Urological Disorders

Question 1

what part of the prostate is affected by BPH

Answer 1

transitional zone

Question 2

BPH is always symptomatic true or false

Answer 2

false, only 5%

Question 3

BPH can cause haematuria

Answer 3

true

Question 4

what term describes the symptoms of BPH

Answer 4

prostatism

Question 5

1st line Mx of BPH

Answer 5

tamulosin alpha blocker

Question 6

what drugs other than alpha blockers can be used for BPH

Answer 6

5 alpha reductase inhibitor finasteride

Question 7

last line Mx of BPH

Answer 7

TURP transurethral resect

Question 8

complications of BPH

Answer 8

urinary retention, bladder hypertrophy, bladder diverticular

Question 9

are testicular tumours normally painful

Answer 9

no

Question 10

1st line investigation in the acute scrotum

Answer 10

us

Question 11

are hydroceles painful

Answer 11

no

Question 12

are varicoceles painful

Answer 12

no

Question 13

is epididymo-orchitis painful

Answer 13

yes

Question 14

are epididymal head cysts painful

Answer 14

no

Question 15

common age of spermatic cord torsion

Answer 15

puberty

Question 16

presentation of spermatic cord torsion

Answer 16

extrem pain, N&V, red swollen

Question 17

is the cremasteric reflex present in spermatic cord torsion

Answer 17

no

Question 18

is the cremasteric reflex present in rete appendix torsion

Answer 18

yes

Question 19

management of spermatic cord torsion

Answer 19

urgent surgery

Question 20

what is due to excess fluid in the tunica vaginalis

Answer 20

hydrocele

Question 21

what condition presents with the blue dot sign in the acute scrotum

Answer 21

rete appendix torsion

Question 22

management of rete appendix torsion

Answer 22

self limiting

Question 23

is the cremasteric reflex present in epididymitis

Answer 23

yes

Question 24

cause of epididymitis

Answer 24

often chlamydia

Question 25

presentation of epididymitis

Answer 25

dysuria, pyrexia, pyuria

Question 26

management of epididymitis

Answer 26

analgesia, 14 day ofloxacin

Question 27

what condition causes an itchy red tender scrotum

Answer 27

idiopathic scrotal oedema

Question 28

management of idiopathic scrotal oedema

Answer 28

self limiting

Question 29

what condition occurs when the foreskin is retracted and can’t return

Answer 29

paraphimosis

Question 30

management of paraphimosis

Answer 30

compression +- dorsal slit

Question 31

what condition is due to an erection for greater than 4 hours

Answer 31

priaprism

Question 32

management of priaprism

Answer 32

aspirate, IJ phenylephrine

Question 33

fournier’s gangene is necrotising fasciitis of the penis. what is it associated with

Answer 33

trauma and DM

Question 34

management of fournier’s gangrene

Answer 34

debride + ABx

Question 35

when should PSA be done for bladder outlet obstruction

Answer 35

if >50yr or >40yr + bladder cancer FH

Question 36

management of a tumour causing bladder outlet obstruction

Answer 36

transurethral resection of bladder lesion TURBT

Question 37

management of a stone causing bladder outlet obstruction

Answer 37

litholapaxy fragmentation

Question 38

management of phimosis

Answer 38

circumsize

Question 39

1st imaging for bladder outlet obstruction

Answer 39

US