Which finding suggests a genitourinary origin?

• A. GU complaints, bleeding or unusual discharge, GU examination
• B. Back pain worse with standing
• C. Chest tightness with exertion
• D. Nausea and vomiting

Answer: (A)

Signs pointing to a genitourinary origin are those that directly involve the GU system—such as urinary symptoms, bleeding, unusual discharge, or findings on a genitourinary examination. This direct involvement makes GU origin the most likely explanation. The other signs describe issues from other systems: back pain worsening with standing suggests musculoskeletal or renal-related pain, chest tightness with exertion points to cardiac or pulmonary causes, and nausea/vomiting is nonspecific and can accompany many conditions.