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Hamilton 2020 Questions > Urology > Flashcards

Urology Flashcards

1
Q

14 year old boy presents to ER with left testicular pain x 3 hours. Sudden onset. History of nausea & vomiting. Pain currently 8/10. Not sexually active. No history of UTIs. On exam, left testis is firm and tender throughout. It sits higher in scrotum than the right testis. There is a cremasteric reflex on the right only. The best next step is:

  1. NPO, IV analgesia & reassess in 1 hour
  2. NPO & surgical consult
  3. NPO & urgent doppler scrotal US
  4. NPO & urine collection for urinalysis
A
  1. NPO & surgical consult
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2
Q

A 16 mo old M refugee presents with a previous diagnosis of right ureteropelvic junction obstruction. You do not have access to any other medical information. What single GU investigation will provide objective information regarding BOTH right kidney filtration function & drainage of its collecting system?

  1. DMSA Renal Scan
  2. MAG3 Diuretic Renal Scan
  3. Renal/Bladder US
  4. Voiding Cystourethrogram
A
  1. MAG3 Diuretic Renal Scan
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3
Q

Amniocentesis identifies a 46XX fetus who is missing the gene responsible for producing antimullerian hormone (AMH). What will be the appearance of the internal and external genitalia?

      • Female
      • Partial virilizaiton
      • Partial virilization
      • Male
A
      • Female
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4
Q

Newborn exam reveals a penis with an incomplete foreskin and a urethral meatus on the underside of the penis, close to the glans. Both testicles are in the scrotum. No other anomalies are identified on physical exam. Which of the following investigations is indicated?

  1. Karyotype
  2. Renal US
  3. Serum 17 hydroxyprogesterone
  4. None of the above
A
  1. None of the above
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5
Q

An otherwise healthy 9 month old boy presents with a persistent intra-abdominal right testis. Left testis is in the scrotum and normal. Indications for right orchiopexy include all except:

  1. To decrease the risk of delayed puberty
  2. To decrease the risk of future testicular cancer
  3. To improve fertility
  4. To improve the ability to detect testicular cancer
A
  1. To decrease the risk of delayed puberty
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6
Q

A 4 year old M presents with a history of new onset of daytime incontinence. You perform a focused examination. Which of the following would be the least contributory?

  1. Abdominal exam
  2. Lower back exam
  3. Penile exam
  4. Scrotal exam
A
  1. Scrotal exam
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7
Q

A 14 year boy presents to the ER with gross hematuria and pain consistent with intermittent renal colic. Which investigation will most reliably identify a non-obstructing 3 mm stone in the distal ureter?

  1. CT KUB (uninfused CT of kidneys/ureters/bladder)
  2. IVP (intravenous pyelogram)
  3. RBUS (renal bladder ultrasound)
  4. X-ray KUB (flat plate Xray of kidneys/ureters/bladder)
A
  1. CT KUB (uninfused CT of kidneys/ureters/bladder)
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8
Q

A 10 year old girl presents with symptoms of renal colic and subsequently passes a stone. The chemistry lab identifies it as “calcium oxalate”. In order to prevent a recurrence, which recommendation should not be made?

  1. Add lemon or orange juice to water
  2. Increase fluid intake
  3. Reduce dairy intake
  4. Reduce sodium intake
A
  1. Reduce dairy intake
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9
Q

A 4 year old boy is brought in by his parents, concerned that his foreskin does not retract and his younger brother’s is fully retractile. Which signs or symptoms suggest there is a need for some form of intervention for his phimosis?

  1. Foreskin retraction does not expose any of the glans. Foreskin opening consists of healthy looking skin/mucosa
  2. Foreskin partially retracts to expose a normal urethral meatus. Foreskin opening consists of thick/blanched skin
  3. Parents note some ballooning of the foreskin during voiding that resolves immediately post void
  4. Parents note their son often grabs his penis when he has an erection
A
  1. Foreskin partially retracts to expose a normal urethral meatus. Foreskin opening consists of thick/blanched skin
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10
Q

A 18 month old M is diagnosed with his 1st febrile UTI. RBUS shows bilateral SFU II HN. A VCUG was ordered and shows bilateral grade III VUR and a normal posterior urethra. Management, as per the CPS recommendations, is:

  1. Parental counseling regarding signs of recurrence
  2. Prophylactic antibiotics for 3 months
  3. Referral to a Pediatric Nephrologist or Urologist
  4. Repeat cystogram (VCUG or NC) in 6 months
A
  1. Parental counseling regarding signs of recurrence
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Hamilton 2020 Questions (29 decks)

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