Urology

Question 1

Test for stable trauma patients with consideration of urethral injury before placing a Foley catheter to avoid false passage and subsequent stricture

Answer 1

Urethrograms

Question 2

Frequent cause of urinary tract infection among surgical patients

Answer 2

Urethral catherization

Question 3

Most severe cause of scrotal pain

Answer 3

Testicular torsion

Question 4

Port operative UTI

Answer 4

Requires short course of antibiotics (3-5 days)

Question 5

Orchidopexy procedure considerations in cryptorchidism? (3)

Answer 5

1. Risk of trauma to the testicle located at the pubic tubercle
2. Increased incidence of torsion
3. Psychological impact of an empty scrotum

Question 6

Radical nephrectomy for renal cell carcinoma includes the ff structures

Answer 6

1. Ipsilateral regional retroperitoneal lymph nodes
2. Ipsilateral adrenal gland Gerota’s fascia

Question 7

Characteristics of bacterial prostatitis

Answer 7

1. Caused by ascending coliform bacteria.
2. Urinary retention managed by transurethral catheterization
3. Empiric systemic antibiotic

Question 8

Manipulations that will cause a false elevation of PSA

Answer 8

1. Prostate biopsy
2. Cystoscopy
3. Urethral catherization

Question 9

Poor prognosticating agents for metastatic renal cancer?

Answer 9

1. High serum lactate dehydrogenase
2. High serum calcium
3. Low hemoglobin

Question 10

Repair procedure for intraoperative iatrogenic ureteral injury

Answer 10

1. Ureteroueretostomy ( upper & middle ureter)
2. Ureteroneocystostomy (lower ureter)

Question 11

The frequent cause of hospital acquired UTI among surgical patient is ?

Answer 11

Urethral catheterization

Question 12

The standard of care for patients with stage 2a prostate cancer is ________?

Answer 12

Radical prostatectomy

Question 13

An obtunded motorcycle rider, after an accident , presented which lower abdominal pain and tenderness. Blood was noted coming out in his urethral meatus. Identify the procedure to be done?

Answer 13

Retrograde urethrogram

Question 14

An enlarge painless scrotum without an inguinal buldge and positive trans illumination test most likely is ?

Answer 14

Hydrocele

Question 15

Contraindicated maneuver in patients with genitourinary injuries unless a urethrogram is performed?

Answer 15

Blind urethral catheterization

Urethrogram is needed to rule out urethral injury

Question 16

Electrolyte that needs to be controlled pre-op for adrenalectomy?

Answer 16

Hypokalemia

Hyperaldosteronism leads to Hypertension and Low K levels

Question 17

Required by patients undergoing surgery for a primary adrenal adenoma secreting - glucocorticoids preoperatively and postoperatively due to suppression of the contralateral adrenal gland.

Answer 17

Steroids

Question 18

The amount of time kidneys for transplantation can be preserved is?

Answer 18

36-40hrs

6-8hrs heart and lungs
16 hrs liver
24 hrs pancreas