ABSITE ch 39 urology.txt

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alshada
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ABSITE ch 39 urology.txt
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2010-01-16 19:54:06
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urology ABSITE
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ABSITE ch 39 urology
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  1. Fascia surrounding kidney
    Gerota�s fascia
  2. Order of renal structures (anterior to posterior)
    Vein, artery, renal pelvis
  3. Location of ureters as compared to iliac vessels
    Ureters cross over iliacs
  4. Most common cause of acute renal insufficiency following surgery
    Hypotension
  5. Diagnostic study for kidney stones
    UA, CT noncontrast
  6. Most common kidney stone type
    Calcium oxalate
  7. Stones common in patients with terminal ileum resection
    Calcium oxalate stones
  8. Stones common in patients with infections (proteus)
    Struvite stones
  9. Indications for surgery for kidney stones (5)
    Intractable pain, intractable infection, obstuction, renal damage, solitary kidney
  10. Surgical treatments of kidney stones (6)
    ESWL, ureteroscopy and stone extraction, stent, perc neph tube, open nephrolithotomy, urethrotomy
  11. #1 cancer killer in men 25-35
    testicular
  12. treatment of testicular mass
    orchiectomy through inguinal incision
  13. diagnostic studies for patient with known testicular cancer (staging)
    CXR, CT chest/abdomen
  14. Diagnostic laboratory value correlating with tumor bulk in testicular tumors
    LDH
  15. #1 testicular tumor
    seminoma
  16. elevated laboratory value in seminoma
    beta-hcg
  17. treatment of seminoma
    orchiectomy, XRT
  18. type of nonseminomatous testicular cancer (4)
    embryonal, teratoma, choriocarcinoma, yolk sac
  19. laboratory markers diagnostic for nonseminomatous testicular cancers
    Alpha fetoprotein, beta-hcg
  20. Most common metastatic sites for testicular cancer
    Lungs, retroperitoneum
  21. Treatment of stage 1 testicular cancer
    Orchiectomy, prophylactic retroperitoneal node dissection
  22. Treatment of stage 2 or greater testicular cancer
    Orchiectomy, prophylactic retroperitoneal node dissection, chemo
  23. Most common lobe where prostate cancer occurs
    Posterior
  24. Most common metastatic site for prostate cancer
    Bone
  25. Morbidity of prostate resection (3)
    Stricture, impotence, incontinence
  26. Size of kidney stone unlikely to pass
    >6mm
  27. treatment for intracapsular, nonmetastatic prostate cancer
    XRT, radical prostatectomy
  28. Treatment for extracapsular invasion or mets in prostate cancer
    Leuprolide, flutamide, bilateral orchiectomy, ketoconazole
  29. Normal PSA
    <4
  30. noncancerous reasons for elevated PSA (3)
    prostatitis, BPH, chronic catheterization
  31. most common primary tumor of kidney
    renal cell carcinoma
  32. most common location of RCC metastasis
    lung
  33. treatment of RCC
    radical nephrectomy, regional node dissection, XRT, chemotherapy
  34. most common tumor in kidney
    metastasis (from breast)
  35. paraneoplastic syndromes associated with RCC (4)
    erythropoietin, PTHrp, ACTH, insulin
  36. treatment of transitional cell CA of renal pelvis
    radical nephroureterectomy
  37. syndrome with multifocal and recurrent RCC, renal cysts, CNS tumors, pheochromocytomas
    Von Hippel Lindau syndrome
  38. Most common form of bladder cancer
    Transitional cell
  39. Risk factors for bladder cancer (3)
    Smoking, aniline dye, cyclophosphamide
  40. Treatment of T1 (muscle not involved) bladder cancer
    Intravesical BCG or transurethral resection
  41. Treatment of bladder cancer if muscle wall invaded
    Cystectomy with ileal conduit, chemotherapy, XRT
  42. Testicular problem common in teenage males; causes ischemia
    Testicular torsion
  43. Treatment of testicular torsion
    Bilateral orchiopexy
  44. Important techniques to avoid ureteral stricture during repair (4)
    Spatulate ends, use absorbable suture, place a stent, place drains to identify/treat potential leaks
  45. Most common area of prostate involved in BPH
    Transitional zone
  46. Treatment of BPH
    Alpha blockers (terazosin, doxazosin), 5-alpha reductase inhibitors (finasteride), TURP
  47. Hyponatremia secondary to irrigation with water; can cause seizures
    Post-TURP syndrome
  48. Consequence of spinal cord injury above T12; constant urination
    Neurogenic bladder
  49. Consequence of spinal cord injury below T12 (or post-APR); incomplete emptying
    Neurogenic obstructive uropathy
  50. Incontinence due to hypermobile urethra or loss of sphincter mechanism
    Stress incontinence
  51. Incontinence due to involuntary detrusor contraction
    Urge incontinence
  52. Incomplete bladder emptying and enlarged bladder, often secondary to obstruction
    Overflow incontinence
  53. Treatment of vesicoureteral reflux
    Reimplantation of ureter
  54. Treatment of ureteral duplication
    Reimplantation of ureter
  55. Treatment of hypospadias
    Repair at 6 months with penile skin
  56. Ventral defect in penile urethra
    Hypospadias
  57. Dorsal defect in penile urethra
    Epispadias
  58. Connection between umbilicus and bladder
    Patent urachus
  59. Most common cause of pneumaturia
    Diverticulitis
  60. Findings of WBC casts on UA indicate:
    Pyelonephritis, glomerulonephritis
  61. Findings of RBC casts on UA indicate:
    Glomerulonephritis
  62. Treatment of priapism
    Aspiration of corpus cavernosum with dilute epinephrine
  63. Treatment of SCC of penis (and margin)
    Penectomy, 2cm margin
  64. Method to check for urine leak
    Indigo carmine or methylene blue

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