Last Year Exam Flashcards

1
Q

Haematuria terminalis - bleeding in the end of micturition is characteristic for:
a. kidney diseases
b. diseases of the urethra
c. ureteric diseases
d. bladder diseases

A

d. bladder diseases

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2
Q

Causes of hematuria is…
a. anticoagulants
b. urinary tract trauma
c. urinary tract cancers
d. a,b,c are correct

A

d. a,b,c are correct

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3
Q

Symptoms of bladder diseases after radiotherapy is:
a. haematuria
b. dysuria
c. urge urinary incontinence
d. a,b and c are correct

A

d. a,b and c are correct

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4
Q

Prerenal anuria- causes:
a. hypovolemia
b. hypervolemia
c. glomerulonephritis
d. urinary tract stones

A

a. hypovolemia

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5
Q

Anuria postrenal- causes:
a. bilateral; kidney stones
b. unilateral neoplasm of the ureter
c. stricture of the urethra
d. prostatic cancer limited to the organ

A

c. stricture of the urethra

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6
Q

Ischuria paradoxa is the result of:
a. bladder dilatation and retention of the urine
b. lesion of the urethral external sphincter
c. bladder stone
d. in diabetic patients

A

a. bladder dilatation and retention of the urine

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7
Q

Urine retention is not observed in:
a. chronic kidney disease
b. prostatic diseases
c. in urethral trauma
d. in the neoplasms of internal orifice of the urethra

A

a. chronic kidney disease

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8
Q

Stress urinary incontinence is related to: a. bladder outlet obstruction
b. detrusor instability
c. trauma of the lower urinary tract
d. insufficiency of external sphincter and minor pelvis disorders in older women

A

d. insufficiency of external sphincter and minor pelvis disorders in older women

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9
Q

Mixed urinary incontinence:
a. urge urinary incontinence and stress urinary incontinence
b. constant urinary incontinence c. urine leak during sleep
d. constant urine leak all the time

A

a. urge urinary incontinence and stress urinary incontinence

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10
Q

Indications for urodynamic examination:
a. all types of urinary incontinence
b. micturition disorders after vertebral and CNS trauma
c. chronic urinary infection in old women
d. a,b and c are correct

A

d. a,b and c are correct

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11
Q

The first line treatment of overactive bladder is:
a. anticholinergic therapy
b. electrostimulation
c. behavioral - biofeedback therapy
d. a,b and c are correct

A

d. a,b and c are correct

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12
Q

Recommended method of treatment in atonic bladder is:
a. CIC clear intermittent catheterization
b. continous catheterization of the bladder c. constant cystotomy
d. Crede procedure (squeezing of the urine)

A

a. CIC clear intermittent catheterization

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13
Q

Interstitial cystitis- basic diagnostic methods are:
a. history, urodynamic examination, cystoscopy
b. pelvic CT, MRI
c. isotopic renoscintigraphy
d. neurologic examination and CT of CNS

A

a. history, urodynamic examination, cystoscopy

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14
Q

Intrabladder farmacotherapy of interstitial cystitis is based on:
a. instillation of heparin, DMSO and botulin toxin
b. antibiotic bladder instillations c. antihistaminic drug instillations d. BCG bladder instillations

A

a. instillation of heparin, DMSO and botulin toxin

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15
Q

Treatment of the urinary stress incontinence stage I is:
a. TOT, TVT operation
b. Marshall_Marchetti_ Krantz operation
c. laparoscopic Burch operation
d. phizycotherapy, Kegel procedures, biofeedback

A

d. phizycotherapy, Kegel procedures, biofeedback

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16
Q

Surgical treatment of interstitial cystitis is:
a. hydrodistension
b. enterocystoanastomosis - enlargement of the bladder volume
c. cystectomy and urinary diversion
d. a,b and c are correct

A

d. a,b and c are correct

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17
Q

Recommended method of the urine drainage after the spinal cord trauma is:
a. continous catheterization of the bladder
b. continous catheterization for few days and than clear intermittent catheterization
c. constant cystotomy
d. anticholinergic drugs

A

b. continous catheterization for few days and than clear intermittent catheterization

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18
Q

Urgent operation after kidney trauma is necessary in the case of:
a. rupture of renal vessels
b. small hematoma of the kidney
c. perirenal hematoma
d. small kidney parenchyma lesion without urine leak

A

a. rupture of renal vessels

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19
Q

Diagnosis of the renal trauma is based on:
a. usg examination
b. IVP intravenous pyelography
c. abdomen CT
d. renal scintigraphy

A

c. abdomen CT

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20
Q

Treatment of renal trauma stage I-III is following:
a. nephrectomy
b. arteriography and embolization
c. surgical suture of the renal parenchyma
d. a,b and c are incorrect

A

d. a,b and c are incorrect

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21
Q

Ureteric trauma are frequent as:
a. idiopathic
b. iatrogenic
c. after radiotherapy
d. after URS-ureterorenoscopy

A

b. iatrogenic

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22
Q

Causes of the urinary bladder trauma is:
a. catheterization of the bladder
b. trauma of the lower part of the abdomen
c. after fracture of pelvic bones
d. b and c are correct

A

d. b and c are correct

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23
Q

Treatment of the trauma of the penis:
a. fracture of the penis-surgical treatment
b. superficial wound- cystotomy
c. paraphimosis - operation
d. luxation of the penis-observation

A

a. fracture of the penis-surgical treatment

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24
Q

Diagnosis of the trauma of the scrotum and testicle is based on:
a. physical examination
b. CT of the abdomen and pelvis
c. MRI of the abdomen and pelvis
d. physical examination, usg of the scrotum

A

d. physical examination, usg of the scrotum

25
Q

Renal tumors- more frequent symptoms
a. paraneoplastic syndroms
b. fever
c. hematuria
d. asymptomatic, incidentaloma

A

d. asymptomatic, incidentaloma

26
Q

Most frequent type of renal tumors is: a. oncocytoma
b. urothelial carcinoma
c. angiomyolipoma
d. clear cell carcinoma

A

d. clear cell carcinoma

27
Q

Diagnosis of renal tumors and estimation of the stage is based on:
a. usg
b. arteriography
c. cavography
d. CT, MRI

A

d. CT, MRI

28
Q

Tumor-like kidney disease is:
a. fibrosis retroperitonealis - ormond disease
b. renal stones
c. cystis, abscess, hematoma
d. lymphoma malignum

A

a. fibrosis retroperitonealis - ormond disease

29
Q

Basic form of the treatment of renal cell carcinoma is: a. pharmacotherapy
b. chemotherapy
c. embolization and chemotherapy
d. nephrectomy and nephron sparing surgery- NSS

A

d. nephrectomy and nephron sparing surgery- NSS

30
Q

Indications for nephron sparing surgery - NSS:
a. T1 a tumors
b. T3 a tumors
c. T1a-T3a tumors in solitary kidney
d. a and c are correct

A

d. a and c are correct

31
Q

Treatment of renal angiomyolipoma :
a. tumors > 4cm - excision of the tumor
b. excision of the tumor < 4cm
c. embolization of the tumor
d. nephrectomy

A

a. tumors > 4cm - excision of the tumor

32
Q

Wilms tumor:
a. is observed only in children
b. only surgical treatment is used
c. only chemotherapy is used
d. in adult surgical treatment and chemotherapy are used

A

d. in adult surgical treatment and chemotherapy are used

33
Q

Ren spongiosus:
a. is risk factor for kidney stones
b. is connected with hypercalcemia
c. is risk factor for urinary tract infection
d. a, b and c are correct

A

d. a, b and c are correct

34
Q

Simple renal cyst- indication for the treatment: a. cystis volume
b. urinary tract infection
c. renal sufficiency
d. symptomatic cystis- hypertension, ache, intracystic bleeding

A

d. symptomatic cystis- hypertension, ache, intracystic bleeding

35
Q

Risk factors for urothelial carcinoma of renal pelvis are:
a. abuse of analgetic drugs
b. urinary tract infection
c. diabetes
d. obesity

A

a. abuse of analgetic drugs

36
Q

Treatment of renal urothelial carcinoma:
a) surgical treatment, endoscopic treatment, chemotherapy if needed (combined therapy)
b) only radiotherapy
c) only surgical treatment d) only chemotherapy

A

a) surgical treatment, endoscopic treatment, chemotherapy if needed (combined therapy)

37
Q

The most frequent type of urinary bladder neoplasm is:
a) adenocarcinoma
b) adenoma
c) sarcoma
d) urothelial carcinoma

A

d) urothelial carcinoma

38
Q

Basic diagnostic method in bladder carcinoma is:
a) endoscopic examination- cystoscopy
b) CT of the abdomen and pelvis
c) IVP- intravenous pyelography
d) renal scintigraphy

A

a) endoscopic examination- cystoscopy

39
Q

Method of the treatment in superficial bladder carcinoma is: a) systemic chemotherapy
b) radiotherapy
c) BCG- immunotherapy
d) TURB- transurethral resection of the tumor, intravesical chemotherapy, TURB+ BCG-therapy

A

d) TURB- transurethral resection of the tumor, intravesical chemotherapy, TURB+ BCG-therapy

40
Q

Indications for cystectomy in superficial bladder carcinoma is: a) recurrent bleeding
b) recurrence and progression after BCG- therapy
c) high risk tumors- elective indications
d) b, c are correc

A

d) b, c are correc

41
Q

.Treatment of more advanced bladder tumors T2 and > T2 is:
a) radical cystectomy
b) radiotherapy alone
c) only chemotherapy
d) combined treatment: cystectomy and chemotherapy if needed

A

d) combined treatment: cystectomy and chemotherapy if needed

42
Q

The most frequent methods of urinary diversion:
a) Bricker operation
b) ureterosigmoideostomy c)orthotopic ileal bladder
d) rectal bladder

A

a) Bricker operation

43
Q

Carcinoma of the penis:
a) urothelial carcinoma is the most frequent
b) adenocarcinoma is the most frequent
c) condylomata accuminata are the most frequent
d) planoepithelial carcinoma is the most frequent

A

d) planoepithelial carcinoma is the most frequent

44
Q

In the treatment of carcinoma of the penis is NOT used:
a) penis amputation
b) partial resection of the penis
c) chemotherapy alone
d) circumcision, brachytherapy, radiotherapy in T1 tumors

A

c) chemotherapy alone

45
Q

Diagnosis of testicular tumors is based on:
a) history of the disease and physical examination
b) markers levels are the most important
c) USG examination is the most important
d) physical examination, USG of the testicle, markers levels

A

d) physical examination, USG of the testicle, markers levels

46
Q

Basic method of the treatment of testicular cancers are: a) chemotherapy
b) orchidectomy
c) radiotherapy
d) orchidectomy combined with lymphadenectomy

A

d) orchidectomy combined with lymphadenectomy

47
Q

BPH- benign prostatic hypertrophy - not frequent symptoms: a) connected with BPE- benign prostatic enlargement
b) connected with BPO- bladder outlet obstruction
c) LUTS- lower urinary tract syndrome
d) haematuria

A

d) haematuria

48
Q

Frequent complications of BPH:
a) incomplete urinary retention
b) urinary tract infection
c) renal insufficiency
d) hydronephrosis

A

a) incomplete urinary retention

49
Q

The most important diagnosis of BPH is:
a) DRE- digital rectal examination
b) abdomen CT
c) level of PSA
d) TRUS - transrectal USG

A

a) DRE- digital rectal examination

50
Q

In pharmacological treatment of BPH is not used:
a) LH- RH analogues
b) 5- alpha reductase inhibitors
c) alpha receptor blockers
d) 5- alpha reductase inhibitors combined with alpha receptor blockers

A

a) LH- RH analogues

51
Q

Diagnosis of the prostatic cancer is based on:
a) PSA level
b) histopathologic examination
c) DRE- digital rectal examination
d) a, b are correct

A

d) a, b are correct

52
Q

Surgical treatment of BPH:
a) TURP- transurethral resection of the prostate
b) adenomectomy
c) radical prostatectomy
d) a, b, are correct

A

d) a, b, are correct

53
Q

In treatment of organ confined prostatic cancer not used: a) radical prostatectomy
b) radiotherapy
c) brachytherapy
d) laser-therapy

A

d) laser-therapy

54
Q

Hormonal treatment of the prostatic cancer is recommended:
a) in stage T1-T2, N0, M0
b) in all stages of prostatic cancer
c) after radical prostatectomy
d) a, b, c are incorrect

A

d) a, b, c are incorrect

55
Q

Causes of hyperoxaluria are:
a) high endogenic production of oxaluric acid
b) high absorption of oxaluric acid in digestive system
c) diet: cacao, coffee, tomatoes
d ) a a, , b b, caraer ecocrorrercetc t

A

d ) a a, , b b, caraer ecocrorrercetc t

56
Q

Indications for ESWL is not:
a) staghorn stones of the kidney
b) renal pelvis stone <2cm
c)calyceal stones
d) ureteral

A

a) staghorn stones of the kidney

57
Q

Stein Strasse after ESWL is:
a) residual stone in renal pelvis
b) stone in the bladder
c) small stones in the ureter
d) b,c are correct

A

c) small stones in the ureter

58
Q

Indication for URS- ureterorenoscopy is:
a) ureteric stone after ineffective ESWL
b) in all cases of ureteric stones
c)in cases of ureteric stones and urinary tract infection d)in cases of calyceal stones

A

a) ureteric stone after ineffective ESWL