Hematuria and Cancer

Question 1

We need to have more than ____ RBC to consider it Hematuria

Answer 1

3/hpf

Question 2

How to screen for hematuria?

Answer 2

Dipstick

Question 3

How sensitive is dipstick screening?

Answer 3

95%

Question 4

How specific is dipstick screening?

Answer 4

80%

Question 5

How to confirm hematuria?

Answer 5

microscopy of > 3 RBC

Question 6

Pink/Cola urine indicates:

Answer 6

Gross Hematuria

Question 7

Which type of Hematuria is associated with more life threatening conditions?

Answer 7

Gross Hematuria (5 times more)

Question 8

Initial hematuria

Answer 8

The first few drops are bloody

from urethra

Question 9

Terminal hematuria

Answer 9

The last few drops are bloody

from bladder neck/prostatic urethra

Question 10

Total hematuria is from

Answer 10

bladder or upper tract

Question 11

Most common type of hematuria?

Answer 11

Total hematuria

Question 12

Initial/terminal hematuria are secondary to

Answer 12

inflammation

Question 13

If the urine has wormlike clots , the bleeding is from

Answer 13

upper track

Question 14

Visible, painless, intermittent hematuria might be:

Answer 14

CANCER

Question 15

Lady with non-visible hematuria and dysuria

Answer 15

most likely infection

Question 16

Elevated levels of BUN and creatinine suggest

Answer 16

significant renal disease as the cause of hematuria

Question 17

Gold Standard Investigations in Hematuria are

Answer 17

CT abdomen with contrast + Cystoscopy

Question 18

95% of bladder cancer is

Answer 18

TCC

Question 19

What’s this thing in Egypt that raise the change of getting bladder cancer? which type of cancer?

Answer 19

schistosomiasis, squamous

Question 20

number 1 risk factor for bladder cancer is

Answer 20

smoking

Question 21

Pain in the loin or pyelonephritis may indicate

Answer 21

ureteric obstruction and hydronephrosis.

Question 22

grade of bladder cancer is determined by

Answer 22

how the cancer cells look in comparison with normal bladder cells.

Question 23

The stage is determined by

Answer 23

he cancer growth in the bladder wall and how far it has spread

Question 24

T4 bladder cancer is

Answer 24

invasive of pelvic wall or nearby organs

Question 25

invasion of perivesical fat is which stage?

Answer 25

T3

Question 26

T1 is invasion of ___ only

Answer 26

lamina propria

Question 27

multicentic means?

Answer 27

you could get multiple at the same time

Question 28

Which is more aggressive cancer in situ or Ta tumor?

Answer 28

Cancer in situ. 50% will die

Question 29

The tumour with muscle invasion is nearly always ___

Answer 29

solid

Question 30

treatment of non-invasive tumors

Answer 30

Endoscopic surgery (TURBT)(Trans Urethral Resection of Bladder Tumor)

Question 31

Follow-up cystoscopies are essential after

Answer 31

Endoscopic surgery

Question 32

Chemotherapy drug that prevents recurrence of the tumor, but can’t prevent progression

Answer 32

MitomycinC

Question 33

the only treatment for carcinoma in situ.

Answer 33

BCG

Question 34

Invasive tumour TREATMENT

Answer 34

Radical cystectomy.

Question 35

Urinary diversion is done with

Answer 35

Radical cystectomy.

Question 36

Diversion of urine by:

Answer 36

• Ileal conduit.

* Orthotopic ileal neobladder.

Question 37

the gold standard excision of bladder

Answer 37

Radical cystectomy

Question 38

initial chemotherapy followed by radiotherapy in what?

Answer 38

in responding tumors (invasive)

Question 39

______ diversion Is the first option unless tumor involve the proximal/distal urethra

Answer 39

Orthotopic neobladder, proximal

Question 40

Ileal condouit takes part of the

Answer 40

illium