Urology 💦

Question 1

Q: Most common site of urethra affected by surgical trauma in male ?
1. Bulber
2. Penile
3. Membranous
4. Prostate

Answer 1

1. Bulber ✅💛
   Note :
   Anterior urethra are common.

Question 2

Female patient presented with signs and symptoms of overflow incontinance dripling and dysuria , what’s the couse ?
1. A-Overflowing incontinance
2. B-Stress incontinance
3. C-Urethral diverticula

Answer 2

3. C-Urethral diverticula ✅💛
   Note :
   C is 3D triade : dysuria , dyspareunia , postvoid dripping.
   common in 30-60y female.

Question 3

Most diagnostic inv for pelvic stone ?

Answer 3

ct abd without contrast ✅💛

Question 4

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).

Answer 4

1. Age ✅💛

Question 5

Elderly male, can’t urinate with abdominal pain. Next step?
1. A- Semi urgent prostatectomy
2. B- Folly cath and urine analysis
3. C- Prostatectomy after 2 days

Answer 5

2. B- Folly cath and urine analysis ✅💛

Question 6

Q: Patient with ureter colic after imaging report they found 4mm stone
A:
1. A- shock wave
2. B- conservative

Answer 6

Conservative ✅💛

Note :
depend on the size.
- 10mm or less > medical ( conservative)
- more than 10mm > surgical.

Question 7

Most diagnostic inv for pelvic stone ?

Answer 7

CT abd without contrast ✅💛

Question 8

Q: Ss of BPH patient can’t urinate with abdominal pain
A:
1. Semi urgent prostatectomy?
2. Folly cath and urine analysis
3. Prostatectomy after 2days

Answer 8

Folly cath and urine analysis ✅💛

Question 9

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

Answer 9

Prostatic ca ✅💛

Note :
Total PSA > 4 ng/mL suggests malignancy.

Question 10

Which part of the urethra is the most vunlerable to injury
A- membranous
B- bulbar
C- prostatic
D- Penile

Answer 10

membranous ✅💛

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.

Question 11

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

Answer 11

Uric acid stone ✅💛

Question 12

65 male nothing but painless hematuria how to dx:
A. Iv polygraph
B. Ct abd
C. Us abd
D. Cystogram

Answer 12

Note :
🔸if he has clot : go with cystoscopy “not C”
🔸If no clot : go with CT

Question 13

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

Answer 13

Pelvic floor exercise ✅💛

Question 14

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

Answer 14

Uris acid stone 💛✅

Question 15

Most effective method to decrease stone formation in pt with hypercalcemia ?
decrease ptn
thiazide
allopurinol
decrease calcium intake

Answer 15

thiazide ✅💛

Question 16

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 can’t set or lay in the bed form the pain.
A. Strangulated hernia
B. ureter stone
C. Appendicitis
D. chronic pancreatitis

Answer 16

ureter stone ✅💛

Question 17

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

Answer 17

See the approach in H file

Question 18

Pt with renal colic what is the highest diagnostic :

A.MRI
B.abdominal Ct
C.Us
D.X ray KUB

Answer 18

abdominal Ct 💛✅

Question 19

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

Answer 19

Note :
It might be RCC
The modality of choice is :
CT abdomen or MRI with IV contrast

Question 20

4. 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 “ no other investigations” , whats the diagnosis? الله يسعد اللي كتبه
   - uretre stone
   - appendicitis
   - pancreatitis
   - cholecystitis

Answer 20

uretre stone 💛✅

Question 21

Pelvic Fracture with injury to membranous part of urethra. Blood seen in external meatus. What is the most appropriate action?
A. Cystoscopy
B. Folly’s Catheter
C. Reteograde uretrogram
D. CT pelvis

Answer 21

Reteograde uretrogram ✅💛