Urology Flashcards
1
Q
- At acute renal obstruction where does the pain irradiates to?
- To testis, pudendal lips
- To bladder
- To leg
- To the groin
A
- 1.To testis, pudendal lips
* 4.To the groin
2
Q
- What is the cause of ischuria?
- Kidney tumor
- Benigh prostatic hyperplasia
- Prostatic cancer
- Tumor of renal pelvis
A
- 2.Benigh prostatic hyperplasia
* 3.Prostatic cancer
3
Q
- Which methods can help in differential diagnostic of acute renal obstruction and acute appendicitis?
- Gastroscopy 2. Chromocystoscopy
- Echography of kidneys
- Intravenous urography
- Laparoscopy
A
- 2.Chromocystoscopy
* 3.Echography of kidneys
* 4.Intravenous urography
* 5.Laparoscopy
4
Q
- What complications are common at catheterisation of vesical bladder?
- Trauma of urethra
- Myocardial infarction
- Urethrorraghia
- Rupture of vesical bladder
- Acute purulent urethritis
A
- 1.Trauma of urethra
2. Myocardial infarction
* 3.Urethrorraghia
* 4.Rupture of vesical bladder
* 5.Acute purulent urethritis
5
Q
- What is the goal of cystoscopy performed at the moment of haematuria?
- Washing out of blood clots
- Instillation of haemostatic substances to vesical bladder
- Determination of source of haematuria (vesical bladder or ureteral orifices)
- Coagulation of a bleeding vessel.
A
- 3.Determination of source of haematuria (vesical bladder or ureteral orifices)
* 4.Coagulation of a bleeding vessel.
6
Q
- Which calculi are roentgen positive?
- Phosphate
- Urate
- Oxalate
- Carbonate
A
- 1.Phosphate
* 3.Oxalate
* 4.Carbonate
7
Q
- About what disease should we think when we reveal leucocyteuria?
- Finuculitis
- Pyelonephritis
- Epididymitis
- Paranephritis
- Cystitis
A
- 2.Pyelonephritis
* 4.Paranephritis
* 5.Cystitis
8
Q
- Enumerate contraindications for cystoscopy
- Acute prostatitis
- Hysteromyoma
- Peritonitis
- Acute cystitis
- Rupture of urethra
A
- 1.Acute prostatitis
* 4.Acute cystitis
* 5.Rupture of urethra
9
Q
- Choose tool for diagnosing acute renal obstruction
- Intravenous urography
- Colposcopy
- Chromocystoscopy
- Ultrasound of kidneys
- Plain X-Ray
A
- 1.Intravenous urography
- 3.Chromocystoscopy
* 4.Ultrasound of kidneys
10
Q
- What can be a cause of oligoanuria?
- Trauma of spinal cord
- Trauma of urethra
- Intoxication with salts of heavy metals
- Crush syndrome
A
- 3.Intoxication with salts of heavy metals
* 4.Crush syndrome
11
Q
- What can be a cause of prerenal anuria?
- Dissecting aneurism of abdominal aorta
- Removal of sole kidney
- Shock
- Tromboembolia of renal artery
A
- 1.Dissecting aneurism of abdominal aorta
2. Removal of sole kidney
* 3.Shock
* 4.Tromboembolia of renal artery
12
Q
- Name main causative agents of acute pyelonephritis
- Gonococcus
- Proteus
- Escherichia coli
- Staphilococcus
- Enterococcus
A
- 2.Proteus
* 3.Escherichia coli
* 4.Staphilococcus
* 5.Enterococcus
13
Q
- Cystoscopy can reveal
- Inflammatory process in vesical bladder
- Tumors of vesical bladder
- Anomalia of vesical bladder and ureteral orfices
- Stones of vesical bladder, benigh prostatic hyperplasia and prostatic cancer
- 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
14
Q
- Name complications of acute pyelonephritis
- Apostematous pyeloneprritis
- Renal carbuncule
- Necrotic papillitis
- Bacterial shock
- Peritonitis
A
- 1.Apostematous pyeloneprritis
* 2.Renal carbuncule
* 3.Necrotic papillitis
* 4.Bacterial shock
15
Q
- Choose optimal methods to reveal impairments of urinal outflow at pregnant women with acute pyelonephritis
- Plain X-Ray
- Dynamic scyntigraphy of kidneys
- Angiography
- Chromocystoscopy
- Intravenous urography
- Ultrasound of kidneys
A
- 4.Chromocystoscopy
* 6.Ultrasound of kidneys
16
Q
- Which from the following methods can help to diagnose nephroptosis
- Chromocyctoscopy
- Retrograde pyelography
- Intravenous urography in lying and sitting position
- Gastroscopy
- Laparoscopy
A
*3.Intravenous urography in lying and sitting position
17
Q
- What is absolute indication for operative treatment of urolithiasis
- Often onsets of acute renal obstruction
- Haematuria
- Reccurent pyelonephritis
- Chemical composition of calculus
- Big size of a calculus
A
- 3.Reccurent pyelonephritis
4. Chemical composition of calculus
* 5.Big size of a calculus
18
Q
- Which diseases can cause total haematuria?
- Renal trauma
- Urethral trauma
- Trauma of vesical bladder
- Trauma of rectum
- Kidney tumor
A
- 1.Renal trauma
2. Urethral trauma
* 3.Trauma of vesical bladder
4. Trauma of rectum
* 5.Kidney tumor
19
Q
- Complications of nephroptosis are
- Macrohaematuria
- Hypertension
- Acute pyelonephritis
- Cyst of kidney
- Infertility
A
- 1.Macrohaematuria
* 2.Hypertension
* 3.Acute pyelonephritis
20
Q
- Choose the most possible causes of hydronephrosis
- Additional vessel
- Anomalia of kidney, ureter
- Tumor of rectum
- Bend of ureter
- Ureteral stone
A
- 1.Additional vessel
* 2.Anomalia of kidney, ureter
3. Tumor of rectum
* 4.Bend of ureter
* 5.Ureteral stone
21
Q
- the most common symptoms of renal colica are:
- Pain at lumbal area
- Nausea and vomiting
- Disuria
- Fever
- Diarrhea
A
- 1.Pain at lumbal area
* 2.Nausea and vomiting
* 3.Disuria
22
Q
- For rapid relief of symptoms of acute renal obstruction can be used
- Spasmolitics
- Narcotic and non-narcotic analgetics
- Draining of vesical bladder
- Lorin-Epshteins’ blocade
- Cateterisation of kidney
- Hot bath
A
- 1.Spasmolitics
* 2.Narcotic and non-narcotic analgetics
* 4.Lorin-Epshteins’ blocade
* 5.Cateterisation of kidney
23
Q
- the most characteristic symptoms of vesical bladder stone are
- Interruption of urine stream
- Anuria
- Disuria
- Haematuria
- Urethrorragia
A
- 1.Interruption of urine stream
* 3.Disuria
* 4.Haematuria
24
Q
- Signs of renal trauma are
- Haematuria
- Piuria
- Pain at lumbal area
- Acute urinary retention
- 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
- Before surgical removal of kidney in case of renal trauma we should be sure at
- Not impaired urine passage by ureters
- Not damaged vesical bladder
- Presence of contralateral kidney and its’ normal function
- Presence of urine in vesical bladder
- Permeability of urethra
A
*3.Presence of contralateral kidney and its’ normal function
26
Q
- Diagnostical methods of renal trauma are
- Intravenous urography
- Digital rectal examination
- Radioinuclide scintigraphy
- Renal angiography
- Cystoscopy
A
- 1.Intravenous urography
* 4.Renal angiography
27
Q
- Indication for haemodialysis is
- Elevation of urea in blood serumen
- Elevation of creatinine in blood serumen
- Elevation of potassium in blood serumen
- Hypotonia
- Decrease of urine volume less than 1000 ml
- 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
- Schistisomiasis usually affects
- Kidneys
- Ureters
- Urethra
- Vesical bladder
- Scrotum
A
*4.Vesical bladder
29
Q
- Common symptoms of prostatic cancer are
- Disuria
- Haematuria
- Vague pain at sacral area
- Pain at lumbar area
- Fever
A
- 1.Disuria
* 2.Haematuria
* 3.Vague pain at sacral area
* 4.Pain at lumbar area
30
Q
- Benign prostatic hyperplasia develops due to tumor growth from
- Capsule of prostatic gland
- Mucosal paraurethral glands of prostatic part of urethra
- Ligamentum pubo-prostaticum
- Seminal tubercule
- Sphincter of urethra
A
*2.Mucosal paraurethral glands of prostatic part of urethra
31
Q
- Choose common complications of benign prostatic hyperplasia
- Stones of vesical bladder
- Pyelonephritis
- Chronic renal insufficiency
- Paraphimosis
- Haematuria
A
- 1.Stones of vesical bladder
* 2.Pyelonephritis
* 3.Chronic renal insufficiency
* 5.Haematuria
32
Q
- When we perform a roentgen examination of a patient with BPH which symptoms are characteristic for this disease?
- Hill-like defect of filling of vesical bladder
- Shevassu symptome
- Hook symptom
- Trabecularity of vesical bladder
- 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
- Main methods of diagnostic of urethral trauma are
- Catheterization of vesical bladder
- Cystoscopy
- Urethrography
- Intravenous urography
- Phlebography of pelvic veins
A
*3.Urethrography
34
Q
- Clinico-laboratory signs of tuberculosis of kidney are
- Leucocyteuria with acid reaction of urine
- Leucocyteuria with alkaline reaction of urine
- Micobacteriuria
- Dysuria
- Haematuria
A
- 1.Leucocyteuria with acid reaction of urine
* 3.Micobacteriuria
4. Dysuria
* 5.Haematuria
35
Q
- 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
- The outcome of renal tuberculosis is
- Nephrosclerosis
- Pyonephrosis
- Nephrolithiasis
- Amyloidosis
- Polycystic kidney
A
- 1.Nephrosclerosis
* 2.Pyonephrosis
* 3.Nephrolithiasis
* 5.Polycystic kidney
37
Q
- Choose disease to treat which plasmopheresis can be used
- Purulent intoxication
- Sepsis
- Peritonitis
- Adnexitis
- Chronic renal insufficiency
A
- 1.Purulent intoxication
* 2.Sepsis
* 5.Chronic renal insufficiency
38
Q
- Indication for kidney transplantation is
- Acute renal insufficiency
- Chronic renal insufficiency, terminal stage
- Renal tuberculosis
- Acute pyelonephritis
- Acute cystitis
A
*2.Chronic renal insufficiency, terminal stage
39
Q
- What can cause acute urinary retention at male?
- Stone of vesical bladder
- Stone of urethra
- Benigh prostatic hyperplasia and prostatic cancer
- Acute pyelonephritis
- Acute prostatitis
A
- 1.Stone of vesical bladder
* 2.Stone of urethra
* 3.Benigh prostatic hyperplasia and prostatic cancer
* 5.Acute prostatitis
40
Q
- Acute urinary retention should be differentiated with
- Anuria
- Tumor of abdomen
- Opsouria
- Uraturia
- Marion disease
A
- 1.Anuria
* 2.Tumor of abdomen
41
Q
- Name methods of treatment of prostatic cancer
- 1.Prostatectomy
2. Resection of prostatic gland and vesical bladder - 3.Bilateral orchectomy
- 4.Chemotherapy
- 5.Hormonetherapy
- 1.Prostatectomy
A
- 1.Prostatectomy
* 3.Bilateral orchectomy
* 4.Chemotherapy
* 5.Hormonetherapy
42
Q
- What are your actions when you reveal an area of hardening at one lobe of prostatic gland
- Cystoscopy
- Urethroscopy
- Biopsy from suspicious area with future pathomorphological examination
- Transrectal ultrasound
- Rectoscopy
A
- 3.Biopsy from suspicious area with future pathomorphological examination
* 4.Transrectal ultrasound
43
Q
- With which diseases you will perform a differential diagnosis of hydrocele
- Testiculat tumor
- Varicocele
- Tuberculosis of epididymus
- Inguinal hernia
- Lues
A
- 1.Testiculat tumor
* 3.Tuberculosis of epididymus
* 4.Inguinal hernia
44
Q
- An indication for transurethral resection of prostatic gland is
- Fusion of coxal joint
- Large size of prostatic gland
- Small size of prostatic gland
- Retrotigonal growth of adenomatous nodes
- Sclerosis of prostatic gland
A
- 3.Small size of prostatic gland
* 5.Sclerosis of prostatic gland
45
Q
- What is recommended at first stage of benign prostatic hyperplasia?
- Conservative treatment
- Epicystostomy
- Adenomectomy
- Cateterisation of vesical bladder
- Bilateral vasoresection
A
*1.Conservative treatment
46
Q
- What is used to restore urine passage by upper urinary tract in case of excretory anuria and acute urinary retention?
- Catetherisation of ureters
- Operative treatment (removal of stone, nephrostomy)
- Catetherisation of vesical bladder
- Insertion of self-holding catheter to the renal pelvis
- 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
- Main clinical symptoms of renal tumor are
- Macrohaematuria
- Proteinuria
- Leucocyteuria
- Palpable tumor in subcostal area
- Vague pain in lumbal area
A
- 1.Macrohaematuria
* 4.Palpable tumor in subcostal area
* 5.Vague pain in lumbal area
48
Q
- Which factors are predisposal to acute pyelonephritis gravidarum
- Toxicosis
- Humoral factors
- Mechanical factors
- Asymptomatic bacteriuria
- Hydramnion
A
- 2.Humoral factors
* 4.Asymptomatic bacteriuria
49
Q
- To Diagnose tuberculosis we can use:
- Cystoscopy
- Rectoromonoscopy
- Biopsy of a vesical bladder
- Colposcopy
- VS of vesical bladder
A
- 1.Cystoscopy
* 3.biopsy of a vesical bladder
50
Q
- Symtoms of vesical bladder rupture are:
- Pollakivria
- Impossibility to urinate
- Pain at lower abdomen
- Urinary incontinence
- Macrohematuric
A
- 2.Impossibility to urinate
* 3.Pain at lower abdomen
* 5.Macrohematuric