Uro Flashcards

1
Q

Din ce parte a prostatei se dezvolta HBP?

A

Zona tranzitionala

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2
Q

Din ce parte a prostatei se dezvolta ADK?

A

Zona periferica (90% cazuri)

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3
Q

Simptome prostatita

A

Prostatodinie (durere perineala)Mictiuni frecventeImperiozitate mictionalaDisurieSimptome obstructive

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4
Q

Simptomele obstructive ale prostatei

A

Dificultati la golirea veziciiEzitare in timpul mictiuniiDribling terminal

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5
Q

Simptomatologie prostatita acuta

A

Debut rapidFebraFrisonDisurieDureri perineale si de spate

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6
Q

Examen clinic in prostatita acuta

A

TumefiataMoaleCaldaExtrem de sensibila la tactFluctuenta (daca se complica cu abces)

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7
Q

Ce antibiotice se dau in prostatita cronica?

A

Spectru largCotrimoxazolChinolone

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8
Q

Clinica prostatita cronica, prostatita non-bacteriana

A

Disconfort la nivelul spatelui, pelvisului si perineuluiDisuriePolakiurieInitiere dificila a mictiunii

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9
Q

Simptome obstructive clasice ale HBP

A

DisurieInitierea dificila a mictiuniiJet urinar slab sau intermitentSenzatie de golire incompleta a veziciiDribling terminal

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10
Q

Simptome iritative tipice ale HBP

A

NicturiePolakiurieImperiozitate mictionala

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11
Q

Indicatii obiective pentru tratamentul HBP

A

IRGolirea incompleta a vezicii care determina infectii recurente/litiaza vezicala

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12
Q

Semne ADK prostatic boala avansata

A

Scadere ponderalaHematurie macroscopicaDureri osoase prin metastazeDurere pelvinaObstructie ureterala

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13
Q

Cand poate creste PSA?

A

ProstatitaHBPADKOrice alta patologie care perturba polaritatea celulara

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14
Q

Avantaje abord minim invaziv in prostatectomia radicala

A

Aspect estetic superiorRisc mai mic de transfuziePerioada mai scurta de recuperare postoperatoriePerioada mai scurta de incontinenta postoperatorie

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15
Q

Reactii adverse antiandrogeni

A

GinecomastieHepatotoxicitateRA GI - diaree

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16
Q

Drenajul limfatic al vezicii urinare

A

Iliaci interni (hipogastrici)Iliaci externiIliaci comuniSacrali

17
Q

Pentru ce se examineaza mucoasa VU la cistoscopie

A

Modificari de reliefTumoriLeziuniVascularizatie anormala

18
Q

Ce includ testele urodinamice

A

Volumul rezidual postmictional (PVR)Cistometrograma (CMG)Debit urinar (test uroflow)Profilul presiunii uretraleEMG sfincterianaCistografie fluoroscopica

19
Q

Cand apare PVR semnificativ

A

Obstructie in golirea veziciiCistocelVezica neurogena

20
Q

Ce masoara CMG

A

Senzatia de a urinaCapacitatea VUComplianta VUPresiunea de golire a VUPoate detecta contractiile premature ale detrusorului

21
Q

Valoarea maxima a debitului urinar

A

20-25 mL/secunda - barbati20-30 mL/secunda - femei

22
Q

Ce se poate diagnostica prin cistoscopie fluoroscopica?

A

CistocelProlaps vezicalRVU

23
Q

Cum se poate manifesta persistenta de uraca?

A

Sinus ombilicalChist de perete abdominalDiverticul la nivelul domului VUFistula vezicoombilicala

24
Q

Ce se evidentiaza la examenul HP in cistita interstitiala?

A

Inflamatie cronicaFibrozaInfiltratie mastocitara

25
Q

Cauze urologice de ITU recurente care trebuie tratate

A

HBP, prostatita cronica bacterianaRVU, chist de uracaInfectie pe rinichi displazic/atrofic, necroza papilara, litiazaStricturi uretrale, diverticul uretral, duplicatie/ectopie ureteralaFistula vezicovaginala/vezicointestinala, corpi straini, abces perivezical

26
Q

Cauze de fistula vezicointestinala

A

CrohnNeoplasmeDiverticulita sigmoidianaPlagi penetrante abdominale

27
Q

Cauze de vezica neurogena neinhibata

A

AVCSMParalizie cerebralaDementa

28
Q

Cauze de vezica neinhibata reflexa

A

Leziuni traumatice medulare suprasacrateMielita transversaTumori medulareSM

29
Q

Cauze de vezica neurogena autonoma

A

Leziuni medulare sacrateLeziuni de con medularSindrom de coada de calAfectarea plexului sacrat prin traumatisme, mielomeningocel, chirurgie pelvina

30
Q

Cauze de vezica neurogena senzoriala

A

Tabes dorsalSiringomielieDiabetAnemie pernicioasa