Exam 3

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Author:
krystal_speed
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227659
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Exam 3
Updated:
2013-07-20 12:23:07
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bladder
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Genitourinary Surgery
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  1. Define Bugbee electrode
    used to coagulate small areas, usually following a bladder biopsy
  2. Define cyrptorchidism
    condition in which one or both testicle fails to descend to final destination in scrotum after the 1st year of life
  3. Define epispadias
    congenital condition marked by the absence of the anterior wall of the urethra
  4. Define guidewire
    guides stents dialtors, baskets and other devices into the ureters
  5. Define hilum
    medial border that receives blood vessels
  6. Define nephrolithiasis
    kidney stones
  7. Define nephrolithotomy
    removal of a kidney stone through surgical incision into the kidney
  8. Define pheochromocytoma
    tumor affecting the adrenal medulla
  9. Define phimosis
    condition affecting the penis
  10. Define polycycstic kidney disease
    multiple fluid filled benign cysts in the parenchyma of the kidney
  11. Define prepuce
    the portion of the skin covering the distal bas of penis that forms a free fold
  12. Define pyelolithiasis
    stones with in the renal pelvis
  13. Define simple orchiectomy
    removal of only the testis and epididymus
  14. Define testicular torsion
    the testicle is twisted with in the scrotum usually requires immediate medical attention
  15. Define urethrostenosis
    abnormal narrowing of the tube that carries urine out of the body
  16. Define varicocelectomy
    repairs an abdomen dilation of the spermatic veins in the spermatic cord that drains the testicles
  17. Define vasectomy
    male sterilization procedure
  18. Know at what age the aggressive type of testicular malignancy occurs
    20-40
  19. Know how sounds should be set up for a case
    smallest to largest
  20. Know how trauma can occur to the GU tract
    External and Internal
  21. Know if family history has any bearing in the diagnosis of polycystic kidney disease
    yes
  22. Know if renal transplant techniques vary for adults and pediatrics
    yes
  23. Know the four traditional approaches for prostate removal (SA)
    • TURP
    • Retropubic prostatectomy
    • Suprapubic prostatectomy
    • Perinal prostatectomy
  24. Know the name of the proximal portion of the male urethra
    prostate
  25. Know the purpose of renal cooling (SA)
    technique used to preserve renal function during an episode of planned prolonged arterial occlusion of the kidney or portion of kidney that is to remain in the patient or for kidney that is going to be used for donation
  26. Know the symptoms of Cushing’s syndrome
    • Hirsutism (hairiness)
    • glucose intolerance
    • emotional instability
  27. Know what a lumbar incision is used for
    • adrenalectomy
    • renal biopsy
    • removal of a small low lying kidney
  28. Know what a Marshall-Marchetti-Kranz procedure can be performed in conjunction with
    hysterectomy
  29. Know what a resectoscope is used for
    used for excise prostatic tissue
  30. Know what a seizure that occurs during a TURP an indication of
    a seizure is a late sign of systemic absorption of the irrigation fluid
  31. Know what a suprapubic prostatectomy is
    involves an incision into the bladder to remove the prostate en bloc
  32. Know what Addison’s disease affects
    adrenal glands
  33. Know what an Ellik evacuator is used for
    used to collect specimen
  34. Know what an ileal conduit is
    diverts urine flow through a loop of bowel
  35. Know what an IVU involves the use of
    injection of a contrast medium into the patients vein
  36. Know what artery provides blood supply to the bladder
    vescial artery
  37. Know what artery provides blood supply to the kidney
    renal artery
  38. Know what can happen during the manipulation of a pheochromocytoma
    intraoperative hypertension
  39. Know what can reduce mild stress incontinence
    may be reduced following an anterior colporrhaphy
  40. Know what causes stress incontinence
    • distorted during child birth
    • natural results of aging
  41. Know what fluid is acceptable to use during a TURP
    glycine
  42. Know what incision is typically used for a radical orchiectomy
    Inguinal incision
  43. Know what indicates Cushing’s disease
    over production of cistiol by the cortex of the adrenal gland
  44. Know what KUB and IVU stand for (SA)
    • Kidney Ureters Bladder
    • Intravenous urogram
  45. Know what MIBG is designed to detect
    pheochromocytoma
  46. Know what portion of the kidney contains the glomeruli
    cortex
  47. Know what position is needed for the flank incision
    lateral position
  48. Know what PSA is a test for
    prostate cancer
  49. Know what Randall stone forceps do
    grasping renal stones
  50. Know what suture is used for closure of a ureterotomy
    close with a 6-0 absorbable suture
  51. Know what the adrenal gland secretes
    epinephrine and norepinephrine
  52. Know what the bladder can be filled with if seeding of malignant cells is a concern
    formalin
  53. Know what the brand name Renografin indicates
    iodine concentration appropriate for use in urinary system
  54. Know what the catheter deflecting element does
    used to direct catheter into ureteral orifice fits into cystoscope sheath
  55. Know what the Gibson incision is
    designed for access to the lower portion of the ureter
  56. Know what the glomerular capillary endothelium does
    restricts movement of blood, cells and large molecules
  57. Know what the majority of urinary calculi are made of
    calcuim
  58. Know what the most common abdominal pediatric tumor is
    Wilm's
  59. Know what the O’Connor shield is used for
    used for rectal exams to palpate the prostate
  60. Know what the suprarenal arteries feed
    adrenal glands
  61. Know what the stone basket does
    removes renal calculi via an ureteroscope or cystoscope
  62. Know what the term working element refers to
    resectoscope
  63. Know what the trigone is
    important clinical landmark marked by the ureteral and the urethral orifices
  64. Know what the white blood count must be over to indicate infection
    10,000
  65. Know what to anticipate if the pleural cavity is opened
    chest tube placement
  66. Know what type of dialysis the dialysate is drained by gravity
    CAPD
  67. Know what Van Buren urethral sounds are
    male sound line up from smallest to largest on the back table
  68. Know where donor kidneys come from
    • living relatives
    • nonrelated living donors
    • cadavers
  69. Know where the vascular supply for the ureters in the pelvic section come from
    branches of the superior and inferior vesical artery
  70. Know why the right kidney is slightly lower than the left
    liver
  71. Understand adrenalectomies
    • Tumer can always be removed endoscopially
    • Open adrenalectomies always involves the removal of the upper pole of the kidney
    • Postadreanlectomy does not require lifelong hormone replacement therapy
  72. Understand bladder tumors
    • Malignant tumors usually occur in people over 50
    • Common symptom hematuria (blood in urine)
    • Tendency to recur
  73. Understand circumcision
    procedure can be done on infants with no anesthesia
  74. Understand ESWL
    • Often a mobile lithotripter is purchased cooperatively or owned by a private corporation and leased to different sites
    • Noninvasive method of pulverizing urinary calculi so that smaller fragments may be removed from the body with the urine
    • Requires expensive, highly specialized equipment
  75. Understand the female urethra
    • Travels in front of the posterior portion of the vagina
    • Is surrounded by muscle fibers that form the urethrovaginal sphincter
    • is separated from the vagina by areolar tissue
    • 4 cm long
  76. Understand instrumentation for transurethral procedures
    • More complex & unique than Gu surgery
    • The bridge is used to accommodate the extra length of the telescope & may have additional ports for introduction of items such as catheters
    • Flexible transurethral scopes can be used to visualized the KUB
    • Working elements of resectoscope can be used with variety of cautery loops, balls, & blades
    • Obturator is a hollow stainless steel tube that may have a port outfitted with inflow and outflow ports
  77. Understand nephrectomy
    Open simple nephrectomy can be performed for excision to be used for transplant

    Subtotal nephrectomy involves the excision of either pole of the kidney and can be performed to excise small cancers of the kidney
  78. Understand orchiectomy
    • Removal of only the testis and epididymus
    • Patient is placed in supine
    • Inguinal approach may be necessary for malignancy (radical)
    • A testicular implant may be used
  79. Understand prostatectomy
  80. Understand renal transplant from a living donor
  81. Understand the Foley catheter process
    can not be inflated if there is no urine flowing to the tubing
  82. Understand vasovasotomy
    requires the use of a microscope

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