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MCCEE > Urology and Neurosurgery > Flashcards

Urology and Neurosurgery Flashcards

1
Q

Medical management of BPH

A

alpha adrenergic

5 alpha reductase

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2
Q

Treatment of gonococcal urethritis?

A

ceftriaxone + treat for chlamydia

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3
Q

Treatment of non gonococcal urethritis?

A

Azythromycin 1 g once only

OR doxy

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4
Q

Regular UTI treatment

A

TMP-SMX - 3 days

Nitrofurantoin - 7 days

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5
Q

Complicated UTI treatment

A 
Ciprofloxacin up to 3 weeks 
OR 
Ampicillin + gentamicin 
OR 
Ceftriaxone IV for 2-3 weeks
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6
Q

Recurrent cystitis treatment

A

TMP=SMX low dose (40/200) 6-12 mo
OR
Nitrofurantoin 100mg

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7
Q

Treatment of recurrent cystitis if related to sex?

A

TMP=SMX low dose (40/200)
OR
Nitrofurantoin 50mg

Within 2 hours or coitus

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8
Q

Treatment of acute prostatitis?

A 
Ciprofloxacin 
OR 
TMP-SMX 
OR 
IV gent and amp
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9
Q

Treatment of epididimitis/orchitis?

A

< 35 ceftriaxone and doxy

> 35: orfloxacin

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10
Q

Treatment of pyelonephritis

A

Ciprofloxacin + IV ceftriaxone

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11
Q

Causes of UTI

A

E.Coli
Klebsiella
Proteus
Pseudomonas

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12
Q

Medical management of kidney stone

A

IVF
NSAID
Alpha blockers

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13
Q

Acute management of obstructing kidney stone or endangered patient?

A

1st line: stent insertion via cystoscopy

2nd line: percutaneous nephrostomy

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14
Q

Which stones do you medically management

A

< 5mm kidney stone

< 10 mm ureteric stone

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15
Q

Treatment of kidney stones that aren’t getting better with conservative management
< 2mm > 2mm

A

< 2mm Shock Wave Lithotripsy

> 2mm Percutaneous nephrolithotomy

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16
Q

Treatment of ureteric stone > 10 mm?

A

First line: ESWL

Second line PCNL

17
Q

Treatment of bladder stones that dont pass?

A

cystolitholapaxy

18
Q

Dietary management to minimize kidney stones?

A

Reduce animal protein
Reduce oxalate
Reduce sucrose and fructose
Reduce high dose vitamin C

19
Q

Key investigation features of a calcium stone?

On KUB

A

Radio-opaque

20
Q

Specific management of calcium stone?

A

Fluids > 2L/day
Increase citrate in diet, weight loss
Thiazide
Potassium citrate

21
Q

Specific management of uric acide stone?

A

Alkalization of urine to pH 6.5 - 7 with potassium citrate or sodium bicarb
+/- allopurinol

MCCEE (16 decks)

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