Urology

Question 1

Salt wasting CAH is caused by deficiency of which enzyme?

Answer 1

21 hydroxylase enzyme def.

Question 2

Salt sparing CAH is caused by which enzyme deficiency

Answer 2

11 beta hydroxylase enzyme def.

Question 3

What are the Receptors activated kn Detrusor overactivity (overactiv bladder)

Answer 3

Alpha receptors

Question 4

Treatment of benign prostatic hyperplasia

Answer 4

5 aplha reductase inhibitors

Alpha blockers

Question 5

Physiology of erection

Answer 5

Relaxation of the smooth muscles→

arterial vasodilatation →trapping of blood
in the sinusoids

Question 6

Gold standard diagnostic test for urinary stones

Answer 6

CT KUB

Question 7

Treatment of ureteric stones

Answer 7

Alpha blockers, analgesia
Percutaneous nephrolithotomy
Ureteroscopy
Eswl

Question 8

Interpretation of the international prostate symptoms score questionnaire

Answer 8

• Mild symptoms 0 - 7
• Moderate 8 – 19
• Severe 20-35

Question 9

Management of LUTS in BPH

Answer 9

Mod to severe: alpha blocker

LUTS + PSA>1.4 ng/ml + prostate>30g : 5ARI & alpha blocker

Question 10

Gold standard surgery for BPH

Answer 10

TURP

Question 11

Most common pathology and zone in prostate cancer

Answer 11

Adenocarcinoma in peripheral zone

Question 12

Treatment of prostate cancer

Answer 12

Localised:
Radiation : EBRT, Brachytherapy
Radical prostatectomy

Metastasis: LHRH Agonists, LHRH Antagonits,