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EBU In-service assesment 2019-2020 > Functional/BPH/Incontinence > Flashcards

Functional/BPH/Incontinence Flashcards

1
Q

Which statement concerning lasers is correct?

A. Extinction length defines the depth of tissue up to which 50% of incident laser beam is absorbed.
B. Extinction lenght is equal to 2,3 absorption
C. Absorbtion lenght defines the optical pathway along which 90% of incident laser energy is absorbed
D. Depth of penetration is similar with all types of lasers used in urology

A

B. Extinction lenght is equal to 2,3 absorption

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2
Q

Which is NOT considered a potential complication following a TURP?

A. An erectile problem
B. An ejaculation problem
C. An orgasmic problem
D. An incontinence problem

A

C. An orgasmic problem

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3
Q

Regarding BPH, inflammation detected in the MTOPS trial prostate biopsies was associated with:

A. Cancer
B. Dysuria
C. Progression
D. Symptoms

A

C. Progression

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4
Q

Phytotherapeutic agents for the treatment of bladder outlet obstruction:

A. Have been shown to reduce disease progression
B. Are not recommended by the EAU guidelines
C. Have been shown to reduce bladder outlet obstruction
D. Have been shown to significantly reduce prostate size

A

B. Are not recommended by the EAU guidelines

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5
Q

What is NOT a result of intravesical capsaicin?

A. Destroys A delta sensory fibres in the bladder wall
B. Is effective in idiopathic detrusor overactivity
C. Is effective in the detrusor overactivity associated with idiopathic Parkinson’s disease
D. Acts upon vanilloid receptors

A

D. Acts upon vanilloid receptors

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6
Q

According to the International Continence Society the physician’s observation of leakage of urine on coughing is considered a:

A. Sign
B. Condition
C. Symptom
D. Urodynamic observation

A

A. Sign

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7
Q

In comparison with other formulations of oxybutynin, the transdermal route is:

A. Less effective in reducing the number of incontinence episodes in 24hrs, but causes less adverse events
B. More effective on reducing the number of incontinence episodes, but causes localized application site effects
C. More effective in reducing the number of incontinence episodes in the 24 hrs, but causes more constipation and dry mouth
D. As effective as the oral formulations in reducing the number of incontinence episodes but it is followed by high rates of application side effects.

A

D. As effective as the oral formulations in reducing the number of incontinence episodes but it is followed by high rates of application side effects.

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8
Q

Which complication of BPH is NOT considered as a strong indication for surgery?

A. Recurrent urinary infection
B. Refractory urinary retention
C. Renal insufficiency due to BPH
D. Increased post-void residual volume (PVR)

A

D. Increased post-void residual volume (PVR)

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9
Q

Intraoperative floppy iris syndrome (IFIS) is associated with:

A. BPH therapy by tamsulosin
B. BPH therapy by finasteride
C. BPH therapy by monopolar TURP
D. BPH therapy by bipolar TURP

A

A. BPH therapy by tamsulosin

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10
Q

In diabetic patients, neurogenic lower urinary tract dysfuncion occurs in:

A. 10-20%
B. 35-50%
C. 75-80%
D. 90-95%

A

B. 35-50%

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11
Q

What tests are recommended during follow up of men with LUTS managed conservatively by watchful waiting?

A. Abdominal ultrasound, IPSS and uroflowmetry
B. PSA, urinalysis and serum creatinine concentration
C. IPSS, uroflowmetry and post-void residual volume
D. Frequency volume chart, uroflowmetry, transrectal ultrasound of the prostate

A

C. IPSS, uroflowmetry and post-void residual volume

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12
Q

What is the most common cause of persisting urgency and urge incontinence after TURP?

A. Urethral stricture
B. Detrusor overactivity
C. Residual prostatic tissue
D. Striated urethral sphincter incompetence

A

B. Detrusor overactivity

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13
Q

Urodynamic pressure-flow studies in patients with BPH:

A. Are mandatory for all patients
B. Can be replaced by computerized free-flow studies
C. Can predict the post-operative outcome in men with overactive detrusor secondary to BPH
D. Can distinguish between obstruction and detrusor hypocontractility as a cause of a reduced urinary flow rate

A

D. Can distinguish between obstruction and detrusor hypocontractility as a cause of a reduced urinary flow rate

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14
Q

The classifictaion of neuropathic bladder dysfuntion is based on data obtained by:

A. Ultrasound
B. Urodynamic investigation
C. Neurological investigation
D. Infusion urethrography/ voiding cystourethrography

A

B. Urodynamic investigation

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15
Q

In comparison to open prostatectomy (OP), endoscopic enucleation of the prostate (EEP) in patients with large glands:

A. Has less postopeirative complications
B. Needs significantly longer operating time
C. Is causing higher rate of erectile dysfunction
D. Has the same catheterization and hospitalization time

A

B. Needs significantly longer operating time

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16
Q

Which is a contraindication to Botulinum toxin-A intravesical injection?

A. Recurrent urinary tract infection
B. Previous facial botox injection
C. DNA gyrase inhibiting antibiotic
D. Myasthenia Gravis

A

D. Myasthenia Gravis

17
Q

In what approximate percentage of patients does clam ileocystoplasty relieve frequency, urge and urge urinary incontinence?

A. 30%
B. 50%
C. 70%
D. 90%

A

D. 90%

18
Q

Which is the definition of nocturnal polyuria?

A. >40mL of urine output per kg of body weight over a 12-hour night period
B. Daytime urine output exceeding 20% of 24-hour urine output below 65 years of age
C. >33% of urine output in people above 65 years of age during the night
D. >2.8L urine output/12 hours during the night

A

C. >33% of urine output in people above 65 years of age during the night

19
Q

Which treatment opition is considered to be most beneficial for Prostate Pain Syndrome of less than one year duration?

A. alfa-blockers
B. Pregabalin
C. Muscle relaxants
D. Corticosteroids

A

A. alfa-blockers

20
Q

A 65-year-old man is commenced on watchful waiting for his lower urinary tract symptoms. What is the most appropriate follow up?

A. He should be reviewed every two years with flow rate and residual urine volume
B. He should undergo pressure flow studies after one year
C. His residual urine volume should be reassessed after 6 months
D. His urinary flow rate should be performed every three months in the first year

A

C. His residual urine volume should be reassessed after 6 months

21
Q

What is the rationale for using 5 alpha reductase inhibitors for trating BPH?

A. They do not adversely affect libido
B. Their clinical benefit is apparent after 2 weeks
C. They are suitable for short-term treatment of BPH
D. They can prevent acute retention of urine

A

D. They can prevent acute retention of urine

22
Q

How is nocturnal polyuria defined?

A. Waking at night to void >2 times
B. Sensation of urgent need to void at night
C. Nocturnal output exceeding 50% of 24 hour urine output in a man >65 years
D. Nocturnal output exceeding 33% of 24 hour urine output in man >65 years

A

D. Nocturnal output exceeding 33% of 24 hour urine output in man >65 years

23
Q

An 81-year-old man with severe lower urinary tract symptoms underwent urodynamic evaluation (study). Voided volume was 382 ml, flow rate (Qmax) 10 ml/s, detrusor pressure at the moment of mazimum flow rate (Pdet at Qmax) was 115 cm of water column (H2O). This man should be diagnosed with:

A. Detrusor overactivity (DO) because his bladder contractility index (BCI) is 165
B. Detrusor underactivity (DHA) because his bladder contractility indes (BCI) is 95
C. Bladder outlet obstruction (BOO) because his Abrams-Griffiths number is 95
D. Bladder outlet obstruction (BOO) because his Abrams-Griffiths number is 165

A

C. Bladder outlet obstruction (BOO) because his Abrams-Griffiths number is 95

24
Q

The approximate volume of the prostate is canculated using the formula Length x Height x Width x factor Y. Factor Y is:

A. 0,25
B. 0,52
C. 0,75
D. 1,00

A

B. 0,52

25
Q

In a urodynamic test the compliance of the bladder is the relationship between:

A. Qmax and Pdet@Qmax
B. Qave and voided volume
C. Change in bladder volume related to change in detrusor pressure
D. Change in bladder volume related to change in abdominal pressure

A

C. Change in bladder volume related to change in detrusor pressure

EBU In-service assesment 2019-2020 (9 decks)

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