Amico, D.O.(Required)A 62-year-old female is being evaluated by her primary care physician for preoperative medical evaluation and recommendations for perioperative management of her medications for elective total abdominal hysterectomy in two weeks. Her medical history is significant for hypertension, hyperlipidemia, type 2 diabetes mellitus, and uterine fibroids. Her current medications include metoprolol succinate 50 mg PO daily, amlodipine 10 mg PO daily, atorvastatin 40 mg PO daily, metformin 500 mg PO BID, and empagliflozin 25 mg PO daily. Her vital signs are as follows: blood pressure 122/78 mmHg, heart rate 72 beats per minute, respiratory rate 12 breaths per minute, and temperature 97.8 ̊ F. Physical examination reveals: no jugular venous distension, lungs are clear to auscultation bilaterally, cardiac rhythm is regular without murmur or gallop, abdomen is soft and nontender, without palpable masses or organomegaly, and extremities are non-edematous. Which of the following is the most appropriate recommendation regarding perioperative management of her medications? Discontinue amlodipine one day prior to surgery Discontinue atorvastatin at least three days prior to surgery Discontinue metoprolol on the day of surgery Discontinue empagliflozin at least three days prior to surgery Continue all of her maintenance medications throughout the perioperative period Neurology Potpourri – Ryan Lynch, D.O.(Required)Butalbital/acetaminophen/caffeine (Fioricet) is indicated to treat which headache type? Cluster headaches Tension-type Headaches Migraine with aura Chronic migraine Inflammatory Bowel Disease – Brian Viviano, D.O.(Required)Which of the following extra intestinal manifestations of inflammatory bowel disease will parallel disease activity? Uveitis Erythema Nodosum Primary Sclerosing Cholangitis Ankylosing Spondylitis