URO-GYNE

Question 1

The blood supply of the distal ureter is provided by branches of the

Answer 1

Iliac arteries (laterally)

Proximal ureter = aorta and renal artery (medially)

Question 2

Which portion of the bladder is intraperitoneal

Answer 2

None

Question 3

Hydroceles form between

Answer 3

The visceral and parietal layers of the tunica vaginalis

Question 4

Patients with bladder stones are at increased risk for which bladder cancers

Answer 4

Squamous cell carcinoma

Tobacco use = transitional cell carcinoma (TCC)

Question 5

Emphysematous pyelonephritis is most commonly caused by

Answer 5

Escherichia coli

Question 6

A blunt injury to the kidney with a 2-cm, nonexpanding hematoma and a small amount of urinary extravasation is

Answer 6

A grade 4 injury

Question 7

Injuries to the distal ureter should be treated with

Answer 7

Ureteral reimplantation

Question 8

Elevated serum levels of alpha fetoprotein in a man with a firm testicular mass what is the most likely diagnosis

Answer 8

Nonseminomatous germ cell tumor

Question 9

Which type of renal calculi with NOT be seen on CT scan

Answer 9

Crystalline-excreted indinavir

Question 10

The most common noncontinent urinary diversion procedure after cystectomy is

Answer 10

Ileal conduit

Question 11

Initial management of a patient with priapism includes

Answer 11

Placement of an 18-G IV catheter into the corpus cavernosum

Question 12

Paraphimosis refers to

Answer 12

Inability to reduce the foreskin after it has been retracted

Question 13

A patient with a complete anterior urethral injury after a high speed moto vehicle accident is best initially managed by

Answer 13

Placement of a suprapubic catheter

Question 14

Following documentation of a firm mass in the testes by ultrasound in a 32-year-old male, tissue should be obtained for diagnosis by

Answer 14

Orchiectomy

Question 15

Following transurethral resection of a superficial (noninvasive) transitional cell carcinoma, which of the following is instilled in the bladder to decrease the risk of recurrence

Answer 15

BCG (bacille Calmette-Guerin) or mitomycin C

Question 16

Syndromes associated with an increased risk of renal cell carcinoma

Answer 16

Von Hippel-Lindau syndrome = clear-cell RCC
Birt-Hogg-Dube syndrome = oncocytomas or chromophobe tumors
Hereditary leiomyomatosis = papillary RCC

Question 17

In a patient with extensive Fournier’s gangrene involving the scrotum, the testes

Answer 17

Are usually not involved and can be transposed to the soft tissue of the thigh

Question 18

Which type of renal carcinoma has the worst prognosis

Answer 18

Collecting duct

Question 19

The most common cause of vaginitis is

Answer 19

Anaerobic bacteria

Question 20

With no treatment, what percentage of patients with primary syphilis eventually progresses to tertiary disease

Answer 20

30%

Question 21

Appropriate antibiotic treatment for chancroid is

Answer 21

Azithromycin

Question 22

Paget’s disease of the vulva is associated with

Answer 22

Invasive adenocarcinoma