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NBSTSA Review > CRQ Genitourinary Surgery > Flashcards

CRQ Genitourinary Surgery Flashcards

1
Q

Endoscopic suspension of the vessicle neck of the bladder for treatment of stress incontinence is known as a:

A) Stamey Procedure

B) Retropubic urethrovesical suspension

C) Vesicourethral suspension

D) Marshall-Marchetti

A

A) Stamey Procedure

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2
Q

What syringe is used to evacuate bladder, prostate or Stone fragments?

A) Cystoscope

B) Ellik

C) Toomey

D) Both B and C

A

D) Both B and C

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3
Q

Following anastomosis of a ureter during a ureteral reimplantation procedure, a ________ is left in place to ensure free drainage of the kidney postoperatively.

A) Foley Catheter

B) Ureteral catheter

C) T-tube

D) soft stent

A

D) soft stent

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4
Q

Which incision is used when doing a TURP?

A) Suprapubic

B) Retropubic

C) Pfannenstiel

D) None of the above

A

D) None of the above

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5
Q

The Pereyra needle is used in which specialty area of surgery?

A) Neurology

B) Urology

C) Orthopedics

D) Ophthalmology

A

B) Urology

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6
Q

The anesthesia of choice for extra corporeal shock wave lithotripsy is:

A) Epidural

B) Spinal

C) General

D) Local

A

A) Epidural

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7
Q

Nonmalignant enlargement of the prostate is termed

A) prostatitis

B) benign prostatic hypertrophy (BPH)

C) balanitis

D) prostatism

A

B) benign prostatic hypertrophy (BPH)

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8
Q

Insertion of a suprapubic catheter into the bladder for drainage away from the vaginal and urethral area is

A) Foley catheter

B) ileal conduit

C) cystostomy

D) Stamey procedure

A

C) cystostomy

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9
Q

Which of the following instruments would be used during a suprapubic prostatectomy?

A) Mayo (Guyon) vessel clamp

B) Wertheim pedicle clamp

C) Mason-Judd retractor

D) Stamey needle

A

C) Mason-Judd retractor

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10
Q

Which of the following dilators are used to dilate the urethra?

A) Hanks

B) Hagar

C) Cysto

D) Van Buren

A

D) Van Buren

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11
Q

Cryptorchidism is:

A) Hypertrophy of testes

B) Sterility

C) Undescended testes

D) Immature testes

A

C) Undescended testes

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12
Q

A needle biopsy of the prostate may be accomplished with a/n

A) butterfly needle

B) angiocatheter

C) Tru-cut needle

D) taper needle

A

C) Tru-cut needle

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13
Q

The drug of choice for adequate diuresis of a living donor before, during, and postremoval of the kidney is

A) urea

B) protamine sulfate

C) Ringer’s lactate solution

D) mannitol

A

D) mannitol

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14
Q

Before insertion of a penile implant, the insertion site, as well as the implant itself, is irrigated with

A) normal saline

B) Betadine

C) sterile water

D) Kanamycin and Bacitracin

A

D) Kanamycin and Bacitracin

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15
Q

Kidney stones are sent to the laboratory in

A) saline

B) water

C) dry state

D) formalin

A

C) dry state

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16
Q

A lumbar or simple flank incision for ureter or kidney surgery may include removal of which ribs?

A) 5 and 6

B) 7 and 8

C) 9 and 10

D) 11 and 12

A

D) 11 and 12

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17
Q

Abdominal resection of the prostate gland through an incision into the bladder is known surgically as a

A) retropubic prostatectomy

B) suprapubic prostatectomy

C) transurethral prostatectomy

D) suprapubic cystostomy

A

B) suprapubic prostatectomy

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18
Q

A penile defect in which the urethra ends on the ventral surface of the penile shaft or in the perineum is termed

A) epispadias

B) Chordee

C) phimosis

D) hypospadias

A

D) hypospadias

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19
Q

This procedure is performed on a patient with chronic and end stage renal disease to aid in filtering the blood and removing ingested toxins.

A) AV fistula

B) AV shunt

C) Peritoneal dialysis

D) All of the above

A

D) All of the above

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20
Q

Extracorporeal shock wave lithotripsy (ESWL) disintegrates stones by introducing shock waves into the body through the medium of

A) water

B) air

C) gas

D) saline

A

A) water

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21
Q

All of the following procedures may be completed through a cystoscope EXCEPT

A) biopsy of a bladder tumor

B) removal of foreign body in bladder

C) total removal of bladder tumor

D) cystogram for diagnostic studies

A

C) total removal of bladder tumor

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22
Q

The purpose of the kidney lift is to

A) increase the space between the lower ribs and iliac crest

B) increase the space between the ribs

C) stabilize the patient

D) support the body in the flexed position

A

A) increase the space between the lower ribs and iliac crest

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23
Q

An alternative approach to surgical TURP utilizing a cystoscopic setup as its base is

A) suprapubic prostatectomy

B) transcystoscopic urethroplasty

C) perineal prostatectomy

D) retropubic prostatectomy

A

B) transcystoscopic urethroplasty

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24
Q

The inability to control urination is:

A) uremia

B) cystitis

C) urinary continence

D) urinary incontinmence

A

D) urinary incontinmence

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25
Q

A Pereyra procedure is done for

A) stress incontinence

B) Chronic bladder infection

C) drainage of the bladder

D) impotence

A

A) stress incontinence

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26
Q

Overabsorbtion of irrigation fluid that may result in vascular overload is known as

A) extravasation

B) intravasation

C) hemolysis

D) hydronephrosis

A

A) extravasation

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27
Q

Why is a 30-cc bag Foley used after a TURP?

A) Hemostasis

B) Decompression

C) Creation of negative pressure

D) Aspiration

A

A) Hemostasis

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28
Q

Temporary diversion of urinary drainage by means of an external catheter that drains the renal pelvis is called

A) vesicostomy

B) nephrostomy

C) pyelostomy

D) cystostomy

A

C) pyelostomy

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29
Q

To prevent thrombi from forming in the walls of the renal vein during transfer from the donor to the recipient,_______is given just before clamping of the renal vessels.

A) furosemide

B) protamine sulfate

C) heparine

D) mannitol

A

C) heparine

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30
Q

Filiforms are used to:

A) Bypass urethral obstruction

B) Perform urethrogram

C) Stent the ureter

D) Remove stones

A

A) Bypass urethral obstruction

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31
Q

The radiographic diagnostic test used to outline the structures of the kidney ureters and bladder is known as

A) MRI

B) retrigrade pylogram

C) GU radiograph

D) KUB

A

D) KUB

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32
Q

Excision of the tunica vaginalis is a

A) vagotomy

B) vasectomy

C) varicocelectomy

D) hydrocelectomy

A

D) hydrocelectomy

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33
Q

The surgical placement and fixation of a testicle in the scrotum is a/an:

A) Orchiectomy

B) Orchiotomy

C) Orchiopexy

D) Testicular biopsy

A

C) Orchiopexy

34
Q

Which of the following incisions are used in a kidney transplant for the donor patient and the recipient patient?

A) Subcostal flank, right lower quadrant

B) Right lower quadrant, subcostal flank

C) Right lower quadrant, right lower quadrant

D) subcostal flank, subcostal flank

A

A) Subcostal flank, right lower quadrant

35
Q

The procedure to correct organic sexual impotence is

A) spermatocelectomy

B) varicocelectomy

C) testicular implant

D) penile implant

A

D) penile implant

36
Q

A percutaneous nephrolithotomy utilizes all of the following EXCEPT

A) ultrasound wand

B) flexible nephroscope

C) lithotriptor

D) lithotriptor tub

A

D) lithotriptor tub

37
Q

The aim of stress incontinence operations includes all of the following EXCEPT

A) to improve performance of a dislodged or dysfunctional vesical neck

B) to restore normal urethral length

C) to tighten and restore the anteriorurethral vesical angle

D) to repair a congenital defect

A

D) to repair a congenital defect

38
Q

In cystoscopy, the irrigating solution is

A) distilled water

B) glycine

C) mannitol

D) sorbitol

A

A) distilled water

39
Q

What instrument is used by the surgeon to intermittently remove prostatic tissue fragments during a TURP?

A) Randall forceps

B) Braasch forceps

C) Ellik evacuator

D) Poole suction

A

C) Ellik evacuator

40
Q

Why is the table straightened before closing a kidney incision?

A) To facilitate easier respirations

B) To create better approximation of tissues

C) To facilitate better circulation

D) To prevent nerve damage

A

B) To create better approximation of tissues

41
Q

What surgical instrument is used to visualize the prostate and remove prostate tissue during a TURP?

A) Otis urethrotome

B) Van Buren urethral sounds

C) Resectoscope

D) Catheter guide

A

C) Resectoscope

42
Q

Laser lithotripsy utilizes the tunable pulse-dyed laser known as

A) diode

B) Nd:YAG

C) Candela

D) argon

A

C) Candela

43
Q

A reverse sterilization procedure in the male is called a/n

A) vasostomy

B) vasovasostomy

C) epididymovasostomy

D) Both B and C

A

D) Both B and C

44
Q

The surgical reanastomosis of the vas deferens is called a:

A) Vasovasotomy

B) Varicocelectomy

C) Spermatocelectomy

D) Cystostomy

A

A) Vasovasotomy

45
Q

Which solution is NOT used during a transurethral prostatectomy?

A) normal saline

B) sorbitol

C) mannitol

D) glycine

A

A) normal saline

46
Q

All are urethral catheters EXCEPT

A) Whistle tip

B) Spiral tip

C) Braasch bulb

D) three-way Foley

A

D) three-way Foley

47
Q

Tubal patency may be tested by the installation of ______into the uterine cavity.

A) balanced salt solution

B) Chymar

C) Methylene blue

D) gentian violet

A

C) Methylene blue

48
Q

The condition in which the urethral meatus is located on the top side of the penis?

A) Penile implant

B) Hypospadias

C) Epispadias

D) meatotomy

A

C) Epispadias

49
Q

The use of distilled water during a highly invasive genitourinary procedure such as a transurethral resection of the prostate (TURP) is prohibited for irrigation because of the potential for

A) hemolysis of RBCs

B) electrolytic dissipation of current

C) increase of blood pressure

D) body fluid shift

A

A) hemolysis of RBCs

50
Q

All of the following are ideal requirements of cadaver donors EXCEPT

A) any age

B) free of infection or malignancy

C) normotensive up until death

D) under the hospital observation before death

A

A) any age

51
Q

The inability to control urination is

A) reflux

B) urinary incontinence

C) hydrocele

D) vchronic bladder infection

A

B) urinary incontinence

52
Q

Urethral meatal stenosis is corrected by a/n

A) frenulotomy

B) meatotomy

C) urethral dilation

D) extirpation of the penis

A

B) meatotomy

53
Q

The laser used to destroy small recurrent bladder tumors is the

A) CO2

B) argon

C) Nd:YAG

D) Both A and B

A

C) Nd:YAG

54
Q

After incision is made into the scrotum during a vasectomy, forceps used to grasp the vas and bring it to the surface for surgery is the

A) Allis

B) Babcock

C) Kelly

D) mosquito

A

A) Allis

55
Q

The high ligation of the gonadal veins of the testes done to reduce venous plexus congestion is a/an:

A) Spermatocelectomy

B) Varicocelectomy

C) Epididymectomy

D) Vasovasostomy

A

B) Varicocelectomy

56
Q

An abnormal accumulation of fluid in the scrotumis a/n

A) hydrocele

B) eneterocele

C) varicocele

D) hydronephrosis

A

A) hydrocele

57
Q

When the male penis is curved ventrally with the meatus and the glans in close proximity to each other it is called

A) paraphimosis

B) phimosis

C) epispadias

D) chordee

A

D) chordee

58
Q

Bladder stones are crushed with a

A) basket catheter

B) lithotrite

C) cautery

D) resectoscope

A

B) lithotrite

59
Q

Circumcision refers to

A) removal of the foreskin

B) removal of the glans

C) widening of the urethral opening

D) lengthening of the foreskin

A

A) removal of the foreskin

60
Q

Which of the following is NOT an indication for the use of suprapubic bladder drainage?

A) kidney operation

B) vaginal hysterectomy

C) prostatic surgery

D) urethral injuries

A

A) kidney operation

61
Q

Removal of a testis or the testes is called

A) orchiopexy

B) orchiectomy

C) epididymectomy

D) vasectomy

A

B) orchiectomy

62
Q

When performing an ileal conduit for urinary diversion, the ureters are implanted into

A) bladder

B) ileum

C) trigone

D) large intestine

A

B) ileum

63
Q

Cooling and flushing of the pancreas, liver, and kidneys of cadaver donors is accomplished by cannulation of the organ and infusion of large amounts of cold

A) saline solution

B) Ringer’s lactate solution

C) sterile water

D) Sack’s solution

A

B) Ringer’s lactate solution

64
Q

Discharge of urine from the urinary bladder is called

A) plasma flow

B) albumen urea

C) renal clearance

D) micturation

A

D) micturation

65
Q

Microscopic reversal of the male sterilization procedure is termed

A) spermatogenesis

B) orchiopexy

C) vasovasostomy

D) vasectomy

A

C) vasovasostomy

66
Q

Excision of the tunica vaginalis of the testes is called:

A) Spermatocelectomy

B) Orchiectomy

C) Hydrocelectomy

D) Vasectomy

A

C) Hydrocelectomy

67
Q

In a penile implant, the inflation pump is located in the

A) distal penis

B) proximal penis

C) scrotum

D) groin

A

C) scrotum

68
Q

Penile condylomata are most successfully removed by

A) dermabrasion

B) laser

C) cautery

D) ultrasound

A

B) laser

69
Q

Satinsky, Herrick, and Mayo clamps can be used on the:

A) Ureter

B) Bladder Neck

C) Kidney Pedicle

D) Prostate gland

A

C) Kidney Pedicle

70
Q

Rib removal for surgical exposure of the kidney requires all of the following EXCEPT a/n

A) Alexander periosteotome

B) Doyen raspatory

C) Heaney clamp

D) Stille shears

A

C) Heaney clamp

71
Q

The three lumens of a Foley are used for inflation, drainage, and

A) prevention of urine reflux

B) access for sterile urine specimens

C) continuous irrigation

D) additional hemostasis

A

C) continuous irrigation

72
Q

If a patient is undergoing a right nephrectomy for a right renal tumor, the position is

A) a right lateral kidney

B) a left lateral kidney

C) supine

D) prone

A

B) a left lateral kidney

73
Q

Urethral strictures can be dilated by use of each of the following EXCEPT

A) Philips filiform and followers

B) VanBuren Sound

C) Braasch bulb

D) McCarthy dilators

A

C) Braasch bulb

74
Q

Which of the following instruments would be used to dilate the urethra?

A) Hank

B) Van Buren

C) Hegar

D) Bakes

A

B) Van Buren

75
Q

A nonmalignant inlargement of the prostate is called:

A) Prostatitis

B) BPH

C) Balanitis

D) Impotence

A

B) BPH

76
Q

Nonconducting, isosmotic glycine irrigating solution must be used in the surgical presence of a

A) cystoscope

B) ureteroscope

C) resectoscope

D) nephroscope

A

C) resectoscope

77
Q

Orchiopexy can be defined as

A) fixation of an ovary

B) uterine suspension

C) testicle removal

D) fixation of a testicle

A

D) fixation of a testicle

78
Q

Continuous irrigation following TURP is accomplished by use of a

A) suprapubic cystotomy tube

B) 30-cc three-way Foley catheter

C) 5-cc three-way Foley catheter

D) 30-cc two-way Foley catheter

A

B) 30-cc three-way Foley catheter

79
Q

A staghorn stone is one that lodges and continues to grow in the

A) renal calyx

B) space of Retzius

C) ureter

D) hilum

A

A) renal calyx

80
Q

When the prostate gland is removed through an abdominal incision into the anterior prostatic capsule, it is called a ________prostatectomy.

A) perineal

B) suprapubic

C) retropubic

D) transurethral

A

C) retropubic

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