SASP 2021

Question 1

Abiaterone mechanism

Answer 1

CYP-17 inhibitor –| blocks both androgen & glucocorticoid production

Question 2

Abiaterone leads to increases in ___corticoids leading to adverse effects such as ____

Answer 2

mineralocorticoids

hypertension, hypokalemia, peripheral edema, nausea/vomiting, weakness

Question 3

_____ prescriptions can lead to a false positive metanephrine test when working up adrenal masses

Answer 3

tricyclic anti-depressants

Question 4

Arterial insufficiency is suspected when peak systolic velocity is

Answer 4

25

Question 5

Venous leak is suspected when end diastolic velocity is >____

Answer 5

5

Question 6

Treatment for primary bladder neck obstruction in young man

Answer 6

TUIP

Question 7

Renal artery aneurysms that are completely calcified do not have to be treated unless the patient wishes to ____

Answer 7

become pregnant

Question 8

Most common nerve injured during lap varicocelectomy - ___ nerve leading to sensory loss in ___

Answer 8

genitofemoral nerve

sensory loss on anterior thigh

Question 9

Topiramate leads to stone formation through _____uria

Answer 9

hypocitraturia

Question 10

On abdominal exploration for undescended testes, most common finding is ____

Answer 10

peeping testis at entry to inguinal ring

Question 11

Adrenal adenomas have Hounsfield units

Answer 11

10

Question 12

Malignant adrenal lesions have

Answer 12

60

Question 13

Decision to proceed with deep inguinal node LND for penile cancer is based on _____

Answer 13

positive superficial inguinal nodes at time of ILND

Question 14

Injury below vertebral level ____ is considered a sacral spinal cord lesion

Answer 14

L1

Question 15

In a patient with flank pain and hydro s/p reimplant, next diagnostic test should be ____

Answer 15

VCUG to r/o VUR

Question 16

Concern for female bladder outlet obstruction with Qmax

Answer 16

12

Question 17

Thiazide induced hyperCa++ is associated with ___ PTH, ___ phosphorus, and ___ K

Answer 17

normal PTH and phosphorus

Low K

Question 18

Hypertophied testes in prepubertal boy is >___ cm in length

Answer 18

> 2 cm

Question 19

Most common stone compositions in gout patients are ___ and ___

Answer 19

uric aid

caox monohydrate

Question 20

1st line treatment for non-metastatic castrate resistant prostate cancer

Answer 20

Enzalutamide
Apalutamide
Darolutamide

Question 21

Thermal burns to penis should be treated with ____

Answer 21

suprapubic catheter due to likely involvement of urethra

Question 22

Offer allopurinol to pts with recurrent calcium stones and high urinary ____ and normal urinary ____

Answer 22

high uric acid

normal calcium

Question 23

Congenital paraureteral diverticula are associated with ___

Answer 23

VUR

Question 24

Next step if pt has Sertoli cells only on testicular biopsy

Answer 24

microTESE (30% chance of finding sperm)

Question 25

Nocturnal polyuria occurs when ___ - ___ % of urine production occurs overnight

Answer 25

20-33%

Question 26

Men with pain from peyronie’s disease often report pain resolution after ____ months

Answer 26

12 months

Question 27

Next step after orchiectomy for paratesticular rhabdomyoscarcoma

Answer 27

ipsilateral RPLND

Question 28

Rocco stitch during RALP reduces tension on _____ by suturing rhabdosphincter to Denonvieller’s fascia and posterior detrusor muscle

Answer 28

vesicourethral anastomosis

Question 29

Inability to visualize the bladder on prenatal u/s is most concerning for ____

Answer 29

bladder extrosphy

Question 30

Do not give IV methylene blue in patients on ___

Answer 30

antidepressants

methylene blue is a strong MAOI