GU/Male

Question 1

adrenal resection CPT code

Answer 1

88307

Question 2

made in the zona glomerulosa

Answer 2

mineralocorticoids (aldosterone)

Question 3

made in the zona fasciculata

Answer 3

glucocorticoids (cortisol)

Question 4

made in the zona reticularis

Answer 4

androgens/sex steroids

Question 5

made in the medulla

Answer 5

catecholamines (E/NE)

Question 6

aldosterone producing adrenocortical adenoma is associated with what syndrome

Answer 6

Conn syndrome

Question 7

spironolactone bodies present in this

Answer 7

aldosterone secreting adrenocortical adenoma

Question 8

mature adipose tissue with normal bone marrow elements in the adrenal gland

Answer 8

myelolipoma

Question 9

hemorrhage of adrenal gland seen in this syndrome, accompanied with rapid progressive hypotension

Answer 9

Waterhouse-Friderichson syndrome

Question 10

medullary lesion of adrenal cortex

Answer 10

pheochromocytoma

Question 11

adrenal gland staging is dependent on (2)

Answer 11

-size (5cm)
-metastasis

Question 12

this type of lung cancer primarily metastasizes to the adrenal gland

Answer 12

non-small cell lung cancer

Question 13

this is critical for grossing adrenal glands

Answer 13

measure weight

Question 14

normal weight of an adult adrenal gland

Answer 14

7-10 g

Question 15

if adrenal gland tumors are <2cm,

Answer 15

submit entirely

Question 16

kidney CPT code

Answer 16

88307

Question 17

the renal vein is

Answer 17

anterior

Question 18

the renal artery is

Answer 18

medial

Question 19

the ureter is

Answer 19

posterior and inferior

Question 20

exudate and necrosis may be present, there may be a scar and papillary necrosis

Answer 20

acute pyelonephritis

Question 21

dilated/blunted or deformed calyces and a scar may be present

Answer 21

chronic pyelonephritis

Question 22

cortical surfaces will resemble grain leather (scarring/shrinking)

Answer 22

nephrosclerosis

Question 23

persistent hypoperfusion will lead to massive ischemic necrosis

Answer 23

Hemolytic Uremic Syndrome

Question 24

multiple cysts in the medulla of the kidney

Answer 24

medullary sponge kidney

Question 25

70% of renal calculi are

Answer 25

calcium oxalate or mixed calcium phosphate

Question 26

struvite mainly composes

Answer 26

staghorn calculi

Question 27

benign neoplasms of the kidney (2)

Answer 27

-angiomyolipoma -oncocytoma

Question 28

this form of RCC with a genetic component is very aggressive

Answer 28

Xp11 translocation

Question 29

this form of RCC is rare

Answer 29

medullary

Question 30

most common renal tumor of childhood

Answer 30

Wilms tumor

Question 31

types of kidney specimens (3)

Answer 31

-partial nephrectomy -nephrectomy -nephrectomy w adrenal gland

Question 32

should you weigh all kidney specimens

Answer 32

yes

Question 33

this is done if the lesion is small enough in the lower or upper pole

Answer 33

partial nephrectomy

Question 34

kidney staging is largely depended on these two factors

Answer 34

-tumor size -extension into renal vein/perinephric tissue/gerota's fascia/adrenal gland

Question 35

this must be explicitly stated in the gross description of a kidney

Answer 35

tumor extension

Question 36

ureter CPT code

Answer 36

88307

Question 37

most common cause of hydronephrosis in infants and children

Answer 37

ureteropelvic junction obstruction

Question 38

epithelial neoplasms in the ureter usually originate here

Answer 38

bladder/kidney

Question 39

describe if this is attached to the ureter

Answer 39

bladder cuff

Question 40

should you trim peri-ureteral adipose tissue?

Answer 40

no

Question 41

to describe a ureter, measure

Answer 41

length and diameter

Question 42

ureter staging is dependent on

Answer 42

invasion into wall and peri-ureteral adipose tissue

Question 43

ureter staging is

Answer 43

microscopic

Question 44

bladder CPT code

Answer 44

88309

Question 45

these are more common in men who smoke

Answer 45

bladder tumor

Question 46

a cysectomy is usually done for

Answer 46

invasive muscle neoplasia

Question 47

four morphologic patterns for a bladder tumor

Answer 47

-papillary -invasive papillary carcinoma -flat non-invasive carcinoma (In situ) -flat invasive carcinoma

Question 48

open this anteriorly

Answer 48

bladder

Question 49

bladder staging is dependent on

Answer 49

microscopic invasion

Question 50

this is imperative for staging a bladder

Answer 50

full thickness sections

Question 51

if time allows, do this when grossing a bladder

Answer 51

pin out overnight

Question 52

you can open the bladder in two different ways

Answer 52

through prostate or ureteral orifice