SASP 2019 questions

Question 1

What medication is known to cause renal insufficiency in patients that have bilateral renal stenosis or unilateral renal stenosis in a solitary kidney and why?

Answer 1

Lisinopril - blocks RAAS, thus can’t autoregulate

Question 2

Pelvic Lipomatosis on CT scan shows what?

Answer 2

CT findings are diagnostic with areas of symmetric fat density in the pelvic region.
Pear-shaped bladder can be seen.
The sigmoid may be stretched and surrounded by excess pelvic fat.
It also can extend to the abdomen with peripheral displacement of bowel loops.

Question 3

Pelvic lipomatosis primary demographic?

Answer 3

African Americans

Question 4

Negative Hounsfield units on CT means?

Answer 4

Probably fat or air

Question 5

What’s the difference between emphysematous cystitis and Crohns enterovesical fistula?

Answer 5

Emphysematous cystitis affects the whole bladder wall while enterovesical fistula will be focal (also probably crohns disease)

Question 6

Best treatment for a patient with both Stress incontinence and overactive bladder?

Answer 6

Imipramine

Question 7

How does impipramine work?

Answer 7

Inhibits bladder smooth muscle and stimulates bladder outlet - thus making it ideal for both overactive bladder and stress incontinence