Urology π¦ Flashcards
Q: Most common site of urethra affected by surgical trauma in male ?
1. Bulber
2. Penile
3. Membranous
4. Prostate
- Bulber β
π
Note :
Anterior urethra are common.
Female patient presented with signs and symptoms of overflow incontinance dripling and dysuria , whatβs the couse ?
1. A-Overflowing incontinance
2. B-Stress incontinance
3. C-Urethral diverticula
- C-Urethral diverticula β
π
Note :
C is 3D triade : dysuria , dyspareunia , postvoid dripping.
common in 30-60y female.
Most diagnostic inv for pelvic stone ?
ct abd without contrast β π
Q: 60 male diabetic BMI: 41, diagnosed with BPH. What is the most important risk
factor?
A:
1. Age
2. Diabetes
3. Obesity
4. Hypergonadisim (something like that).
- Age β π
Elderly male, canβt urinate with abdominal pain. Next step?
1. A- Semi urgent prostatectomy
2. B- Folly cath and urine analysis
3. C- Prostatectomy after 2 days
- B- Folly cath and urine analysis β π
Q: Patient with ureter colic after imaging report they found 4mm stone
A:
1. A- shock wave
2. B- conservative
Conservative β π
Note :
depend on the size.
- 10mm or less > medical ( conservative)
- more than 10mm > surgical.
Most diagnostic inv for pelvic stone ?
CT abd without contrast β π
Q: Ss of BPH patient canβt urinate with abdominal pain
A:
1. Semi urgent prostatectomy?
2. Folly cath and urine analysis
3. Prostatectomy after 2days
Folly cath and urine analysis β π
Q: elderly with dysuria, and difficulty in urination, PSA high, ALP high, what is the diagnosis?
A:
1. A- Urinary bladder ca
2. B- Prostatic ca
3. C- BPH
Prostatic ca β π
Note :
Total PSA > 4 ng/mL suggests malignancy.
Which part of the urethra is the most vunlerable to injury
A- membranous
B- bulbar
C- prostatic
D- Penile
membranous β π
Note: The answer is A. The membranous part of the urethra is the most vulnerable to be injured (our question), but the bulbar is the most commonly injured.
48 YO Male with colicky abdominal pain in his left flank with blood in urine.
IVP: filling defect in renal pelvis
US: acoustic shadow
Most likely diagnosis:
1. A-Uric acid stone
2. B-Sloughed renal papilla
3. C-Renal tumor
4. D-Blood clot
Uric acid stone β π
65 male nothing but painless hematuria how to dx:
A. Iv polygraph
B. Ct abd
C. Us abd
D. Cystogram
Note :
πΈif he has clot : go with cystoscopy βnot Cβ
πΈIf no clot : go with CT
Old (mostly 50) female NO PAST SURGICAL NOR MEDICAL hx and she
presented with complaints of urine incontinence with coughing and sneezing
most appropriate management?
A) Pelvic floor exercise
B) Urethral sling
C) Colporrhaphy
D) Burch procedure
Pelvic floor exercise β π
48 YO Male with colicky abdominal pain in his left flank with blood in urine. IVP: filling defect in renal pelvis
US: acoustic shadow
Most likely diagnosis:
A-Uric acid stone
B-Sloughed renal papilla
C-Renal tumor
D-Blood clot
Uris acid stone πβ
Most effective method to decrease stone formation in pt with hypercalcemia ?
decrease ptn
thiazide
allopurinol
decrease calcium intake
thiazide β π
30 year old male patient complaining of right loin pain that radiates to the inguinal area and testes, associated with nausea and vomiting and the patient canβt set or lay in the bed form the pain.
A. Strangulated hernia
B. ureter stone
C. Appendicitis
D. chronic pancreatitis
ureter stone β π
Case of Pelvic fracture. Imaging revealed: fracture in right upper part of right pelvis and extraperitoneal
bladder injury, what is the management?
A. Immediate repair
B. Suprapubic catheter
C. Catheter drainage and definitive repair in 14 days.
D. Catheter for 14 days then repeat imaging
See the approach in H file
Pt with renal colic what is the highest diagnostic :
A.MRI
B.abdominal Ct
C.Us
D.X ray KUB
abdominal Ct πβ
Elderly with RIF mass ( I remember there was anemia in investigation)
There is a lumber mass , and ptaient have hematuria
What is the diagnostic method ?
CT abdomen wo contrast
US
Colonoscopy
MRI
Note :
It might be RCC
The modality of choice is :
CT abdomen or MRI with IV contrast
- Pt with back pain and groins his pain is severe that he cannot stay still and keep rolling, he has hematuria urine analysis has blood and epithelial cells β no other investigationsβ , whats the diagnosis? Ψ§ΩΩΩ ΩΨ³ΨΉΨ― Ψ§ΩΩΩ ΩΨͺΨ¨Ω
- uretre stone
- appendicitis
- pancreatitis
- cholecystitis
uretre stone πβ
Pelvic Fracture with injury to membranous part of urethra. Blood seen in external meatus. What is the most appropriate action?
A. Cystoscopy
B. Follyβs Catheter
C. Reteograde uretrogram
D. CT pelvis
Reteograde uretrogram β π
