Surgery GU

Question 1

Kehr Sign

Answer 1

abdominal pain referred to shoulder from peritoneal irritation

Question 2

peritoneal nerve from

Answer 2

phrenic nerve C3-C5

Question 3

bladder covered in

Answer 3

peritoneum

Question 4

most common site of extraperitoneal rupture

Answer 4

bladder neck

Question 5

Pyelonephritis vs. Cystitis vs. UTI

Answer 5

Look it up

Question 6

normal BUN/Cr ratio

Answer 6

10

Question 7

what is BUN/Cr ratio of prerenal

Answer 7

greater than 20

Question 8

what causes prerenal

Answer 8

volume depletion

Question 9

when do you use Furosemide on Kidney Disease

Answer 9

Intrarenal causes like
Glomerulonephritis or
Acute Tubular Necrosis

Question 10

Prerenal FE(Na)

Answer 10

FE(Na)

Question 11

Intrinsic FE(Na)

Answer 11

FE(Na) >1

Question 12

GU injury associated with pelvic fractures

Answer 12

Posterior urethral injury

Question 13

Presentation of urethral injury

Answer 13

1. blood at urethral meatus (though remember to think cancer in elderly)
2. high riding prostate
3. scrotal hematoma
   4, inability to void despite urge
4. distended bladder

Question 14

Leriche syndrome

Answer 14

Aortoiliac PVD causing erectile dysfxn

Question 15

transilluminated scrotal mass in a kid

Answer 15

hydrocele

Question 16

hydrocele tx

Answer 16

most resolve by 12 months of age, > 12months needs surgical intervention

Question 17

hydrocele increases risk of

Answer 17

inguinal hernia

Question 18

how to dx a urerter stone

Answer 18

1. Ultrasound especially in pregos
2. Non-contrast CT
3. IVP if only choice

Question 19

what urinary infx leads to struvite stones

Answer 19

Proteus

Question 20

Anterior Urethral damage vs. Posterior Urethral damage

Answer 20

Anterior: Immediate surgical repair

Posterior: Retrograde Urethrogram

Question 21

Signs of Posterior urethral damage

Answer 21

blood at meatus

inability to void

high-riding prostate