Urology 🚽

Question 1

<12 hrs, horizontal high riding testis. Absent cremastric reflex

Answer 1

Testicular torsion

Question 2

<1 d, upper bole tenderness, longitudinal blue dot sign

Answer 2

Appendicular torsion

Question 3

> 1 d, tender & edematous testis

Answer 3

Epididymitis

Question 4

Testicular Vascularity on US
Is […] in appendicular torsion
And […] in Epididymitis

Answer 4

🔻 appendicular torsion
🔺 Epididymitis

Question 5

Unilateral swelling which extend to inguinal region and testis cannot be palpable

Answer 5

Incarcerated inguinal hernia

Question 6

Positive transillumination test

Answer 6

Hydrocele

Question 7

Approach to undescended testis :

Answer 7

☑️ palpable:
age <18m = pexy • >18m = otomy
✖️ not palpable:
Diagnostic laparoscopy

Question 8

Testis palpable in the inguinal canal, small in size, easily moved to scrotum

Answer 8

Retractile testis

Question 9

Most significant risk factor for malignancy in patient with BPH is […]

Answer 9

Age

Question 10

Prostate cancer blood marker […]

Answer 10

PSA

Question 11

Best diagnostic test for renal stones

Answer 11

CT scan without contrast

Question 12

Stable patient with ureteric stone of 4 mm
Management:

Answer 12

Conservative

Question 13

Next step:
Gross hematuria […]
Microscopic hematuria […]

Answer 13

➰Urine cytology
➰Repeat UA

Question 14

Next step:
Elderly painless hematuria […]
Elderly painful micturition […]

Answer 14

➰Cystoscope
➰Foley’s catheter

Question 15

Management of urethral injury include:
1. Imaging
2. Procedure

Answer 15

🔸 retrograde urethrogram
🔸 suprapubic catheter