Urology Flashcards
(24 cards)
Which region of the prostate is most responsible for symptoms of benign prostate hyperplasia?
transition zone
Which of the following substances composes most renal stones?
Calcium oxalate
Which of the following medications is contraindicated in patients who take sildenafil?
Nitrates
An adult patient presents with blunt renal trauma and gross hematuria and is hemodynamically stable. Which of the following is immediately required?
CT scan
Which of the following statements is characteristic of testicular torsion?
Associated with ipsilateral loss of cremasteric reflex
A previously healthy 12-year-old boy is brought to the emergency department by his mother because of a 4-hour history of acute right testicular pain. The patient denies a
history of trauma and he has never experienced this type of dull, achy visceral pain
before. He has tried some nonsteroidal anti-inflammatory drugs that his mother gave him with marginal relief. A urinalysis is negative. His temperature is normal. His right testicle is tender to palpation and larger as compared to the other side. There is probable blue dot sign with normal lie to the testicle. The cremasteric reflex is not observed. What is the most appropriate next step?
Get an immediate ultrasound of the testicles
What is the mainstay of therapy for stage D prostate cancer?
androgen ablation therapy
What disorder must be considered in patients who have irritative bladder symptoms such as frequency, hesitancy, dysuria, and irritability in the absence of urinary tract infections?
bladder cancer
Which of the following is characterized by leakage of urine that occurs while coughing?
Stress incontinence
Which of the following is a serum marker for seminoma?
beta-HCG
Which of the following treatments is the best management for obstructive pyelonephritis secondary to an obstructing urethral stone?
IV antibiotics and emergency stent placement
Which of the following substances compose infection stones?
magnesium ammonium phosphate
Which of the following produces fructose?
seminal vesicles
Which of the following is true concerning an MRI of the prostate?
It would be a poor screening test to pick up disease in patient
Management of patient who believes God alone will cure his disease
Discuss his religious beliefs and point out the benefits chemotherapy will offer him
Urge to urinate but only a few drops of fresh blood appear at meatus management
obtain a retrograde urethrogram
Unable to provide urine sample-next step in management
place a Foley catheter
most appropriate next step in management of transitional cell carcinoma of bladder
resect the lesion through the cystoscope
Gleason grade 7 carcinoma-next step in management
order a bone scan
life expectancy of patients diagnosed with prostate cancer who elect surgical intervention
8 yrs
10 year survival in prostate cancer
possible but less than 50/50 chance
blue dot sign with normal lie to testicle
prepare patient for immediate surgery for exploration
hernia
may become strangulated
no transillumination and elevated beta HCG and AFP
radical orchiectomy first line of treatment
