27/02

Question 1

What is the management of acute urinary retention?

Answer 1

Catheter insertion
Record the volume of urine drained in 15mins
<200ml= not in urinary retention
>400ml= catheter remains in situ

Should send urine sample off for MCS

Question 2

What is a complication of urinary retention?

Answer 2

Post obstructive diuresis (urination)
Due to loss of medullary gradient which can take time to re-equilibrate
Lead to loss of fluid volume and worsening AKI
Patients may need fluids

Question 3

What is gastric MALT lymphoma?

Answer 3

Due to H.pylori infection

Most of the cancer responds to H.pylori eradication

Question 4

What is 1st line investigation for testicular cancer?

Answer 4

USS scan

Question 5

What are risk factors for testicular cancer?

Answer 5

Infertility
Klinefelters 
FH
Mumps orchitis
Cryptorchidism- failure of testicular descent during embryological development

Question 6

What marker is used to assess colon cancer response to treatment?

Answer 6

CEA

Question 7

What are risk factors for caecal volvulous?

Answer 7

Pregnancy
Adhesions
Previous surgery
Any age

Question 8

What is the management of acute diverticulitis?

Answer 8

If mild then send home with oral abx

If symptoms do not resolve within 72hrs or more severe symptoms then admit and IV ceftriaxone or metronidazole

Question 9

What symptoms suggest an organic cause of erectile dysfunction?

Answer 9

Gradual onset
Normal ejaculation
Normal libido
Risk factors in medical history
Operations/radiotherapy/trauma to penis or scrotum
Using medication associated with ED
Smoking/high alcohol consumption/recreational drugs