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Urology Flashcards

1
Q
  1. At acute renal obstruction where does the pain irradiates to?
    1. To testis, pudendal lips
    2. To bladder
    3. To leg
    4. To the groin
A
  • 1.To testis, pudendal lips

* 4.To the groin

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2
Q
  1. What is the cause of ischuria?
    1. Kidney tumor
    2. Benigh prostatic hyperplasia
    3. Prostatic cancer
    4. Tumor of renal pelvis
A
  • 2.Benigh prostatic hyperplasia

* 3.Prostatic cancer

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3
Q
  1. Which methods can help in differential diagnostic of acute renal obstruction and acute appendicitis?
    1. Gastroscopy 2. Chromocystoscopy
    2. Echography of kidneys
    3. Intravenous urography
    4. Laparoscopy
A
  • 2.Chromocystoscopy
    * 3.Echography of kidneys
    * 4.Intravenous urography
    * 5.Laparoscopy
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4
Q
  1. What complications are common at catheterisation of vesical bladder?
    1. Trauma of urethra
    2. Myocardial infarction
    3. Urethrorraghia
    4. Rupture of vesical bladder
    5. Acute purulent urethritis
A
  • 1.Trauma of urethra
    2. Myocardial infarction
    * 3.Urethrorraghia
    * 4.Rupture of vesical bladder
    * 5.Acute purulent urethritis
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5
Q
  1. What is the goal of cystoscopy performed at the moment of haematuria?
    1. Washing out of blood clots
    2. Instillation of haemostatic substances to vesical bladder
    3. Determination of source of haematuria (vesical bladder or ureteral orifices)
    4. Coagulation of a bleeding vessel.
A
  • 3.Determination of source of haematuria (vesical bladder or ureteral orifices)
    * 4.Coagulation of a bleeding vessel.
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6
Q
  1. Which calculi are roentgen positive?
    1. Phosphate
    2. Urate
    3. Oxalate
    4. Carbonate
A
  • 1.Phosphate
    * 3.Oxalate
    * 4.Carbonate
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7
Q
  1. About what disease should we think when we reveal leucocyteuria?
    1. Finuculitis
    2. Pyelonephritis
    3. Epididymitis
    4. Paranephritis
    5. Cystitis
A
  • 2.Pyelonephritis
    * 4.Paranephritis
    * 5.Cystitis
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8
Q
  1. Enumerate contraindications for cystoscopy
    1. Acute prostatitis
    2. Hysteromyoma
    3. Peritonitis
    4. Acute cystitis
    5. Rupture of urethra
A
  • 1.Acute prostatitis
    * 4.Acute cystitis
    * 5.Rupture of urethra
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9
Q
  1. Choose tool for diagnosing acute renal obstruction
    1. Intravenous urography
    2. Colposcopy
    3. Chromocystoscopy
    4. Ultrasound of kidneys
    5. Plain X-Ray
A
  • 1.Intravenous urography
  • 3.Chromocystoscopy
    * 4.Ultrasound of kidneys
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10
Q
  1. What can be a cause of oligoanuria?
    1. Trauma of spinal cord
    2. Trauma of urethra
    3. Intoxication with salts of heavy metals
    4. Crush syndrome
A
  • 3.Intoxication with salts of heavy metals

* 4.Crush syndrome

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11
Q
  1. What can be a cause of prerenal anuria?
    1. Dissecting aneurism of abdominal aorta
    2. Removal of sole kidney
    3. Shock
    4. Tromboembolia of renal artery
A
  • 1.Dissecting aneurism of abdominal aorta
    2. Removal of sole kidney
    * 3.Shock
    * 4.Tromboembolia of renal artery
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12
Q
  1. Name main causative agents of acute pyelonephritis
    1. Gonococcus
    2. Proteus
    3. Escherichia coli
    4. Staphilococcus
    5. Enterococcus
A
  • 2.Proteus
    * 3.Escherichia coli
    * 4.Staphilococcus
    * 5.Enterococcus
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13
Q
  1. Cystoscopy can reveal
    1. Inflammatory process in vesical bladder
    2. Tumors of vesical bladder
    3. Anomalia of vesical bladder and ureteral orfices
    4. Stones of vesical bladder, benigh prostatic hyperplasia and prostatic cancer
    5. Inflammatory diseases of genitalia
A
  • 1.Inflammatory process in vesical bladder
    * 2.Tumors of vesical bladder
    * 3.Anomalia of vesical bladder and ureteral orfices
    * 4.Stones of vesical bladder, benigh prostatic hyperplasia and prostatic cancer
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14
Q
  1. Name complications of acute pyelonephritis
    1. Apostematous pyeloneprritis
    2. Renal carbuncule
    3. Necrotic papillitis
    4. Bacterial shock
    5. Peritonitis
A
  • 1.Apostematous pyeloneprritis
    * 2.Renal carbuncule
    * 3.Necrotic papillitis
    * 4.Bacterial shock
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15
Q
  1. Choose optimal methods to reveal impairments of urinal outflow at pregnant women with acute pyelonephritis
    1. Plain X-Ray
    2. Dynamic scyntigraphy of kidneys
    3. Angiography
    4. Chromocystoscopy
    5. Intravenous urography
    6. Ultrasound of kidneys
A
  • 4.Chromocystoscopy

* 6.Ultrasound of kidneys

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16
Q
  1. Which from the following methods can help to diagnose nephroptosis
    1. Chromocyctoscopy
    2. Retrograde pyelography
    3. Intravenous urography in lying and sitting position
    4. Gastroscopy
    5. Laparoscopy
A

*3.Intravenous urography in lying and sitting position

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17
Q
  1. What is absolute indication for operative treatment of urolithiasis
    1. Often onsets of acute renal obstruction
    2. Haematuria
    3. Reccurent pyelonephritis
    4. Chemical composition of calculus
    5. Big size of a calculus
A
  • 3.Reccurent pyelonephritis
    4. Chemical composition of calculus
    * 5.Big size of a calculus
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18
Q
  1. Which diseases can cause total haematuria?
    1. Renal trauma
    2. Urethral trauma
    3. Trauma of vesical bladder
    4. Trauma of rectum
    5. Kidney tumor
A
  • 1.Renal trauma
    2. Urethral trauma
    * 3.Trauma of vesical bladder
    4. Trauma of rectum
    * 5.Kidney tumor
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19
Q
  1. Complications of nephroptosis are
    1. Macrohaematuria
    2. Hypertension
    3. Acute pyelonephritis
    4. Cyst of kidney
    5. Infertility
A
  • 1.Macrohaematuria
    * 2.Hypertension
    * 3.Acute pyelonephritis
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20
Q
  1. Choose the most possible causes of hydronephrosis
    1. Additional vessel
    2. Anomalia of kidney, ureter
    3. Tumor of rectum
    4. Bend of ureter
    5. Ureteral stone
A
  • 1.Additional vessel
    * 2.Anomalia of kidney, ureter
    3. Tumor of rectum
    * 4.Bend of ureter
    * 5.Ureteral stone
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21
Q
  1. the most common symptoms of renal colica are:
    1. Pain at lumbal area
    2. Nausea and vomiting
    3. Disuria
    4. Fever
    5. Diarrhea
A
  • 1.Pain at lumbal area
    * 2.Nausea and vomiting
    * 3.Disuria
22
Q
  1. For rapid relief of symptoms of acute renal obstruction can be used
    1. Spasmolitics
    2. Narcotic and non-narcotic analgetics
    3. Draining of vesical bladder
    4. Lorin-Epshteins’ blocade
    5. Cateterisation of kidney
    6. Hot bath
A
  • 1.Spasmolitics
    * 2.Narcotic and non-narcotic analgetics
    * 4.Lorin-Epshteins’ blocade
    * 5.Cateterisation of kidney
23
Q
  1. the most characteristic symptoms of vesical bladder stone are
    1. Interruption of urine stream
    2. Anuria
    3. Disuria
    4. Haematuria
    5. Urethrorragia
A
  • 1.Interruption of urine stream
    * 3.Disuria
    * 4.Haematuria
24
Q
  1. Signs of renal trauma are
    1. Haematuria
    2. Piuria
    3. Pain at lumbal area
    4. Acute urinary retention
    5. Swelling at Lumbal area
A
  • 1.Haematuria
    2. Piuria
    * 3.Pain at lumbal area
    4. Acute urinary retention
    * 5.Swelling at Lumbal area
25
Q
  1. Before surgical removal of kidney in case of renal trauma we should be sure at
    1. Not impaired urine passage by ureters
    2. Not damaged vesical bladder
    3. Presence of contralateral kidney and its’ normal function
    4. Presence of urine in vesical bladder
    5. Permeability of urethra
A

*3.Presence of contralateral kidney and its’ normal function

26
Q
  1. Diagnostical methods of renal trauma are
    1. Intravenous urography
    2. Digital rectal examination
    3. Radioinuclide scintigraphy
    4. Renal angiography
    5. Cystoscopy
A
  • 1.Intravenous urography

* 4.Renal angiography

27
Q
  1. Indication for haemodialysis is
    1. Elevation of urea in blood serumen
    2. Elevation of creatinine in blood serumen
    3. Elevation of potassium in blood serumen
    4. Hypotonia
    5. Decrease of urine volume less than 1000 ml
    6. Anuria
A
  • 1.Elevation of urea in blood serumen
    * 2.Elevation of creatinine in blood serumen
    * 3.Elevation of potassium in blood serumen
    * 6.Anuria
28
Q
  1. Schistisomiasis usually affects
    1. Kidneys
    2. Ureters
    3. Urethra
    4. Vesical bladder
    5. Scrotum
A

*4.Vesical bladder

29
Q
  1. Common symptoms of prostatic cancer are
    1. Disuria
    2. Haematuria
    3. Vague pain at sacral area
    4. Pain at lumbar area
    5. Fever
A
  • 1.Disuria
    * 2.Haematuria
    * 3.Vague pain at sacral area
    * 4.Pain at lumbar area
30
Q
  1. Benign prostatic hyperplasia develops due to tumor growth from
    1. Capsule of prostatic gland
    2. Mucosal paraurethral glands of prostatic part of urethra
    3. Ligamentum pubo-prostaticum
    4. Seminal tubercule
    5. Sphincter of urethra
A

*2.Mucosal paraurethral glands of prostatic part of urethra

31
Q
  1. Choose common complications of benign prostatic hyperplasia
    1. Stones of vesical bladder
    2. Pyelonephritis
    3. Chronic renal insufficiency
    4. Paraphimosis
    5. Haematuria
A
  • 1.Stones of vesical bladder
    * 2.Pyelonephritis
    * 3.Chronic renal insufficiency
    * 5.Haematuria
32
Q
  1. When we perform a roentgen examination of a patient with BPH which symptoms are characteristic for this disease?
    1. Hill-like defect of filling of vesical bladder
    2. Shevassu symptome
    3. Hook symptom
    4. Trabecularity of vesical bladder
    5. Elation of vesical bladder
A
  • 1.Hill-like defect of filling of vesical bladder
    * 3.Hook symptom
    * 4.Trabecularity of vesical bladder
    * 5.Elation of vesical bladder
33
Q
  1. Main methods of diagnostic of urethral trauma are
    1. Catheterization of vesical bladder
    2. Cystoscopy
    3. Urethrography
    4. Intravenous urography
    5. Phlebography of pelvic veins
A

*3.Urethrography

34
Q
  1. Clinico-laboratory signs of tuberculosis of kidney are
    1. Leucocyteuria with acid reaction of urine
    2. Leucocyteuria with alkaline reaction of urine
    3. Micobacteriuria
    4. Dysuria
    5. Haematuria
A
  • 1.Leucocyteuria with acid reaction of urine
    * 3.Micobacteriuria
    4. Dysuria
    * 5.Haematuria
35
Q
  1. Choose what is characteristic for 2 stage of benign prostatic hyperplasia
    • 1.Residual urine
    • 2.Disuria
    • 3.Night pollakiuria
      4. Acute urinary retention
    • 5.Signs of chronic renal insufficiency
A
  • 1.Residual urine
    * 2.Disuria
    * 3.Night pollakiuria
    4. Acute urinary retention
    * 5.Signs of chronic renal insufficiency
36
Q
  1. The outcome of renal tuberculosis is
    1. Nephrosclerosis
    2. Pyonephrosis
    3. Nephrolithiasis
    4. Amyloidosis
    5. Polycystic kidney
A
  • 1.Nephrosclerosis
    * 2.Pyonephrosis
    * 3.Nephrolithiasis
    * 5.Polycystic kidney
37
Q
  1. Choose disease to treat which plasmopheresis can be used
    1. Purulent intoxication
    2. Sepsis
    3. Peritonitis
    4. Adnexitis
    5. Chronic renal insufficiency
A
  • 1.Purulent intoxication
    * 2.Sepsis
    * 5.Chronic renal insufficiency
38
Q
  1. Indication for kidney transplantation is
    1. Acute renal insufficiency
    2. Chronic renal insufficiency, terminal stage
    3. Renal tuberculosis
    4. Acute pyelonephritis
    5. Acute cystitis
A

*2.Chronic renal insufficiency, terminal stage

39
Q
  1. What can cause acute urinary retention at male?
    1. Stone of vesical bladder
    2. Stone of urethra
    3. Benigh prostatic hyperplasia and prostatic cancer
    4. Acute pyelonephritis
    5. Acute prostatitis
A
  • 1.Stone of vesical bladder
    * 2.Stone of urethra
    * 3.Benigh prostatic hyperplasia and prostatic cancer
    * 5.Acute prostatitis
40
Q
  1. Acute urinary retention should be differentiated with
    1. Anuria
    2. Tumor of abdomen
    3. Opsouria
    4. Uraturia
    5. Marion disease
A
  • 1.Anuria

* 2.Tumor of abdomen

41
Q
  1. Name methods of treatment of prostatic cancer
    • 1.Prostatectomy
      2. Resection of prostatic gland and vesical bladder
    • 3.Bilateral orchectomy
    • 4.Chemotherapy
    • 5.Hormonetherapy
A
  • 1.Prostatectomy
    * 3.Bilateral orchectomy
    * 4.Chemotherapy
    * 5.Hormonetherapy
42
Q
  1. What are your actions when you reveal an area of hardening at one lobe of prostatic gland
    1. Cystoscopy
    2. Urethroscopy
    3. Biopsy from suspicious area with future pathomorphological examination
    4. Transrectal ultrasound
    5. Rectoscopy
A
  • 3.Biopsy from suspicious area with future pathomorphological examination
    * 4.Transrectal ultrasound
43
Q
  1. With which diseases you will perform a differential diagnosis of hydrocele
    1. Testiculat tumor
    2. Varicocele
    3. Tuberculosis of epididymus
    4. Inguinal hernia
    5. Lues
A
  • 1.Testiculat tumor
    * 3.Tuberculosis of epididymus
    * 4.Inguinal hernia
44
Q
  1. An indication for transurethral resection of prostatic gland is
    1. Fusion of coxal joint
    2. Large size of prostatic gland
    3. Small size of prostatic gland
    4. Retrotigonal growth of adenomatous nodes
    5. Sclerosis of prostatic gland
A
  • 3.Small size of prostatic gland

* 5.Sclerosis of prostatic gland

45
Q
  1. What is recommended at first stage of benign prostatic hyperplasia?
    1. Conservative treatment
    2. Epicystostomy
    3. Adenomectomy
    4. Cateterisation of vesical bladder
    5. Bilateral vasoresection
A

*1.Conservative treatment

46
Q
  1. What is used to restore urine passage by upper urinary tract in case of excretory anuria and acute urinary retention?
    1. Catetherisation of ureters
    2. Operative treatment (removal of stone, nephrostomy)
    3. Catetherisation of vesical bladder
    4. Insertion of self-holding catheter to the renal pelvis
    5. Infusion of fluid and administration of diurethics
A
  • 1.Catetherisation of ureters
    * 2.Operative treatment (removal of stone, nephrostomy)
    * 4.Insertion of self-holding catheter to the renal pelvis
47
Q
  1. Main clinical symptoms of renal tumor are
    1. Macrohaematuria
    2. Proteinuria
    3. Leucocyteuria
    4. Palpable tumor in subcostal area
    5. Vague pain in lumbal area
A
  • 1.Macrohaematuria
    * 4.Palpable tumor in subcostal area
    * 5.Vague pain in lumbal area
48
Q
  1. Which factors are predisposal to acute pyelonephritis gravidarum
    1. Toxicosis
    2. Humoral factors
    3. Mechanical factors
    4. Asymptomatic bacteriuria
    5. Hydramnion
A
  • 2.Humoral factors

* 4.Asymptomatic bacteriuria

49
Q
  1. To Diagnose tuberculosis we can use:
    1. Cystoscopy
    2. Rectoromonoscopy
    3. Biopsy of a vesical bladder
    4. Colposcopy
    5. VS of vesical bladder
A
  • 1.Cystoscopy

* 3.biopsy of a vesical bladder

50
Q
  1. Symtoms of vesical bladder rupture are:
    1. Pollakivria
    2. Impossibility to urinate
    3. Pain at lower abdomen
    4. Urinary incontinence
    5. Macrohematuric
A
  • 2.Impossibility to urinate
    * 3.Pain at lower abdomen
    * 5.Macrohematuric

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