PreTest Surgery: Urology

Question 1

According to PreTest, how do you manage kidney stones by size?

Answer 1

• < 1 cm: hydration and alpha-blockers
• > 1 cm: lithotripsy
• Unstable: percutaneous nephrostomy

Question 2

What is the best management of undescended testes?

Answer 2

1) Chorionic gonadotropin (which can stimulate descent)

2) Orchiopexy by age 2 if still not descended

Question 3

The standard surgical treatment for testicular torsion is _______________.

Answer 3

orchiopexy of the affected and unaffected testicle (because of an increased relative risk of torsion)

Question 4

_____________ is an absolute indication for surgical treatment of BPH.

Answer 4

Recurrent UTIs

Disease refractory to medical therapy is an acceptable response.

Question 5

If you accidentally sever the ureter in an operation and don’t have the resources to fix it right then, you can ______________.

Answer 5

catheterize the proximal ureter

Question 6

A patient comes in s/p MVC and has suspected urethral rupture based on x-rays. How do you manage this?

Answer 6

Suprapubic cystostomy with repair once hematoma has resolved