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Genitourinary Surgery

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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. Incision used to access the lower portion of the ureter.
Severe headaches - excess sweating - tachycardia-palpitations - anxiety - tremor - pain in the epigastric region - weight loss - and heat intolerance.
Gibson incision.
Renal cell carcinoma
Benign prostatic hypertrophy (BPH)

2. 50% of all persons affected progress to kidney failure or ESRD.
Renal cell carcinoma
PKD/polycystic kidney disease.
End-stage renal disease
Cryptorchidism

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

4. Directly linked to cigarette smoking and heredity.
Renal cell carcinoma
Cortex and medulla
Adrenal gland
More than one million.

5. Incision used for implantation of a donor kidney.
Gibson incision
Hypospadias
Kimmelstiel-Wilson disease - and diabetic glomerulosclerosis.
Calcium-based 75% - struvite or magnesium ammonium phosphate 15% - uric acid - cystine.

6. What is PKD?
When the parenchyma of the kidney is replaced by multiple fluid-filled benign cysts.
Cryptorchidism
Secretes steroid-type hormones essential to the control of fluid and electrolyte balance.
PKD/polycystic kidney disease.

7. Abdominal ultrasound and CT scans.
Flank incision
Renal cell carcinoma
Transcostal incision
Addison's disease

8. Should be performed as soon as possible to prevent testicular torsion from reoccuring.
PKD/polycystic kidney disease
An anterior to posterior radiographic view of the urinary system.
Orchiopexy
Renal cell carcinoma

9. A normal part of aging affecting most men over the age of 50.
Polycystic kidney disease
Gibson incision.
Benign prostatic hypertrophy (BPH)
Calcium-based 75% - struvite or magnesium ammonium phosphate 15% - uric acid - cystine.

10. Two portions of the adrenal gland
Cortex and medulla
Renal cell carcinoma
Biopsy
PKD/polycystic kidney disease

11. KUB stands for?
Twisting
Gibson incision
Kidney - ureters - and bladder.
Forcefully removes tumor segments and blood clots from the bladder.

12. What is phimosis?
Kidney - ureters - and bladder.
More than one million.
Wilms' tumor.
A condition that prevents the foreskin from retracting over the glans penis.

13. Flank or lumbar incision
Addison's disease
Benign prostatic hypertrophy (BPH)
Adrenal gland
Useful in determining cancer of the prostate.

14. Severely decreased or no urine output.
Addison's disease.
Biopsy
End-stage renal disease (ESRD)
End-stage renal disease

15. PKD
Emptying the bladder and closing the bladder orifice.
Wilms' tumor.
Polycystic kidney disease
A tumor affecting the medulla of the adrenal gland causing an overproduction of adrenaline.

16. Pheochromacytoma
Inherited - develops between the ages of 30 and 40 - 90% of all PKD fall into this category.
A tumor affecting the medulla of the adrenal gland causing an overproduction of adrenaline.
Intravenous pyelogram (IVP).
Polycystic kidney disease or diabetic nephropathy.

17. Two conditions that often lead to ESRD.
Polycystic kidney disease or diabetic nephropathy.
Forcefully removes tumor segments and blood clots from the bladder.
Tissue samples
Renal cell carcinoma

18. One or both testicles fail to descend to the final destination in the scrotum after the first year of life.
Cryptorchidism
End-stage renal disease
Polycystic kidney disease or diabetic nephropathy.
Renal cell carcinoma

19. Congenital nephroblastoma is also called

20. Torsion of the testicle
Twisting of the spermatic cord
Renal cell carcinoma
Gibson incision.
Urinalysis

21. Retrograde urogram
Orchiopexy
Adrenalectomy
Contrast medium is injected into the ureters with the use of a cystoscope because of an obstruction.
The surgical removal of one or both adrenal glands.

22. Incision - provides limited exposure - used for adrenalectomy - renal biopsy - or removal of a small low-lying kidney.
Calcium-based 75% - struvite or magnesium ammonium phosphate 15% - uric acid - cystine.
Lumbar incision
Hypospadias
Renal cell carcinoma

23. Urethral opening occurs in the vagina of the female.
Hypospadias
Testicular torsion
Adrenalectomy
Intercostal incision

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

25. Three types of PKD.
Renal cell carcinoma/adenocarcinoma of the renal cells.
Renal cell carcinoma
Renal cell carcinoma
Autosomal dominant - autosomal recessive - acquired cystic kidney disease.

26. MIBG
Cryptorchidism
PKD/polycystic kidney disease.
A nuclear medicine study that is designed to detect and locate pheochromocytoma.
Renal cell carcinoma

27. Acquired cystic kidney disease
Nephrons
End-stage renal disease (ESRD)
Develops in patients with long-term kidney problems - symptoms occur later in life.
Adrenal gland

28. Best for nonmalignant masses.
Testicular cancer
Endoscopic removal
Renal cell carcinoma
Hypospadias

29. Incision - direct access provided to the adrenal gland - kidney - and proximal ureter.
A nuclear medicine study that is designed to detect and locate pheochromocytoma.
Biopsy
Flank incision
Retrograde urogram

30. Obtained using percutaneous - endoscopic - and open methods.
Tissue samples
Wilms' tumor.
Intercostal incision
A nuclear medicine study that is designed to detect and locate pheochromocytoma.

31. Allows for visualization of the affected structures.
Endoscopy
Renal cell carcinoma
Emptying the bladder and closing the bladder orifice.
Twisting

32. 5 year survival rate around 75%.
Hypospadias
Forcefully removes tumor segments and blood clots from the bladder.
A condition that prevents the foreskin from retracting over the glans penis.
Renal cell carcinoma

33. Incision often used to access the scrotal contents of an adult or child.
Hypospadias
Secretes steroid-type hormones essential to the control of fluid and electrolyte balance.
Autosomal dominant - autosomal recessive - acquired cystic kidney disease.
Inguinal incision

34. Diabetic nephropathy other names.
A nuclear medicine study that is designed to detect and locate pheochromocytoma.
Kimmelstiel-Wilson disease - and diabetic glomerulosclerosis.
Severe headaches - excess sweating - tachycardia-palpitations - anxiety - tremor - pain in the epigastric region - weight loss - and heat intolerance.
Cortex and medulla

35. PSA
Inherited - develops between the ages of 30 and 40 - 90% of all PKD fall into this category.
Intercostal incision
Adrenalectomy
Useful in determining cancer of the prostate.

36. Incision involves cutting the muscles.
Flank incision
Emptying the bladder and closing the bladder orifice.
Dialysis and kidney transplant.
Pituitary tumors - surgical removal or radiation therapy. Benign adrenal tumors - removed endoscopically - malignant tumors - surgical removal.

37. Torsion
Twisting
Contrast medium is injected into the ureters with the use of a cystoscope because of an obstruction.
Transcostal incision
Diabetic nephropathy/Kimmelstiel-Wilson disease.

38. Injection of a contrast medium.
End-stage renal disease
Circumcision
IVU
Testicular torsion

39. Diagnosis for ESRD
Adrenal gland
When the kidneys are functioning at less than 10% of normal capacity.
Useful in determining cancer of the prostate.
Polycystic kidney disease or diabetic nephropathy.

40. Treatment includes antibiotic therapy - medication for pain - there is no cure.
Hypospadias
Intravenous pyelogram (IVP).
PKD/polycystic kidney disease.
It allows the bladder to prevent reflux through muscular contraction upon the ureter.

41. Four basic chemical types of urinary calculi.
Cryptorchidism
Calcium-based 75% - struvite or magnesium ammonium phosphate 15% - uric acid - cystine.
Addison's disease
Polycystic kidney disease

42. The only way to accurately determine the presence of malignancy and the exact cell type.
Inguinal incision
Biopsy
It allows the bladder to prevent reflux through muscular contraction upon the ureter.
Wilms' tumor.

43. Incision - planned between the 11th and 12th rib - involves separation rather than resection.
Renal cell carcinoma
Endoscopic removal
Kimmelstiel-Wilson disease - and diabetic glomerulosclerosis.
Intercostal incision

44. Autosomal recessive PKD
Renal cell carcinoma
Inherited - extremely rare - affects young children.
Autosomal dominant - autosomal recessive - acquired cystic kidney disease.
Cryptorchidism

45. The most common type of kidney cancer.
Renal cell carcinoma/adenocarcinoma of the renal cells.
Renal cell carcinoma
Inherited - develops between the ages of 30 and 40 - 90% of all PKD fall into this category.
Wilms' tumor.

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

47. Done endoscopically or via a traditional incision.
Cryptorchidism
Addison's disease
End-stage renal disease
Adrenalectomy

48. Radical nephrectomy recommended if it has not spread.
Renal cell carcinoma
Epispadias.
Hypospadias
Testicular cancer

49. Includes increased BUN and creatinine levels.
End-stage renal disease (ESRD)
Renal cell carcinoma
Adrenalectomy
Polycystic kidney disease or diabetic nephropathy.

50. Excessive thirst and edema.
Epispadias.
Addison's disease
Gibson incision
Diabetic nephropathy/Kimmelstiel-Wilson disease.