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AP II Test 2 > Urological Diseases > Flashcards

Urological Diseases Flashcards

1
Q

Why is continuous irrigation fluid used during TURP procedures?

A

to distend tissues and provide visibility

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2
Q

What absorbs irrigation fluid during TURP to cause hypervolemic hyponatremia?

A

prostatic venous plexus

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3
Q

What would be a ideal irrigating solution for TURP be?

A

isotonic

nonhemolytic

nontoxic

inexpensive

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4
Q

What solutions have been used and what is most commonly used for TURP irrigation?

A

glycine

sorbitol

mannitol

NS/LR

distilled water

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5
Q

What are the treatments for fluid overload?

A

loop diuretic

fluid restriction

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6
Q

What are the recommendations for preventing TURP?

A

procedure < 1 hour

Max height of irrigant = 2 ft above the table

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7
Q

If doing regional anesthetic for TURP, what level is needed?

A

T10

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8
Q

What is the archaic method of lithotripsy?

A

ESWL

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9
Q

What are the contraindications for lithotripsy? (4)

A

pregnancy

urinary obstruction

abdominal pacemaker generators

poor patient position

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10
Q

What are the indications for cystoscopy? (3)

A

recurrent UTI

urinary obstruction

hematuria

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11
Q

What is the choice of anesthesia for cystoscopy?

A

general

or spinal

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12
Q

What procedure is performed for the removal of a prostate usually in Stage 2 cancer?

A

radical prostatectomy

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13
Q

What are the possible positions for a radical prostatectomy? (3)

A

retropubic

lithotomy

T-burg

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14
Q

Renal cancer affects more F than M. True or false?

A

false

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15
Q

The tumor in renal cancer often extends into the IVC in about 5% of patients and symptoms are asymptomatic until large. True or false?

A

true

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16
Q

What are preoperative concerns for renal cancer patients? (4)

A

degree of renal impairment

CV disease

Diabetes

Anemia

17
Q

What procedure is performed for excision of renal carcinoma?

A

radical nephrectomy

18
Q

What are the approaches to radical nephrectomy?

A

midline

flank

transabdominal

transthoracic

19
Q

What are complications of a radical nephrectomy?

A

extensive blood loss

pneumothorax

20
Q

How long can the organ (kidney) survive outside of the body?

A

2 days

21
Q

Where is the kidney placed in renal transplantation?

A

extraperitoneally into the iliac fossa

22
Q

What is the anesthetic consideration for renal transplant?

A

HYPOTENSION

MANNITOL

AP II Test 2 (7 decks)

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