AMk stuff for last amk

Question 1

painless fixed ireegular lump both signs negative , 20-40yr old

Answer 1

testicular cancer

Question 2

signs in testicuarl cancer

Answer 2

Bhcg and AFP

Question 3

epididymtiis and tx

Answer 3

bimodla distribution 15-30 and then over 60
unilateral scrotal pain
USS and urine dip and culture

enteric organism - ofloxacin 200mg for 14
levofloxacin 10 day 500mg

Question 4

hydrocele - may be feature of cance in men what do you tx

Answer 4

porcessus vaginalis liagtion in kids
in adutls - scortla approach andhydrocele sac excision

Question 5

varicocele commonyl where

Answer 5

left side - testicualr vein in to renal vein - RCC - doppler USS scrotum - adn kienys and semen anyslsis

Question 6

what neurodegenerative disease can cause urinary retention

Answer 6

MS

Question 7

ix for urethral stricutre

Answer 7

uroflowmetry and USS postvoid residual measurement PVR

mx - dialtion adn endoscpic urethrostomy

Question 8

when do you get clot retention when does this occur adn tx

Answer 8

post TURP

3 way bladder irrigation - flush and aspirate
defintive would be cystocopy and ecacuation of blood clots

Question 9

mx of renal stones

Answer 9

ovre 2cm - shock wave lotho
under 2cm - uteroscopy
complex nreal calculi and staghorn calculi - percutaneous nephrolithotomy
uteruic calculi over 5mm - manage expectantly msot self resolve within 4 weeks

Question 10

describe epididymal cysts on examination

Answer 10

seperate from body of testicle - posterior
USS

Question 11

stauffer syndrome

Answer 11

pareneoplastic asociated with RCC
choestatissi and heaptosplenomgeay
secnday to increased levels of IL-6

Question 12

cannonball mets what do you give

Answer 12

alpha interferon andinterlukin-2 - reduce with mets
receptor tyrosine kinase inhibtors

Question 13

partial nephrectomy when

Answer 13

under 7cm

Question 14

Epartial nephrectomy when

Answer 14

under 7cm

Question 15

ED caused by what drug

Answer 15

trazadone

Question 16

first line for pyelonephritis

Answer 16

cefalexin

Question 17

first line for pyelonephritis

Answer 17

cefalexin

Question 18

mx of hydronephosis

Answer 18

urgent decompression with stent

DMSA scan - look for kidney damage in

Question 19

bladder pain syndrome/interstitial cystitis

Answer 19

urianry frequency adn urgency
pain relived by emptying bladder
unbearable

daingosis of exclsuion
age 20-60yr females
sexual or deomestic violence
cystoscopy with hydrodistention of bladder
bladder biopsy

Question 20

tx for paraphismosis

Answer 20

steriods and circumscion

Question 21

priaprism 1st line

Answer 21

Iv hydration

Question 22

priaprism 1st line

Answer 22

Iv hydration

Question 23

rapid relief of sevre pain if renal colic

Answer 23

IM diclofenac not up the bum

Question 24

most common t cancer and what markers

Answer 24

seminoma
HCG
lactate dehydrogenase

Question 25

aci and arb vasodilate efferent

Answer 25

prostaglandins vasodilate afferent
NSAID vasoconstrit afferent