urology saqs

Question 1

causes of urinary retention

Answer 1

• BPH
• UTI
• constipation
• anticholinergic drugs
• opiates, antidepressants
• alcohol

Question 2

what 2 exams must be done in urinary retention

Answer 2

1. Abdo exam
2. peripheral nervous system exam - rule out cauda equina

Question 3

what must you do after catheter insertion

Answer 3

1. document residual volume
2. take specimen for CSU
3. retract foreskin over glans penis

Question 4

signs of chronic urinary retention

Answer 4

painless
drain 1.5L+ of urine upon catheter insertion

Question 5

MoA of tamsulosin and finasteride

Answer 5

tamsulosin: alpha-1 receptor antagonist
finasteride: 5-alpha reductase inhibitor, inhibits conversion of testosterone to dihydrotestosterone (potent androgen)

Question 6

Ix for bladder cancer

Answer 6

flexible cystocopy