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Fiser Absite > 39 - Urology > Flashcards

39 - Urology Flashcards

1
Q

Fascia around kidney

A

Gerota’s fascia

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2
Q

Anterior to posterior configuration of renal vessels

A

VAP (Renal vein -> artery -> pelvis)

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3
Q

Which renal vessel crosses posterior to the IVC

A

Right renal artery

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4
Q

Which renal vessel lies anterior to the aorta

A

Left renal vein

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5
Q

The ureters cross over _

A

Iliac vessels

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6
Q

Which renal vessel has collaterals and can thus be ligated

A

Left renal vein

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7
Q

Connects to the vas deferens (2)

A

Epididymis

Seminal Vesicles

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8
Q

The testicular artery, pampiform plexus, vas deferens, cremasteric muscle and ilioinguinal/genital nerves make up the _

A

Spermatic cord structures

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9
Q

Erection is due to _ nerve fibers

A

Parasympathetic

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10
Q

Ejaculation is due to _ nerve fibers

A

Sympathetic

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11
Q

Most common cause of acute renal insufficiency following surgery

A

Hypotension

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12
Q

Most common kidney stone type (75%)

A

Calcium oxalate

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13
Q

Radiopaque kidney stone types

A

Calcium oxalate

Struvite

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14
Q

Stone type increased with terminal ileum resection

A

Calcium oxalate

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15
Q

Stone type that occur with infections from UREASE producing bacteria (proteus mirabilis)

A

Struvite

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16
Q

Stone type that can result in staghorn calculi

A

Struvite

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17
Q

Radiolucent stone types

A

Uric acid

Cysteine

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18
Q

Stone type increased in pts with ileostomies and myeloproliferative disorders

A

Uric acid

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19
Q

Stone type associated with congenital disorders such as cystinuria

A

Cysteine stones

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20
Q

Size of stone likely not to pass

A

> 6mm

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21
Q

1 cancer killer in men 25-35

A

Testicular cancer

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22
Q

Most common symptom with testicular cancer

A

Painless hard mass

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23
Q

Surgical intervention for testicular mass and what type of incision

A

Orchiectomy through INGUINAL incision

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24
Q

Labs value correlating with tumor bulk in testicular cancer

A

LDH

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25
Q

Labs to check with testicular cancer (3)

A

B-HCG, AFP, LDH

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26
Q

Most likely type of testicular cancer with cryptorchidism

A

Seminoma

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27
Q

Seminoma should not have elevated _ (lab value)

A

AFP

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28
Q

Testicular cancer type extremely sensitive to XRT

A

Seminoma

29
Q

Tx for seminoma

A

Orchiectomy and retroperitoneal XRT

30
Q

Embryonal, teratoma, choriocarcinoma and yolk sac tumors are _ type of testicular cancer

A

Nonseminimatous

31
Q

Tx for nonseminomatous tumors

A

Orchiectomy and retroperitoneal nodal dissection

32
Q

Chemo for testiuclar cancer (3)

A

Cisplatin
Bleomycin
VP-16

33
Q

When to give chemo for seminoma and nonseminoma testicular cancers

A

Seminoma - Metastatic dz or bulky retroperitoneal dz

Nonseminomas - Stage 2 or greater

34
Q

Most common site of prostate cancer

A

Posterior lobe

35
Q

Most common site of prostate cancer metastasis

A

Bone

36
Q

Prostate Ca Tx for intracapsular tumors (no mets) - 3 options

A

1 - XRT
2 - Radical prostatectomy with pelvic LN dissection
3 - Nothing (depending on age/life span)

37
Q

Prostate Ca Tx for extracapsular invasion or metastatic dz

A

XRT and adrogen ablation (leuprolide, flutamide, b/l orchiectomy)

38
Q

Methods of androgen ablation for prostate cancer (3)

A

1 - GnRH agonist (leuprolide)
2 - Testosterone receptor blocker (flutamide)
3 - Bilateral orchietomy

39
Q

With prostatectomy, PSA should go to 0 within _ weeks

A

3

40
Q

1 primary tumor of the kidney

A

Renal cell carcinoma

41
Q

Most common site for RCC mets

A

Lungs

42
Q

Erythrocytosis can occur secondary to _

A

Increased erythropoietin (HTN)

43
Q

Tx for RCC (3)

A

Radical nephrectomy with regional nodes, XRT, chemotx

44
Q

Components of radical nephrectomy (4)

A

Kidney
Adrenal
Gerota’s fascia
regional nodes

45
Q

Most common tumor in the kidney

A

Breast Ca metastasis

46
Q

Tx for transitional cell CA of renal pelvis

A

Radical nephroureterectomy

47
Q

Components of Von Hippel Lindau syndrome (3)

A

Renal cell carcinoma
CNS tumors
Pheochromocytoma

48
Q

Dx for bladder cancer

A

Cystoscopy

49
Q

Squamous cell CA of bladder associated with _ infection

A

Schistosomiasis

50
Q

Tx of bladder CA with muscle invasion (>/= T2) - 3 things

A

Cystectomy with ileal conduit
Chemo
XRT

51
Q

Chemo for bladder cancer

A 
(MVAC)
Methotrexate
Vinblastine
Adriamycin
Cisplatin
52
Q

Tx of bladder CA with no muscle invasion (2)

A

Intravesical BCG injection

Transurethral resection

53
Q

Suturetype to use with ureter repaair

A

Absorbable (prevent stone formation)

54
Q

Alpha blocker examples and MOA for BPH

A

Tamsulosin, doxazosin

Smooth muscle relaxers

55
Q

5-alpha reductase inhibitor examples and MOA

A

Finasteride

Inhibits conversion of testosterone to DHT

56
Q

Hypermobile urethra or loss of sphincter mechanism resulting in incontinence

A

Stress incontinence

57
Q

Incomplete emptying of enlarged bladder incontinence

A

Overflow incontinence

58
Q

Dx of vesicoureteral reflux

A

Voiding cystourethrogram

59
Q

Most common urinary tract abnormality

A

Ureteral duplication

60
Q

Most common reason for newborn boy not to urinate

A

Posterior urethral valve

61
Q

Dx of posterio urethral valve

A

Voiding cystourethrogram

62
Q

Ventral opening on penis

A

Hypospadias

63
Q

Dorsal opening on penis

A

Epispadias

64
Q

When to repair hypospadias

A

6 months

65
Q

Horseshoe kidney is usually joined at _ pole

A

lower

66
Q

Renal association with WBC casts

A

Pyelonephritis, glomerulonephritis

67
Q

Renal association with RBC casts

A

Glomerulonephritis

68
Q

Surigcal intervention for phimosis

A

Dorsal slit

Fiser Absite (14 decks)

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