Sasp 2014 Flashcards

0
Q

What are Motzer criteria? (5)

A
Karnosky performance status <80%
Elevated LDH
Anemia 
Hypercalcemia
Prior partial or total nephrectomy
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1
Q

What area of the kidney is most susceptible to damage due to prolonged ischemia

A

The medulla

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2
Q

True or false?

In bacterial vaginosis you need to treat the pt and partner w metronidazole

A

False. Treating pt only is just as effective as pt and partner

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3
Q

Medullary thryroid cancer
Pheo

1ary hyperPTH
Cutaneous lichen amyloidosis

A

MEN2A

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4
Q
Medullary thyroid ca
Pheo
A
Mucocutaneous neuromas
Marfanoid habitus
Hirschprungs
A

Men 2 B

RET oncogene

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5
Q

What’s concerning PSA velocity?

A

> 0.75 NG/ml/yr. need 3 PSA measurements over 18 months to determine

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6
Q

3 basic labs to initially evaluate an adrenal mass:

A

K if hypertensive
Plasma metanephrines
24 hr urine cortisol

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7
Q

Muscles if the levator ani

A

Puborectalis
Pubicoccygeus
Iliococcygeus

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8
Q

Branches of internal iliac

A

I Love Going Places In My Very Own Underwear

Posterior trunk:
Iliolumbar
Lateral sacral
(Superior) Gluteal

Anterior trunk:
(Internal) Pudendal-> penile, perineal
Inferior vesical
Middle rectal
Vaginal
Obturator 
Umbilical ->obliterated umbilical, sup vesical
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9
Q

Branches of external iliac

A

Inferior epigastric

Deep circumflex

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10
Q

Nerves that originate in the lumbar plexus (7)

A
Iliohypogastric
Ilioinguinal
Lateral femoral cutaneous nerve of thigh
Genitofemoral
Femoral 
Obturator
Sciatic ( partially, also from sacral plexus)
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11
Q

Provides sensation to lower abdominal wall and pubic area

A

Iliohypogastric nerve

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12
Q

Provides motor innervation to the lower abdominal wall

A

Iliohypogastric nerve

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13
Q

Sensation to upper thigh, base of penis and upper scrotum

A

Ilioinguinal

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14
Q

Nerve that travels in the inguinal canal

A

Ilioinguinal

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15
Q

Sensation to anterior and lateral portion of upper leg

A

Lateral cutaneous nerve of the thigh

16
Q

Provides sensation to the spermatic cord, scrotum, and anterior thigh

A

Genito femoral nerve

17
Q

Provides motor innervation to the cremaster and dartos

A

Genito femoral nerve

18
Q

Sensation to antero-medial leg

A

Femoral nerve

19
Q

Provides motor to the psoas, iliac and knee extensors

A

Femoral nerve

20
Q

Motor nerve for thigh adduction

A

Obturator

21
Q

Sensation and motor to posterior thigh and lower leg

A

Sciatic nerve

22
Q

Nerve that lies over psoas can be injured during hitch

A

Genito femoral

23
Q

Nerva that can be injured when placing retractors on psoas

A

Femoral

24
Q

Nerve that can be injured in exaggerated lithotomy

A

Sciatic (stretch injury)

25
Q

Nerves of the sacral plexus

A

Sciatic( partially from lumbar)
Posterior femoral cutaneous nerve
Pudendal-> perineal, posterior scrotal, genital

26
Q

Provides sensation to perineum and posterior scrotum

A

Posterior femoral cutaneous nerve

27
Q

Gives sensation to penis and clitoris

A

Genital branch of pudendal nerve

28
Q

Nerve that travels in alcock’s canal

A

Pudendal

29
Q

Nerve that gives a branch to rhabdosphincter, plays role in continence

A

Pudendal

30
Q

Nerve used for PTNS

A

Tibial nerve, branch of sacral roots of sciatic nerve

31
Q

Plexus where para and sympathetic nerves meet to give autonomic control of bladder, prostate and penis

A

Inferior hypogastric

32
Q

Plexij that provides autonomic control to adrenals, kidneys and upper ureters

A

Celiac and superior mesenteric

33
Q

Sympathetic plexus just below the aortic bifurcation that controls seminal emission and bladder neck closure

A

Superior hypogastric

34
Q

Sympathetic nerves that travel from superior hypo gastric plexus to inferior hypo gastric plexus to combine with parasympathetics

A

Hypo gastric nerves

35
Q

Origin of neuro vascular bundles

A

Pelvic (inferior hypo gastric) plexus