Urology Flashcards
Stag-horn calculi are made from…
Struvite
Which type of infection pre-disposes to staghorn calculi?
Proteus
What is the most common type of renal stone?
Calcium oxalate
What is the first-line medical management of BPH?
Alpha-1 antagonists eg. Tamsulosin
What is the second-line medical management of BPH?
5a-reductase inhibitors eg. Finasteride
What is the most important risk factor for bladder cancer?
Smoking
Which test should all men with ED have?
Morning testosterone
What is the recommended analgesia for renal colic?
IM Diclofenac
Schistosomiasis is a risk factor for which urological malignancy?
SCC of the bladder
What is the most common organic cause of ED?
Vascular disease
What is the first-line investigation for prostate cancer?
Multiparametric MRI
Which type of stones may not appear on CT?
Uric acid
What is meant by recurrent UTI?
3 episodes in a year or 2 in the last 6 months
What is the first-line investigation in recurrent UTI?
USS KUB
What is the first-line investigation for suspected prostate cancer?
Multiparametric MRI
Give causes of haematuria.
Bladder cancer Renal cancer Glomerulonephritis UTI Renal stones
Which patients should be referred on the suspected bladder cancer pathway?
> 45 with visible haematuria or unresolving with UTI treatment
What are the first-line investigations for suspected bladder cancer?
Flexible cystoscopy & CT urogram
What is the investigation of choice for kidney stones?
CT KUB
Which medication class may be used to try to expel small, distal stones?
Alpha blockers
Give a contra-indication for circumcision.
Hypospadias
Elevation of the testis does not ease pain suggests…
Testicular torsion
What is the first-line investigation in suspected prostate cancer?
Multiparametric MRI
Retracted testicle suggests…
Testicular torsion
What is the most common cause of epidydimorchitis in males > 35?
E Coli
Raised AFP and HCG are most likely in…
Non-seminomas eg. Teratoma/yolk sac tumours
What is an acceptable post-void volume in patients < 65 years?
50 mls
What is an acceptable post-void volume in patients > 65 years?
100 mls
What is the advice for babies with hydrocoele?
Come back if not resolved by 1 year
Periureteric fat stranding may indicate…
Recently passed ureteric calculus