year5

Question 1

urethral bulbar injury occurs how and what are triad signs

Answer 1

most common
straddle type injury e.g. bicycles

Triad signs:
Urinary retention
Perineal haematoma
Blood at the meatus

Question 2

memrbanous injury of urethra how

Answer 2

Membranous rupture
can be extra or intraperitoneal
commonly due to pelvic fracture
Penile or perineal oedema/ hematoma
PR: prostate displaced upwards (beware co-existing retroperitoneal haematomas as they may make examination difficult)

Question 3

how do you manage and investigate urethral injuires

Answer 3

nvestigation
ascending urethrogram

Management
suprapubic catheter (surgical placement, not percutaneously)

Question 4

bladder injury presents with haematuria or suprapubic pain what causes by and how do we manage

Answer 4

pelvic fracture with inabilaity to void
iVU OR CYSTOGRAM
MX WITH lapratomy

Question 5

difference between torsion of spermatic cord ( mot common) and appendage

Answer 5

The cremasteric reflex is usually preserved when the torsion affects the appendage only.

Question 6

TURP syndrome triad sx

Answer 6

Triad of features are:
1. Hyponatraemia: dilutional
2. Fluid overload
3. Glycine toxicity

Question 7

Alpha-1 antagonist

Answer 7

tamsulosin

Question 8

most common form of prostate ca

Answer 8

adeno

Question 9

most common form of renal ca

Answer 9

Renal adenocarcinoma are the most common renal tumours. These will typically affect the renal parenchyma.

Question 10

Urinary problems in a man with a history of gonorrhoea may be due to a

Answer 10

stricture

Question 11

cut off for radical or partial nephrectomy in renal pt with ca

Answer 11

7cm

Question 12

side effect of magneisum salts

Answer 12

diarrhoae

Question 13

when to measure