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SFA 201 - Fundamentals of SFA > Genitourinary Surgery > Flashcards

Genitourinary Surgery Flashcards

1
Q

series of ridges produced by folding of the wall of an organ

A

Rugae

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2
Q

Smooth triangular region of the internal urinary bladder formed by the two urethral orifices and the internal urethral orifice

A

Trigone

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3
Q

A breakdown product of creatine, which is an important part of muscle and is removed by the kidneys.

A

Creatinine

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4
Q

Congenital deformities, anterior urethra terminates on the under surface of the penis or above the clitoris. The point at which the urethra terminates varies; distal to penoscrotal. Interferes with urination, fertilization, psychological problems for juvenile especially.

A

Hypospadias

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5
Q

tightness of the prepuces of the penis that prevents the retraction of the foreskin over glans penis

A

Phimosis

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6
Q

childhood malignant neoplasm of the kidney which presents a firm, painless mass whose enlargement may laterally distend the abdomen

A

Wilm’s tumor

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7
Q

inflammation of the glans penis

A

Balanitis

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8
Q

tumor of the kidney, cells resemble those from the adrenal cortex

A

Hypernephroma

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9
Q

malignant tumor affecting the adrenal glands

A

Neuroblastoma

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10
Q

adrenal of hypothalamus dysfunction or metabolic disorder resulting in weight gain, edema, hyperglycemia, hyperplasia

A

Cushing’s disease

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11
Q

male- serous fluid collects, causing swelling near testes/spermatic cord
female- fluid accumulates in the tunica vaginalis

A

Hydrocele

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12
Q

testicle becomes twisted on the spermatic cord

A

torsion testicle

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13
Q

distention of the pelvis and calyces of the kidney from urinary retention

A

Hydronephrosis

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14
Q

blood in urine

A

Hematuria

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15
Q

measures the waste products of protein metabolism

A

Blood urine nitrogen (BUN)

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16
Q

removal of a stone or stones through the opening made in the renal pelvis

A

Pyelolithotomy

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17
Q

Usually the _____ kidney is several centimeters lower than the _____ because the liver rests superior and anterior to the _____ kidney.
A) Left; right; right
B) Right; left; right
C) Left; right; left
D) Right; left; left

A

B
Right; Left; Right

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18
Q

a hormone produced by the anterior pituitary gland that stimulates the adrenal cortex

A

ACTH

19
Q

A surgical incision that begins medial to the anterosuperior iliac spine and curves downward and medially, to slightly above the symphysis pubis; specifically designed for access to the lower portion of the ureter.

A

Gibson incision

20
Q

(anatomy) a depression or fissure where vessels or nerves or ducts enter a bodily organ, indented opening in the kidney where vessels enter and leave

A

hilum

21
Q

x-rays of the urinary tract taken after an iodine contrast medium is injected into the bloodstream; the contrast passes through the kidney and may reveal an obstruction, evidence of trauma, etc.

A

Intravenous urogram (IVU)

22
Q

when major organs are harvested from cadaveric donor, why are the kidneys harvested last?

A

The kidneys are harvested last to preserve circulation as long as possible.

23
Q

where is a donor kidney attached for an adult recipient? where is the donor kidney attached for a pediatric patient?

A

in adult donor kidney placed in the right pelvis; in pediatric patient kidney placed in midretroperitoneum posterior to colon.

24
Q

after the final step the ureteroneocystostomy is completed what is placed and why

A

A ureteral stent is placed to maintain potency due to normal natural edema that occurs postop.

25
Q

Incision used to access lower ureter & implant a donor kidney?

A

Gibson

26
Q

What is often associated with crytochidism?

A

The disorder is commonly associated with premature birth and is often accompanied by an inguinal hernia. The testicle may be found in the abdomen or most commonly in the inguinal canal.

27
Q

What will be removed and what incision is used in a simple orchiectomy? A radical orchiectomy? .

A

The testicle and epididymis will be removed through an anterolateral scrotal incision for a simple orchiectomy

28
Q

previously retrograde pyelogram

Serves same purpose as IVU

Contrast medium must be injected into the ureters with the use of a cystoscope because obstruction preventing antegrade process

A

Retrograde urogram

29
Q

Systemic absorption of irrigating fluid into venous circulation

Abnormal fluid load on circulatory system

A

TURP syndrome

30
Q

Ligation of the veins of the testes to reduce venous backflow into the internal spermatic veins

Most common in men between 15-25

Paniform plexus of spermatic cord becomes engorged, resembling “bag of worms”

A

Varicocelectomy

31
Q

Reversal of Vasectomy

  • Surgical reanastomosis of vas deferens to restore continuity after vasectomy
A

Vasovasostomy

32
Q

Urethral meatus Is located on the top side of the penis.

Defect associated with extrophy of the bladder and other developmental defects of the pelvis and GU system

Most severe form of bladder extrophy

A

Epispadius

33
Q

Kidney nerve supply

A

Kidney and nervous system communicate via Renal plexus. sympathetic nervous system will trigger vasoconstriction and reduce renal blood flow

34
Q

1st warning sign kidney is not functioning

A

Presence of edema in lower extremities

35
Q

Surgically created vascular access for patients undergoing hemodialysis.

A

Arteriovenous fistula (or AV shunt)

36
Q

which type of fistula refers to leakage of urine into the vagina?
A. Ureterovaginal
B. Cystocele
C. Vesicovaginal
D. Rectovaginal

A

C. Vesicovaginal

37
Q

A staghorn stone is one that lodges and continues to grow in the?
A. Renal calyx
B. Space of Retzius
C. Ureter
D. Renal Hilum

A

A. Renal calyx

38
Q

which solution is used during a diagnostic cystoscopy?
A. Distilled water
B. Glycine
C. Mannitol
D. Sorbitol

A

A. Distilled water

39
Q

A radical lymphadenectomy is performed to treat cancer of the?
A. Kidney
B. Stomach
C. Prostate
D. Testicles

A

D. Testicles

40
Q

A transplanted kidney is placed into the
A. Retroperitoneal space
B. Flank area
C. Superior bladder area
D. Iliac fossa

A

D. Iliac fossa

41
Q

The bladder is supported by the rectovesical fascia called
A. Monroe
B. Cline
C. Winslow
D. Denonvilliers

A

D. Denonvilliers

42
Q

What is the surgical treatment of vesicoureteral reflux
A. Placement of a stent
B. Segmental cystectomy
C. Cutaneous ureterostomy
D. Ureteral reimplantation

A

D. Ureteral reimplantation

43
Q

What is the fornix in the kidney region
A. edge of the minor calyces
B. refers to the hilum of the organ
C. inner layer of the renal capsule
D. apex of a renal pyramid

A

A. edge of the minor calyces

SFA 201 - Fundamentals of SFA (16 decks)

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