URO-GYNE Flashcards
The blood supply of the distal ureter is provided by branches of the
Iliac arteries (laterally)
Proximal ureter = aorta and renal artery (medially)
Which portion of the bladder is intraperitoneal
None
Hydroceles form between
The visceral and parietal layers of the tunica vaginalis
Patients with bladder stones are at increased risk for which bladder cancers
Squamous cell carcinoma
Tobacco use = transitional cell carcinoma (TCC)
Emphysematous pyelonephritis is most commonly caused by
Escherichia coli
A blunt injury to the kidney with a 2-cm, nonexpanding hematoma and a small amount of urinary extravasation is
A grade 4 injury
Injuries to the distal ureter should be treated with
Ureteral reimplantation
Elevated serum levels of alpha fetoprotein in a man with a firm testicular mass what is the most likely diagnosis
Nonseminomatous germ cell tumor
Which type of renal calculi with NOT be seen on CT scan
Crystalline-excreted indinavir
The most common noncontinent urinary diversion procedure after cystectomy is
Ileal conduit
Initial management of a patient with priapism includes
Placement of an 18-G IV catheter into the corpus cavernosum
Paraphimosis refers to
Inability to reduce the foreskin after it has been retracted
A patient with a complete anterior urethral injury after a high speed moto vehicle accident is best initially managed by
Placement of a suprapubic catheter
Following documentation of a firm mass in the testes by ultrasound in a 32-year-old male, tissue should be obtained for diagnosis by
Orchiectomy
Following transurethral resection of a superficial (noninvasive) transitional cell carcinoma, which of the following is instilled in the bladder to decrease the risk of recurrence
BCG (bacille Calmette-Guerin) or mitomycin C
Syndromes associated with an increased risk of renal cell carcinoma
Von Hippel-Lindau syndrome = clear-cell RCC
Birt-Hogg-Dube syndrome = oncocytomas or chromophobe tumors
Hereditary leiomyomatosis = papillary RCC
In a patient with extensive Fournier’s gangrene involving the scrotum, the testes
Are usually not involved and can be transposed to the soft tissue of the thigh
Which type of renal carcinoma has the worst prognosis
Collecting duct
The most common cause of vaginitis is
Anaerobic bacteria
With no treatment, what percentage of patients with primary syphilis eventually progresses to tertiary disease
30%
Appropriate antibiotic treatment for chancroid is
Azithromycin
Paget’s disease of the vulva is associated with
Invasive adenocarcinoma
