Lithiasis/Infections Flashcards

1
Q

Primary hyperparathyroidism:

A. Is more common in male patients
B. Is diagnosed with ultrasound of the neck
C. Has its peak incidence at about 50 years of age
D. Is combined with renal stones in more than 50% of patients

A

C. Has its peak incidence at about 50 years of age

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2
Q

What is the next step after percutaneus nephrolithotomy (PNL) when bleeding occurs from the nephrostomy tract?

A. Endoscopic exploration
B. Continous irrigation from the nephrostomy tube
C. Insertion of a larger nephrostomy catheter
D. Closure of the nephrostomy catheter allowing tamponade

A

D. Closure of the nephrostomy catheter allowing tamponade

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3
Q

A young woman is diagnosed with acute uncomplicated bacterial cystitis. Which pathogen is considered to be the most likely?

A. Escherichia coli
B. Proteus vulgaris
C. Enterococcus faecalis
D. Staphylococcus aureus

A

A. Escherichia coli

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4
Q

Which organisms produce urease?

A. Proteus mirabilis, Klebsiella pneumonia, Pseudomonas aeruginosa
B. Escherichia coli, Proteus mirabilis, Klebsiella oxytoca, Candida humicola
C. Enterococcus faecalis, Proteus vulgaris, Providencia stuartii, Escherichia coli
D. Staphylococcus epidermis, Klebsiella oxytoca, Proteus vulgaris

A

A. Proteus mirabilis, Klebsiella pneumonia, Pseudomonas aeruginosa

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5
Q

Which of the following Stones are radiolucent?

A. Uric acid, Amonium urate, Xanthine, 2.8-dihydroxyadenine
B. Uric acid, cystine, ammonium urate, Xanthine
C. Xanthine, Uric acid, Cystine, Apatite
D. Calcium phosphates, Apatite, Cystine, Uric acid

A

A. Uric acid, Amonium urate, Xanthine, 2.8-dihydroxyadenine

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6
Q

Which kidney stone situation is the best indication for laparoscopic surgery?

A. Pelvic kidney
B. Horseshoe kidney
C. Ureteropelvic junction obstruction
D. Congenital megaureter

A

C. Ureteropelvic junction obstruction

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7
Q

Which statement regarding general prevention of kidney stone recurrence is correct?

A. Calcium intake should be restricted
B. High intake of animal protein should be encouraged
C. A vegetarian diet decreases urinary pH because it is usually more acidic
D. Vegetable intake should be encouraged because of the beneficial effects of fibre

A

D. Vegetable intake should be encouraged because of the beneficial effects of fibre

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8
Q

What is the main side effect of the antituberculosis drug Ethambutol!

A. Ototoxicity
B. Optic neuritis
C. Hepatotoxicity
D. Renal insufficiency

A

B. Optic neuritis

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9
Q

Which of the following is NOT a complication of epididymo-orchitis?

A. Abscess formation
B. Testicular infarction
C. Testicular atrophy
D. Testicular torsion

A

D. Testicular torsion

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10
Q

Chemolysis is an effective means of therapy for the following stones EXEPT:

A. Calcium phosphate stones
B. Cystine stones
C. Uric acid stones
D. Infection stones

A

A. Calcium phosphate stones

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11
Q

Wich is the best method of imaging for renal tuberculosis?

A. Choline PET CT
B. CT urography
D. Renogram
C. Retrograde pyelography

A

B. CT urography

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12
Q

A 19-year-old man presents with acute pain and swelling of his left scrotum. Which is the most common cause?

A. Viral epididymitis
B. Bacterial epididymitis
C. Viral orchitis
D. Bacterial orchitis

A

B. Bacterial epididymitis

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13
Q

Thiazide diuretics are indicated in renal lithiasis to correct:

A. Hyperoxaluria
B. Idiopatic hypercalciuria
C. Hyperuricemia due to underexcretion
D. Hyperuricemia due to overproduction

A

B. Idiopatic hypercalciuria

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14
Q

Which type of stone is related to Sarcoidosis?

A. Xanthine
B. Uric acid
C. Calcium oxalate
D. Magnesium ammonium phosphate

A

C. Calcium oxalate

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15
Q

Hypercalciuria in primary hyperparathyroidism shows:

A. High serum calcium, high urine cyclic AMP, high intestinal calcium absorption
B. High serum calcium, high urine cyclic AMP, normal intestinal calcium absorption
C. High serum calcium, normal urine cyclic AMP, normal intestinal calcium absorption
D. High serum calcium, normal or low urine cyclic AMP, high intestinal calcium absorption

A

A. High serum calcium, high urine cyclic AMP, high intestinal calcium absorption

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16
Q

A 45-year-old female patient comes to the emergency departement suffering right flank pain. A stone of 12 mm is identifiera in the renal pelvis of the right kidney. Which is the preferred approach for this patient?

A. PNL
B. ESWL
C. ESWL + PNL
D. Ureteroscopy

A

B. ESWL

17
Q

Which statement about Pyelonephritic scarring is correct?

A. It always progresses to end-stage renal failiure
B. It is a risk in patients with sterile low-grade vesico-ureteric reflux
C. It is a high-risk for patients with recurrent urinary tract infection (UTI)
D. It is most commonly developed in early childhood in the presence of reflux and UTI

A

D. It is most commonly developed in early childhood in the presence of reflux and UTI

18
Q

Which di-basic amino acid is the least soluble in urine?

A. Lysine
B. Cystine
C. Arginine
D. Ornithine

A

B. Cystine

19
Q

Which is the most effective treatment for calcium oxalate 3 cm stone in the renal pelvis?

A. Flexible ureteroscopy
B. Percutaneous nephrolithotripsy
C. Shock wave lithotripsy
D. Chemolysis

A

B. Percutaneous nephrolithotripsy

20
Q

Which antibiotic is contraindicated for prophylaxis in a newborn with prenatal hydronephrosis?

A. Amoxycillin
B. Trimethorprim sulfamethaxazole
C. Nitrofurantoin
D. Cefaclor

A

B. Trimethorprim sulfamethaxazole

21
Q

Which sign is indicative for SIRS (severe inflammatory response syndrome)?

A. WBC 11/nL
B. PCO2 30 mmHg
C. Respiration 18/min
D. Temperature 36.6C

A

B. PCO2 30 mmHg