2015 OSU GU Flashcards
Which is not a moderate contrast reaction?
- Mild wheezing
- Mild stridor
- Mild isolated hypotension and tachycardia
- Nausea/Vomiting
Nausea/Vomiting
Reactions:
Mild: Usually observed not treated. Itching/flashing/chills/hives/eye and facial swelling/nausea/vomiting.
Moderate: Tachycardia/bradycardia/HTN/diffuse erythema/dyspnea/mild hypotension/wheezing/bronchospasm
Severe: Laryngeal edema/profound hypotension/convulsions/unresponsiveness
Acute focal bacterial (pyelonephritis) nephritis associated with all of the following except?
- Ill-defined appearance
- May lead to abscess formation
- May look like mass on IVU or US
- Focal hyperdense mass on noncon CT
- Responds well if treated quickly and appropriately.
Focal hyperdense mass on noncontrast CT.
All of the following are false in regards to extraperitoneal bladder rupture except:
- Accounts for 20% of bladder ruptures
- Occurs by rupture of bladder dome
- Can see contrast extend into scrotum/penis
- Contrast seen into paracolic gutters
- Accounts for 20% of bladder ruptures (False. 70-80% are extraperitoneal)
- Occurs by rupture of bladder dome (False. Tear at anterolateral base)
- Can see contrast extend into scrotum/penis TRUE
- Contrast seen into paracolic gutters (False. This is seen with intraperitoneal)
On Contrast enhanced CT acute focal bacterial nephritis will least likely present as which of the following?
- An ill-defined mass
- A focal area of low attenuation
- An absent unilateral nephrogram
An absent unilateral nephrogram
Which surgery is implicated in ureteral disruption?
- Abdominal peritoneal resection
- Cystectomy
- Gynecological surgery
Gynecological surgery
Torsion:
- Partial torsion can be false positive.
- Hypervascular testicles in torsion
Both these options are false.
Hypervascular testicles can be seen in detorsion.
Retroperitoneal fibrosis:
- Malignant rest within the fibrosis
- Bilateral hydronephrosis
Bilat hydro. True.
Malig rest within fibrosis is False.
Which causes more bowel wall edema?
- Mesenteric venous thrombosis
- Mesenteric arterial thrombosis
Mesenteric venous thrombosis.
Posterior Urethral valves most common type:
- I
- IIa
- IIb
- III
Type I
Nec fasc with MRI study shows which?
- See fascial thickening with nonenhancing fascia and soft tissues
- Fascial thickening with enhancing fascia and gas
Fascial thickening with ENHANCING fascia and gas
Endometriosis __% associated with adenomyosis
40%
Most common cause of renal papillary necrosis
- DM
- Pyelo
- Sickle Cell Dz
- Obstruction
DM
Mnemonic: “AD SPORT C Anelgesics (NSAIDS, Acetaminophen, etc) DM Sickle Cell Dz Pyelonephritis Obstruction Renal vein thrombosis Tuberculosis Cirrhosis
Which is true regarding testicular mass:
- Sertoli are 90% malignant with Testotserone
- 95% are germ cell tumors.
- Klinefelter syndrome 75% with granulosa cell mass
95% are germ cell tumors.
Renal trauma stage: Renal laceration of 2.5 cm not involving hilum or collecting system, perinephric hematoma with no active extravasation.
-Stage 1, 2, 3, or 4?
Stage 3
Which is false of Pelvic congestion syndrome?
- Right gonadal vein is most commonly involved
- Vulvar varices
Vulvar varices.
Pelvic congestion is caused by venous obstruction (posterior aortic ovarian vein), compression (SMA/nutcracker), or incompetent valves in ovarian veins.
