Lower Urinary Tract

Question 0

Ureter
3
Constrictions

Answer 0

Ureteropelvic junction
Ureterovesical junction
Cross iliac vessels

Question 1

Most common cause of hydronephrosis in infants and children

Answer 1

Ureteropelvic junction obstruction

Left ureter

Question 2

Sudden severe pain at flank radiating post and inf

Cannot find comfortable position

Answer 2

Ureteral colic or ureterolithodynia

Question 3

Majority of retroperitoneal abscess

Answer 3

Idiopathic
Ormond disease
Cx: r varicocele

Question 4

WOF retroperitoneal fibrosis

Answer 4

Methysergide

Question 5

Nests of urothelium or inbudding of the surface of the epithelium found in mucosa lamina

Answer 5

Brunn nests

Question 6

Developmental failure in the anterior wall of the abdomen and bladder

Answer 6

Bladder exstrophy

Question 7

Drainage of urine from umbilicus

MCC bladder adenoca

Answer 7

Patent urachus

Question 8

Two variants of chronic cystitis

Answer 8

Follicular

Eosinophilic allergic

Question 9

Schistosomoa haematobium

Predisposes to sq cell of bladder

Answer 9

Hemorrhagic cystitis

Question 10

Inflammation And fibrosis of all bladder layers without evidence of bacterial infection
Fissures and punctate hemorrhages in bladder mucosa
Chronic mucosal ulcers
Mast cell infiltration

Answer 10

Glomerulations
Hunner ulcers

Interstitial cystitis

Question 11

Soft yellow raised mucosal plaques
Large foamy macrophages with laminated mineralized concretions
Chronic e coli

Answer 11

Michaelis gutmann bodies

Malacoplakia

Question 12

Bladder 95% epithelial origin

Answer 12

T

Urothelial carcinoma

Question 13

Decrease in survival involves invasion of the

Answer 13

Muscularis propria

Detrusor

Question 14

Most important risk factor in urothelial cell ca

Answer 14

Cigarette smoking

No familial preponderance

Question 15

MC symptom of urothelial ca

Answer 15

Painless hematuria

Question 16

Recurrence prevention of urothelial ca

Answer 16

Intravesicle instillation of BCG

Question 17

UB obstruction
Males
Females

Answer 17

BPE

Cystocele

Question 18

Urethritis organisms

Answer 18

N gonorrhea
C trachomatis
E coli

Question 19

Fibromatosis of Buck’s fascia

Penile curvature and pain during sex

Answer 19

Peyronie

Question 20

Inflamed granulation tissue polyp at urethral meatus in older females

Answer 20

Urethral caruncle

Question 21

Hypospadia

Epispadia

Answer 21

Ventral

Dorsal

Question 22

Orifice of the prepuce is too small

Answer 22

Phimosis

Question 23

Infection of glans and prepuce

Poor local hygiene in uncircumcised males

Answer 23

Balanoposthitis

Question 24

Solitary thickened gray white opaque plaque at the shaft of the penis 10% malignant risk

Answer 24

Bowen disease | Penile CIS

Question 25

Multiple reddish brown papules at shaft of young sexually active males Not premalignant

Answer 25

Bowenoid papulosis | Penile CIS

Question 26

Condyloma acuminata | Penile sq cell ca

Answer 26

6 11 | 16 18

Question 27

Failure of descent of testes Marked hyalination and thickening of BM Prominent Leydig cells

Answer 27

Cryptorchidism

Question 28

Testicular atrophy | Infection

Answer 28

Mumps

Question 29

Epididymitis | Age 35

Answer 29

C trachomatis N gonorrhea | E coli P aeruginosa

Question 30

Twisting of spermatic cord resulting in bell clapper deformity in adults

Answer 30

Testicular Torsion

Question 31

Most common benign paratesticular tumor | Small nodules at the UPPER POLE OF THE EPIDIDYMIS

Answer 31

Adenomatoid tumor

Question 32

Spermatic cord Proximal Distal

Answer 32

Lipoma Malignant paratesticular tumor - rhabdomyosarcoma in children - liposarcoma in adults

Question 33

Testicular tumors

Answer 33

Germ cell tumors | Sex cord stromal tumors

Question 34

Most common type of GCT Large polyhedral distinct cell membrane with clear cytoplasm and large central nucleus Intact tunica albuginea

Answer 34

Classic seminoma cell | Seminoma

Question 35

Extends through tunica albuginea Primitive glandular differentiation Papillary convolutions

Answer 35

Embryonal ca

Question 36

Schiller Duval bodies AFP A1 antitrypsin

Answer 36

Yolk Sac tumor

Question 37

No testicular enlargement Syncitiotrophoblasts HCG Cytotrophoblast

Answer 37

Chorioca

Question 38

Helter skelter collection of differentiated cells | Painless enlargement of the testes

Answer 38

Teratoma Paraaortic mediastinal supraclav Lungs liver brain bones

Question 39

Golden brown homogenous surface Rod shaped crystalloids of Renke Androgen production Testicular mass

Answer 39

Leydig cell tumor

Question 40

Crystalloids of Charcot Butcher Testicular mass No androgen production

Answer 40

Sertoli cell tumor

Question 41

Testicular dysgenesis

Answer 41

Gonadoblastoma

Question 42

NHL | Male over 60

Answer 42

Testicular lymphoma

Question 43

Intraprostatic urine reflux Tender boggy prostate Minute disseminated abscesses

Answer 43

Acute Bacterial prostatitis

Question 44

Recurrent UTIs

Answer 44

Chronic bacterial prostatitis

Question 45

No history of recurrent UTI >10 WBCs/HPF Bacterial culture negative

Answer 45

Chronic abacterial prostatitis

Question 46

Periurethral transition zone Median lobe hypertrophy NODULAR HYPERPLASIA

Answer 46

BPH

Question 47

Most common prostate adenoca

Answer 47

Acinar

Question 48

Prostate adenoca | Spread

Answer 48

LN: obturator to para aortic nodes Hema: lumbar prox femur pelvis thoracic spine ribs

Question 49

Most hyperplasias arise in _ whereas carcinomas arise in _

Answer 49

Transitional | Peripheral