3.URO CANCERS

Question 1

Most common GU cancer in male

Answer 1

prostate ca

Question 2

triad of renal cell carcinoma

Answer 2

mass, hematuria, pain

Question 3

most common site of metastasis in RCC

Answer 3

lungs

Question 4

most common cause of paraneoplastic erythrocytosis

Answer 4

RCC (metastatic?)

Question 5

DDX for RCC

Answer 5

benign renal cyst

Question 6

gold std management of RCC

Answer 6

radical nephrectomy

Question 7

management for RCC that is interpolar/exophytic

Answer 7

partial nephrectomy

Question 8

most common renal CA histological type

Answer 8

adenocarcinoma

Question 9

name of classification used for renal cyst

Answer 9

bosniak

Question 10

what type? fluid only, no tx needed

Answer 10

type 1

Question 11

type? thin peripheral calcifications

Answer 11

type 2

Question 12

type? enhancing solid mass

Answer 12

RCCA type 4

Question 13

type 2 are commonly arise from?

Answer 13

infection/ hemorrhage

Question 14

diagnosis of renal adenoma based solely on?

Answer 14

pathological exam

Question 15

slow growing tumors

Answer 15

ureteral tumors

Question 16

most common ureteral histo type tumor

Answer 16

transitional cell ca

Question 17

single most accurate diagnostics for ureteral tumor

Answer 17

ureteroscopy + biopsy

Question 18

2nd most common GU tumor

Answer 18

bladder CA

Question 19

important layer for staging and management of bladder CA

Answer 19

muscle layer

Question 20

give risk factors for bladder CA except smoking

Answer 20

aniline dyes
phenacetin abuse
cyclophosphamide (Ctx)

Question 21

painless hematuria is seen in what CA

Answer 21

bladder CA

Question 22

gold std treatment for bladder CA

Answer 22

cystectomy radical with urinary diversion

Question 23

most common histologic type of prostate CA

Answer 23

adenocarcinoma

Question 24

most common origin of prostate CA

Answer 24

P-T-C (peripheral - transitional - central)

Question 25

mc site of mets ng prostate

Answer 25

BONE

Question 26

early stage sx of prostate CA

Answer 26

nocturia, urgency

weak stream

Question 27

PSA elevated in non CA conditions?

Answer 27

yes. prostatitis and previous instrumentation

Question 28

indications for Radionuclide bone scan in prostate ca px

Answer 28

PSA >20

gleason score 8-10

Question 29

placement of radioactive seeds in the prostate gland

Answer 29

brachytherapy

Question 30

palliative for prostate CA

Answer 30

endocrine therapy (castration, testosterone blockade)

Question 31

MC form of penile CA

Answer 31

squamous

Question 32

risk factors of penile CA?

Answer 32

poor hygiene! uncircumcised…

Question 33

aka carcinoma in situ of penis

Answer 33

bowens/erythroplasia of quey rat

Question 34

important prognostic factor in penile CA

Answer 34

inguinal node status

Question 35

treatment for penile CA

Answer 35

partial penectomy

Question 36

only GUT Ca more common in women

Answer 36

URETHRAL Ca

Question 37

mc site of urethral ca in men

Answer 37

bulbomembranous area

Question 38

etiology for urethral ca in women

Answer 38

chronic UTI

Question 39

layer which separates prostate from rectum

Answer 39

denonviliers fascia

Question 40

gold standard for mgt of BPH

Answer 40

TURP

Question 41

medical therapy for BPH

Answer 41

alphablockers (prazosin,etc)

Question 42

absolute surgical indications for prostate BPH

Answer 42

urinary retention
recurrent uti d/t bph
gross hema from bph
bladder stones
renal insufficiency
large bladder diverticula