Urology

Question 1

Hytadid of morgani is an embryological remnant of which structure?

What is the classic sign seen?

Answer 1

Mullerian Duct

Blue dot sign

Question 2

Testicular torsion can be either ____ (rotation within tunica vaginalis - usually peripubertal) or _____ (rotation of spermatic cord - usually neonates) .

Answer 2

Intravaginal
Extravaginal

Question 3

Treatment options in BPH?

Answer 3

Conservative
Avoid caffeine, sugary drinks, evening fluids

Medical
(1) Alpha blocker - Tamsulosin/ Alfuzosin
(2) 5a- reductase inhibitor - Finasteride/dutasteride

Surgical
TURP/ Laser Vaporisation/ Enucleation

Question 4

What are the LUTS Storage and Voiding Symptoms?

Answer 4

Remember Mnemonic **FUN WISE Harry*.

Storage:

Frequency
Urgency
Nocturia

Voiding:

Weak Stream
Intermittent Flow
Straining
Emptying incompletely

Hesitancy

Question 5

Renal stone management

Ureteric stones ______
Small stones (< ___ cm) ______
Large stones (> ____ cm) ______

Answer 5

Ureteric stones - Ureteroscopy and laser ablation

Small stones <2cm - Extracorporeal Shock Wave Lithotripsy

Large stones > 2cm - Percutanous nephrolithotomy

Question 6

Common sites of renal stone obstruction

Answer 6

PUJ VUJ and BRIM

PUJ - pelvic-ureteric junction
Pelvic brim
VUJ - Vesicoureteric Junction