Sasp 2014 Flashcards

(36 cards)

0
Q

What are Motzer criteria? (5)

A
Karnosky performance status <80%
Elevated LDH
Anemia 
Hypercalcemia
Prior partial or total nephrectomy
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1
Q

What area of the kidney is most susceptible to damage due to prolonged ischemia

A

The medulla

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2
Q

True or false?

In bacterial vaginosis you need to treat the pt and partner w metronidazole

A

False. Treating pt only is just as effective as pt and partner

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3
Q

Medullary thryroid cancer
Pheo

1ary hyperPTH
Cutaneous lichen amyloidosis

A

MEN2A

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4
Q
Medullary thyroid ca
Pheo
A
Mucocutaneous neuromas
Marfanoid habitus
Hirschprungs
A

Men 2 B

RET oncogene

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5
Q

What’s concerning PSA velocity?

A

> 0.75 NG/ml/yr. need 3 PSA measurements over 18 months to determine

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6
Q

3 basic labs to initially evaluate an adrenal mass:

A

K if hypertensive
Plasma metanephrines
24 hr urine cortisol

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7
Q

Muscles if the levator ani

A

Puborectalis
Pubicoccygeus
Iliococcygeus

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8
Q

Branches of internal iliac

A

I Love Going Places In My Very Own Underwear

Posterior trunk:
Iliolumbar
Lateral sacral
(Superior) Gluteal

Anterior trunk:
(Internal) Pudendal-> penile, perineal
Inferior vesical
Middle rectal
Vaginal
Obturator 
Umbilical ->obliterated umbilical, sup vesical
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9
Q

Branches of external iliac

A

Inferior epigastric

Deep circumflex

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10
Q

Nerves that originate in the lumbar plexus (7)

A
Iliohypogastric
Ilioinguinal
Lateral femoral cutaneous nerve of thigh
Genitofemoral
Femoral 
Obturator
Sciatic ( partially, also from sacral plexus)
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11
Q

Provides sensation to lower abdominal wall and pubic area

A

Iliohypogastric nerve

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12
Q

Provides motor innervation to the lower abdominal wall

A

Iliohypogastric nerve

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13
Q

Sensation to upper thigh, base of penis and upper scrotum

A

Ilioinguinal

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14
Q

Nerve that travels in the inguinal canal

A

Ilioinguinal

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15
Q

Sensation to anterior and lateral portion of upper leg

A

Lateral cutaneous nerve of the thigh

16
Q

Provides sensation to the spermatic cord, scrotum, and anterior thigh

A

Genito femoral nerve

17
Q

Provides motor innervation to the cremaster and dartos

A

Genito femoral nerve

18
Q

Sensation to antero-medial leg

A

Femoral nerve

19
Q

Provides motor to the psoas, iliac and knee extensors

A

Femoral nerve

20
Q

Motor nerve for thigh adduction

21
Q

Sensation and motor to posterior thigh and lower leg

A

Sciatic nerve

22
Q

Nerve that lies over psoas can be injured during hitch

A

Genito femoral

23
Q

Nerva that can be injured when placing retractors on psoas

24
Nerve that can be injured in exaggerated lithotomy
Sciatic (stretch injury)
25
Nerves of the sacral plexus
Sciatic( partially from lumbar) Posterior femoral cutaneous nerve Pudendal-> perineal, posterior scrotal, genital
26
Provides sensation to perineum and posterior scrotum
Posterior femoral cutaneous nerve
27
Gives sensation to penis and clitoris
Genital branch of pudendal nerve
28
Nerve that travels in alcock's canal
Pudendal
29
Nerve that gives a branch to rhabdosphincter, plays role in continence
Pudendal
30
Nerve used for PTNS
Tibial nerve, branch of sacral roots of sciatic nerve
31
Plexus where para and sympathetic nerves meet to give autonomic control of bladder, prostate and penis
Inferior hypogastric
32
Plexij that provides autonomic control to adrenals, kidneys and upper ureters
Celiac and superior mesenteric
33
Sympathetic plexus just below the aortic bifurcation that controls seminal emission and bladder neck closure
Superior hypogastric
34
Sympathetic nerves that travel from superior hypo gastric plexus to inferior hypo gastric plexus to combine with parasympathetics
Hypo gastric nerves
35
Origin of neuro vascular bundles
Pelvic (inferior hypo gastric) plexus