Test your basic knowledge |

Genitourinary Surgery

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Includes increased BUN and creatinine levels.
Inherited - extremely rare - affects young children.
End-stage renal disease (ESRD)
Orchiopexy
Wilms' tumor.

2. Approximate number of nephrons in each kidney
More than one million.
Renal cell carcinoma
Adrenalectomy
IVU

3. What is a KUB?
Testicular cancer
Dialysis and kidney transplant.
Cryptorchidism
An anterior to posterior radiographic view of the urinary system.

4. Torsion of the testicle
Kimmelstiel-Wilson disease - and diabetic glomerulosclerosis.
Inherited - extremely rare - affects young children.
Twisting of the spermatic cord
Renal cell carcinoma

5. Two causes for Cushings' syndrome
Addison's disease.
Primary cause is a pituitary tumor (overproduction of ACTH) - tumor of the adrenal cortex (may be benign or malignant).
Addison's disease
Wilms' tumor.

6. Important tools in diagnosing tumors and obstructions of the genitourinary tract.

7. Function of the medulla
Scrotal incision
Twisting of the spermatic cord
Secretes epinephrine and norepinephrine.
Contrast medium is injected into the ureters with the use of a cystoscope because of an obstruction.

8. Affects men twice as often as women and appears between the ages of 50 and 60.
Severe headaches - excess sweating - tachycardia-palpitations - anxiety - tremor - pain in the epigastric region - weight loss - and heat intolerance.
Addison's disease
Intercostal incision
Renal cell carcinoma

9. May be a complication of certain illnesses such as TB and AIDS.

10. Diabetic nephropathy other names.
Circumcision
Kimmelstiel-Wilson disease - and diabetic glomerulosclerosis.
Emptying the bladder and closing the bladder orifice.
Addison's disease.

11. Commonly done in a cysto room
Renal cell carcinoma
Renal cell carcinoma
Retrograde urogram
Primary cause is a pituitary tumor (overproduction of ACTH) - tumor of the adrenal cortex (may be benign or malignant).

12. Disorder commonly associated with premature birth - and accompanied by an inguinal hernia.
Gibson incision
Renal cell carcinoma
Diabetic nephropathy/Kimmelstiel-Wilson disease.
Cryptorchidism

13. The only way to accurately determine the presence of malignancy and the exact cell type.
PKD/polycystic kidney disease
Intercostal incision
Biopsy
Adrenalectomy

14. Diagnosis accomplished with biochemical laboratory teste and radiological examinations.

15. The developmental absence of the anterior wall of the urethra.
Benign prostatic hypertrophy (BPH)
Renal cell carcinoma
Retrograde urogram
Epispadias.

16. What is the treatment for Cushing's syndrome?
Pituitary tumors - surgical removal or radiation therapy. Benign adrenal tumors - removed endoscopically - malignant tumors - surgical removal.
Cryptorchidism
Secretes epinephrine and norepinephrine.
Addison's disease.

17. Another name for IVU
Wilms' tumor.
Cushing's syndrome
Intravenous pyelogram (IVP).
Severe headaches - excess sweating - tachycardia-palpitations - anxiety - tremor - pain in the epigastric region - weight loss - and heat intolerance.

18. Incision used for implantation of a donor kidney.
Inherited - develops between the ages of 30 and 40 - 90% of all PKD fall into this category.
When the parenchyma of the kidney is replaced by multiple fluid-filled benign cysts.
Severe headaches - excess sweating - tachycardia-palpitations - anxiety - tremor - pain in the epigastric region - weight loss - and heat intolerance.
Gibson incision

19. Incision often used to access the scrotal contents of an adult or child.
Twisting
Inguinal incision
The surgical removal of one or both adrenal glands.
Renal cell carcinoma

20. Autosomal recessive PKD
Inherited - extremely rare - affects young children.
End-stage renal disease (ESRD)
Testicular cancer
Wilms' tumor.

21. Four basic chemical types of urinary calculi.
End-stage renal disease (ESRD)
Gibson incision
Calcium-based 75% - struvite or magnesium ammonium phosphate 15% - uric acid - cystine.
End-stage renal disease

22. Injection of a contrast medium.
A tumor affecting the medulla of the adrenal gland causing an overproduction of adrenaline.
IVU
Phimosis
Cryptorchidism

23. Should be performed as soon as possible to prevent testicular torsion from reoccuring.
Hypospadias
Addison's disease
PKD/polycystic kidney disease.
Orchiopexy

24. Congenital nephroblastoma is also called

25. Abdominal ultrasound and CT scans.
Renal cell carcinoma
Primary cause is a pituitary tumor (overproduction of ACTH) - tumor of the adrenal cortex (may be benign or malignant).
Adrenalectomy
Urinalysis

26. Incision of choice for radical orchiectomy.
Inguinal incision
Forcefully removes tumor segments and blood clots from the bladder.
Testicular torsion
Retrograde urogram

27. Incision - direct access provided to the adrenal gland - kidney - and proximal ureter.
Adrenalectomy
Flank incision
The surgical removal of one or both adrenal glands.
Benign prostatic hypertrophy (BPH)

28. Ultrasound - CT - and MRI will aid in diagnosing the extent of the tumor and any metastasis.

29. Acquired cystic kidney disease
Addison's disease.
Develops in patients with long-term kidney problems - symptoms occur later in life.
Dialysis and kidney transplant.
Addison's disease

30. Incision - exposes the entire kidney.
Transcostal incision
When the parenchyma of the kidney is replaced by multiple fluid-filled benign cysts.
Flank incision
Regular X-rays - ultrasound - CT scan - and MRI's.

31. 50% of all persons affected progress to kidney failure or ESRD.
Renal cell carcinoma
A nuclear medicine study that is designed to detect and locate pheochromocytoma.
Severe headaches - excess sweating - tachycardia-palpitations - anxiety - tremor - pain in the epigastric region - weight loss - and heat intolerance.
PKD/polycystic kidney disease.

32. Hormone replacement with corticosteroids is essential for life.

33. Incision - planned between the 11th and 12th rib - involves separation rather than resection.
Intercostal incision
Polycystic kidney disease or diabetic nephropathy.
Autosomal dominant - autosomal recessive - acquired cystic kidney disease.
Inguinal incision

34. Orchiectomy is recommended and follow-up treatment with radiation or chemotherapy.
Testicular cancer
Inguinal incision
Regular X-rays - ultrasound - CT scan - and MRI's.
Subcostal flank incision

35. Follow-up care may include lifelong hormone replacement therapy.
Postadrenalectomy
Hypospadias
Kimmelstiel-Wilson disease/diabetic nephropathy
Primary cause is a pituitary tumor (overproduction of ACTH) - tumor of the adrenal cortex (may be benign or malignant).

36. Classic symptoms of Pheochromacytoma.
When the parenchyma of the kidney is replaced by multiple fluid-filled benign cysts.
Severe headaches - excess sweating - tachycardia-palpitations - anxiety - tremor - pain in the epigastric region - weight loss - and heat intolerance.
Endoscopy
Hypospadias

37. Weight loss - weakness and fatigue - GI disturbances - low blood pressure - darkening of the skin - hair loss - and dramatic mood and behavior changes.

38. A malignance affecting the kidney that occurs in children primarily between the ages of 3 and 4.

39. Flank or lumbar incision
An anterior to posterior radiographic view of the urinary system.
Kimmelstiel-Wilson disease - and diabetic glomerulosclerosis.
Adrenal gland
Secretes epinephrine and norepinephrine.

40. KUB stands for?
Renal cell carcinoma
Renal cell carcinoma
Kidney - ureters - and bladder.
Benign prostatic hypertrophy (BPH)

41. Severely decreased or no urine output.
End-stage renal disease
Testicular cancer
Inherited - develops between the ages of 30 and 40 - 90% of all PKD fall into this category.
Benign prostatic hypertrophy (BPH)

42. May reduce or obstruct blood flow and produce ischemia or necrosis.
Gibson incision.
Intercostal incision
Testicular torsion
Testicular cancer

43. Incision used to access the scrotal contents.
Biopsy
Scrotal incision
Hypospadias
Circumcision

44. Radical nephrectomy recommended if it has not spread.
Benign prostatic hypertrophy (BPH)
Renal cell carcinoma
Inherited - extremely rare - affects young children.
Regular X-rays - ultrasound - CT scan - and MRI's.

45. Seen in patients with end-stage renal disease who are on dialysis.
Biopsy
Dialysis and kidney transplant.
Renal cell carcinoma
Secretes steroid-type hormones essential to the control of fluid and electrolyte balance.

46. Allows for visualization of the affected structures.
Inguinal incision
Adrenalectomy
A nuclear medicine study that is designed to detect and locate pheochromocytoma.
Endoscopy

47. Three cavernous structures of the penis.
Cortex and medulla
Flank incision
It allows the bladder to prevent reflux through muscular contraction upon the ureter.
The two corpora cavernosa on the dorsal side that lie side by side. The corpus spongiosum which lies in the midline below the former structures.

48. 90% of the cases only one kidney is affected.

49. Three types of PKD.
Renal cell carcinoma
Develops in patients with long-term kidney problems - symptoms occur later in life.
Autosomal dominant - autosomal recessive - acquired cystic kidney disease.
Tissue samples

50. Incision used to access the lower portion of the ureter.
The two corpora cavernosa on the dorsal side that lie side by side. The corpus spongiosum which lies in the midline below the former structures.
Gibson incision.
Polycystic kidney disease or diabetic nephropathy.
Inguinal incision