Male and Female Urinary Systems

Question 1

What type of testicular cancer should be treated with RPLND?

Answer 1

embryonal carcinoma

Question 2

What is the name given to the triad of ascites, pleural effusion, and benign ovarian tumor?

Answer 2

Meigs syndrome

Question 3

The anal sphincter is torn in a __ degree perineal tear. The rectal mucosa is torn in a ___ degree perineal tear.

Answer 3

anal sphincter –> 3rd degree

rectal mucosa –> 4th degree

Question 4

What is condyloma lata?

Answer 4

Second degree syphilis

Question 5

What is condyloma acuminata?

Answer 5

HPV

Question 6

What are adverse effects associatd with cisplatin use?

Answer 6

nephrotoxicity, ototoxicity, and peripheral neuropathy

Question 7

Why should you wait for some time before repairing a fistula?

Answer 7

1) To allow for spontaneous closure

2) To allow inflammation to die down

Question 8

What is the blood supply of the greater omentum?

Answer 8

The gastroepiploic arteries

Question 9

Because the right testicular vein empties right into the IVC, a right varicocele may signal…

Answer 9

retroperitoneal cancer

Question 10

Probenecid and aspirin inhibit excretion of

Answer 10

methotrexate

Question 11

Name drugs associated with development of MDR

Answer 11

dactinomycin, anthracycline, vinca alkaloid, or doxorubicin

Question 12

In men, LH acts on __________ cells to produce ___________

Answer 12

Leydig, testosterone

Question 13

In men, FSH acts on _______ cells to produce ___________

Answer 13

Sertoli, spermatogenesis

Question 14

Sildenafil citrate (viagra) is a selective inhibitor of ______, the enzyme that breaks down cGMP

Answer 14

PDE-5

Question 15

The epididymis is (anterior/posterior) to the testes, and a cyst of the epididymis transilluminates to light. A hydrocele also transilluminates, but it is (anterior/posterior) to the testis

Answer 15

epidydmis cyst = posterior

hydrocele = anterior

Question 16

Why is urine suppressed during general anesthesia?

Answer 16

General anesthesia leads to release of ADH

Question 17

Which kidney stones are NOT visible on Xray?

Answer 17

Uric acid stones

Question 18

Which is diploid and which triploid between complete and partial moles?

Answer 18

complete = diploid
partial = triploid

Question 19

A giemsa stain revealing Donovan bodies indicates infection by

Answer 19

Klebsiella granulomatis. Causes painless beefy red ulcers. Treat with tetracycline.

Question 20

While an anterior mass on the testicle that transluminates is diagnostic of __________ in adults, it could also be ________ in children.

Answer 20

1) hydrocele

2) indirect inguinal hernia

Question 21

Which nerves are responsible for an erection?

Answer 21

The pelvic splanchnic nerves (roots S2-S4). Also responsible for internal urinary sphincter.

Question 22

Which drug for BPH does NOT lower blood pressure?

Answer 22

tamsulosin (alpha-blocker)

Question 23

Finasteride should lower PSA values by __% after 12 months of treatment.

Answer 23

50%. If you don’t see this reduction, suspect malignancy

Question 24

Which medicine for BPH can cause ejaculatory dysfunction?

Answer 24

tamsulosin