Surgical Quiz 3

Question 1

Risk of what of bigger smegma in a younger boy?

Answer 1

Balanitis
Ecoli infection risk
Wash with salt water, cooking salt in bath

Question 2

Consequences of circumcision?

Answer 2

Ulceration of glans

Glans and foreskin attached, ripped apart,

Question 3

Red swollen penis usually?

Answer 3

Balanitis: ecoli usu.

Question 4

How to treat balanitis? When most at risk?

Answer 4

between 1-3 years, during phase of separation.
Topical: eye/ear ointment: antibiotics, put it up foreskin
Every 2 hours: give to dad!

Question 5

Foreskin tourniquet the glans?

Answer 5

Paraphymosis

Question 6

Treating Paraphymosis?

Answer 6

Squeeze glans for 5 minutes, push it back through

Question 7

What is phimosis?

Answer 7

Congenital narrowing of opening of foreskin: can’t retract

Question 8

How to treat Balanitis Xrotica obliterans

Answer 8

Circumcision,

Topical steroids

Question 9

3 abnormalities of hypospadias

Answer 9

Failure of dorsal hood foreskin
Urethra is underneath
Chordee: bend in the penis (important part)

Question 10

When fix hypospadias?

Answer 10

6-18 months of age so don’t remember

Question 11

Epispadias problem? (Minor version of bladder EXTROPHY)

Answer 11

Abdo abnormality, the urethra comes out through pelvic bone

Question 12

Bladder EXTROPHY

Answer 12

Anterior Abdo fails to close, nothing to hold bladder closed

Question 13

If you see myconeum in penis, what could it be?

Answer 13

Imperforate anus
recto-urethral Fistula

Rx: fast them, drip, NGT to deflate, full physical, Rx to RCH. take a photo of them for mum

Question 14

Most common reason for childhood kidney transplant?

Answer 14

Urethral valve

Antenatal hydronephrosis