Surgery

Question 1

A 63-yer-old man undergoes a radical prostatectomy with extended bilateral pelvic lymphadenectomy for Gleason score 7 (4-3) prostate cancer. Postoperatively he suffered from an infected pelvic seroma which needs to be drained under ultrasound control by a radiologist. What is the Clavien-Dindo complication category?

A. Grade II
B. Grade IIIa
C. Grade IIIb
D. Grade IV

Answer 1

B. Grade IIIa

Question 2

A lymphocele, after a laparoscopic radical prostatectomy requiring marsupialization on the 5th postoperative day , is considered as …. complication according to Clavien-Dindo classification?

A. Grade I
B. Grade II
C. Grade III
D. Grade IV

Answer 2

C. Grade III

Question 3

When gaining access to the urinary bladder, one option is to use an approach described by:

A. Chevron
B. Gibson
C. Nagamatsu
D. Brown

Answer 3

B. Gibson

Question 4

A 60-year-old previously healthy man with prostate cancer (cT1c, Gleason 3+4=7, PSA 6,1) undergoes robotic radical prostatectomy. According to current evidence what is recommended for medical thromboprophylaxis?

A. No medical thromboprophylaxis
B. Medical thromboprophylaxis until ambulation
C. Medical thromboprophylaxis for 10 days
D. Medical thromboprophylaxis for one month

Answer 4

A. No medical thromboprophylaxis

Question 5

Which muscle is used after inguinal lymphadenectomy to protect the femoral vessels?

A. Gracilis
B. Sartorius
C. Pectineus
D. Adductor longus

Answer 5

B. Sartorius

Question 6

Is mechanical bowel preparation necessary in patients undergoing cystectomy and urinary diversion according to ERAS criteria? It is:

A. Necessary in order to reduce the incidence of postoperative complications
B. Not recommended because it could have a detrimental effect
C. Necessary, but only in case of orthotopic neobladder
D. Necessary, but it can be limited to the day before surgery

Answer 6

B. Not recommended because it could have a detrimental effect

Question 7

Nearly 90% of post-surgical major bleeding occurs within:

A. Two post-operative days
B. Three post-operative days
C. Four post-operative days
D. Five post-operative days

Answer 7

C. Four post-operative days

Question 8

Which operation is associated with the highest risk of venous thromboembolism?

A. Radical prostatectomy
B. Radical cystectomy
C. Partial nephrectomy
D. Percutaneous nephrolithotomy

Answer 8

B. Radical cystectomy

Question 9

A 59-year-old man undergoes robotic radical prostatectomy with lymph node dissection. In the postoperative course he develops a compressing lymphocele, which is drained under local anasthesia. Accordning to the Clavien System for postoperative complications, which complication grade should be recorded?

A. Grade 2
B. Grade 3a
C. Grade 3b
D. Grade 4

Answer 9

B. Grade 3a

Question 10

What long-term complication is associated with ureterosigmoideostomy diversion of urine?

A. Colitis
B. Hyperchloremic metabolic acidosis
C. Hypercalcermia
D. Hyponatriemia

Answer 10

B. Hyperchloremic metabolic acidosis