Final 2023 Flashcards

1
Q

Which factor is related to recurrent UTI in young and pre-menopausal women?
a. urinary incontinence
b. sexual intercourse
c. increased post-void urine
d. cystocele

A

b. sexual intercourse

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2
Q

according to the AAST renal injury grading scale, a cortical laceration >1cm without urinary extravasation is classified as:
a. grade 1
b. grade 2
c. grade 3
d. grade 4

A

c. grade 3

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3
Q

active surveillance in prostate cancer:
a. is a palliative intended treatment option
b. can be applied to patients with al tumour stages
c. is not applied by pre-defined schedules
d. aims to minimise treatment-related toxicity without compromising survival

A

d. aims to minimise treatment-related toxicity without compromising survival

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4
Q

a 58-year-old male patient was referred to the urologist due to gross hematuria. Bladder cancer was considered among the possible diagnoses. During the clinical interview, the urologist asked about a potential exposition to bladder cancer risk factors. Apart from tobacco exposure, what is the most common risk factor to urothelial bladder cancer
a. occupational exposure to aromatic amines or polyciclic aromatic and chlorinated hydrocarbons
b. exposure to trihalomethanes or arsenic in drinking water
c. exposure to cyclophosphamide
d. metabolic factors (high BMI, high BP, diabetes)

A

a. occupational exposure to aromatic amines or polyciclic aromatic and chlorinated hydrocarbons

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5
Q

A 65-year-old man is admitted to the emergency department with acute left-sided colicky flank pain. Suspicion of acute renal colic is raised. There are no clinical signs of sepsis. What is the best first option for pain management in this patient?

A

diclofenac
- NSAID: ibuprofen or naproxen + metamizol, 2. Paracetamol
- Diclofencac (cardiac burden, 65 y !!!!)

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6
Q

Which of the following comments/attitudes should be … treatment of urinary tract stones?
1. high fluid intake
2. restriction of animal protein intake
3. restriction of oral calcium intake
4. restriction of salt intake
5. physical exercise
a. 1.2.3.4
b. 1.3.4.5
c. 1.2.4.5
d. 2.3.4.5

A

c. 1.2.4.5

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7
Q

Struvite stone consist of:
a. calcium oxalate dihydrate
b. magnesium ammonium phosphate
c. calcium carbonate
d. uric acid

A

b. magnesium ammonium phosphate

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8
Q

Cytology of voided urine is useful in the detection of which tumour
a. Low grade bladder tumor
b. Renal cell carcinoma
c. Grade 3 bladder tumor
d. T4a prostate tumor

A

c. Grade 3 bladder tumor

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9
Q

A young patient with acute leukemia under treatment with cytotoxic drugs presents with severe abdominal pain of sudden onset. The most likely diagnosis is.
a. peptic ulcer
b. acute appendicitis
c. oxalate stone colic
d. uric acid stone colic

A

d. uric acid stone colic

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10
Q

what operation is associated with the highest risk of venous thromboembolism
a. radical prostatectomy
b. radical cystectomy
c. partial nephrectomy
d. percutaneous nephrolithotomy

A

b. radical cystectomy

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11
Q

What is preferred diagnostic modality for suspected renal injury in stable patients?
a. contrast-enhanced CT
b. ultrasonography
c. angiography
d. plain X-ray of the abdomen

A

a. contrast-enhanced CT

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12
Q

Priapism is defined as a persistent penile erection that continues for more than
a. 2 hours
b. 4 hours
c. 6 hours
d. 10 hours

A

b. 4 hours

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13
Q

The most common early complication after nephron sparing surgery is
a. urinary fistula
b. acute renal failure
c. renal vein thrombosis
d. post-operative bleeding

A

a. urinary fistula

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14
Q

What is the most common cause of ureteric trauma?
a. stab wounds
b. iatrogenic trauma
c. motor vehicle accident rapid
d. deceleration injuries

A

b. iatrogenic trauma

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15
Q

Lifestyle modifications in urine incontinence patients
a. reduce intake of caffeine
b. obesity in women
c. exercise
d. weight loss

A

a. reduce intake of caffeine

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16
Q

Urosepsis and obstructive nephrolitiasis

A
  • urgent decompression with urinary stent & PCNL
17
Q

What is better: robotic surgery vs radical open/classical surgery -

A

shortens hospital stay

18
Q

what antibiotic do you give a pre-menopausal non-pregnant woman with uncomplicated cystitis/UTI?

A

Fosfomycin

19
Q

How do you continue when BCG therapy failed in nonmuscular bladder cancer

A

Cystectomy (1.TURBT)

20
Q

Most common diagnosis of RCC cancer nowadays?

A

CT (Goldstandart) / MRI

21
Q

Pregnant women with history of stones, has complicated stone. How do you diagnose?

A

USG

22
Q

Anticholinergics in older patients with urge incontinence?

A
  • use with caution (due to confusion)
23
Q

4mm stone, likely hood of passing -

A

> 90% (75%, 50-80%)

24
Q

Radiation protstata and surgery

A
  • large Bowel more affected but surgery better outcome
25
Q

Kidney stone 3 cm how to manage

A
  • Percutaneous lithotripsy (PCNL)
26
Q

how many ejaculations is protective for prostate cancer

A

21