Renal

Question 1

Ureteric peristalsis

Answer 1

Sympathetic/parasympathetic

Question 2

Bladder contraction

Answer 2

Sympathetic/parasympathetic

Question 3

Urethral sphincter control

Answer 3

Sympathetic/parasympathetic (internal sphincter)
Somatic motor (external sphincter and levator ani)

Question 4

pain from the kidneys

Answer 4

visceral afferent

Question 5

pain from the ureters

Answer 5

visceral afferent

Question 6

pain from the bladder

Answer 6

visceral afferent

Question 7

pain from the urethra

Answer 7

visceral afferent (in pelvis)
somatic sensory (in perinuem)

Question 8

pain from the testis?

Answer 8

visceral afferent

Question 9

Voluntary control of the elimination of urine from the bladder?

Answer 9

sympathetic/parasympathetic/somatic motor/ visceral afferent

Question 10

perineum and lower limbs

Answer 10

somatic sensory and somatic motor

Question 11

Parasympathetic nerves which innervate the kidney and ureter?

Answer 11

Carried within vagus nerve

Question 12

Parasympathetic fibres which innervate the bladder are carried within the..

Answer 12

Pelvic splanchnic nerves

Question 13

Which fibres stimulate the detrusor muscle to contract?

Answer 13

Parasympathetic fibres from S2, S3, S4 via the pelvic splanchnic nerves stimulate the detrusor muscle to contract

Question 14

Where would you feel pain from the kidney itself? i.e. hydronephrosis

Answer 14

The pain would be felt in the “loin”

Question 15

Where would you feel pain from a calculus obstructing the ureter?

Answer 15

Pain can often be felt radiating from “loin to groin” on the affected side

Question 16

Where is pain from the bladder usually felt?

Answer 16

Pain from the bladder is usually felt in the suprapubic region

Question 17

Where would you feel pain from the perineal part of the urethra?

Answer 17

Pain is usually quite localised in the perinuem

Question 18

Differential diagnosis of loin pain?

Answer 18

Kidney
Skin origin (e.g. herpes zoster)
Muscular
Vertebrae
Spinal nerve root compression
Lower lobe pneumonia

Question 19

Differential diagnosis of loin pain?

Answer 19

Ureters
Hernia
Testicular pathology
Lymphadenopathy

Question 20

Differential diagnosis of suprapubic pain?

Answer 20

Bladder
Hindgut organs (e.g. sigmoid diverticula)
Other single, midline pelvic organs whose superior aspect touches the peritoneum e.g. uterus

Question 21

Nerve fibres in which levels are key in control of micturition?

Answer 21

S2-S4

Question 22

Rami which form the lumbar plexus, sacral plexus and lumbo-sacral plexus?

Answer 22

ANTERIOR rami form these plexuses :)

Question 23

Iliohypogastric and ilioinguinal

Answer 23

L1

Question 24

Lateral cutaneous nerve of thigh?

Answer 24

L2, L3

Question 25

Genitofemoral nerve?

Answer 25

L1, L2

Question 26

Femoral nerve

Answer 26

L2-L4

Question 27

Obturator nerve

Answer 27

L2-L4

Question 28

Which nerve supplies the anterior compartment of the leg?

Answer 28

Deep fibular supplies the anterior compartment of the leg

Question 29

Which nerve supplies the lateral compartment of the leg?

Answer 29

The superficial fibular supplies the lateral compartment of the leg

Question 30

Which nerve supplies the posterior compartment of the leg and the intrinsic muscles of the foot?

Answer 30

Tibial nerve

Question 31

Nerve sensation to the plantar aspect of the foot?

Answer 31

Tibial nerve

Question 32

Which nerve supplies the 1st web space?

Answer 32

The deep fibular

Question 33

Which nerve supplies sensation to the lateral aspect of the foot?

Answer 33

Sural nerve