Deck 35: Urologic Surgery

Question 1

Cystoscopy procedures are not sterile so they do not require the use of masks or a sterile field.

Answer 1

False
Proper attire is worn by all personnel entering the OR.Personal protective equipment should be worn if there is a possibility of splashing or aerosolization.It is recommended that the urologist wear a sterile gown and sterile gloves.Procedures performed in the cysto room should be performed as in a sterile field to prevent infection.Adherence to aseptic technique should be practiced to prevent urinary tract infection.

Question 2

Before transsexual surgery,a patient must undergo individual and family counseling to prepare for the transition.

Answer 2

True
A patient who desires to become a member of the opposite sex must live in the desired role for a period of 1 year,undergo psychiatric counseling,and have counseling as part of the plan of care.

Question 3

What describes a mass attached to the epididymis that can be palpated?

A) Varicocele
B) Spermatocele
C) Hydrocele
D) Vasa deferentia

Answer 3

B
A spermatocele is a small mass attached to the epididymis that is palpated in the scrotum superior to the testis.It is a painless cyst composed of testicular fluid and sperm cells.

Question 4

What type of angle of vision is 0 degrees and is helpful in viewing the urethra?

A) Right angle
B) Direct forward
C) Lateral
D) Foroblique

Question 5

Which organ of the urinary system connects the kidney and bladder?

A) Nephron
B) Renal parenchyma
C) Ureter
D) Tubule

Question 6

What size is the usual adult cystoscope?

A) 25 Fr
B) 29 Fr
C) 21 Fr
D) 70 Fr

Question 7

What type of procedure involves the removal of staghorn renal calculus?

A) Percutaneous chemolysis
B) Percutaneous nephrostolithotomy
C) Ultrasonic lithotripsy
D) Nephrolithotomy or pyelolithotomy

Question 8

Which solution is commonly used as irrigation during a TURP procedure?

A) Normal saline
B) Lactated Ringer's
C) Sterile water
D) Glycine

Question 9

When performing a pelvic lymphadenectomy,if the lymph nodes are found to be positive for cancer,the surgeon will most likely continue with the radical perineal prostatectomy.

Question 10

What type of procedure uses shock waves to break up and fragment a renal calculus?

A) Percutaneous nephrostolithotomy
B) ESWL
C) Percutaneous chemolysis
D) Cystoscopy

Question 11

Which procedure measures the bladder voiding pressure?

A) Cystoscopy
B) Fulguration
C) Cystometrogram
D) Lithotripsy

Question 12

What type of procedure involves a kidney segment being removed along with the ligation of the renal blood supply to that segment?

A) Radical nephrectomy
B) Nephrectomy
C) Partial nephrectomy
D) Nephrostomy

Question 13

Males are more predisposed to urinary tract infections because of the location of the urethra to the anus.

Question 14

Which of the following is a purpose of the kidney?

A) Produces vitamin K
B) Produces the hormone aldosterone
C) Removes metabolic wastes from the blood
D) Produces white blood cells

Question 15

Which type of ureteral catheter might be used to bypass a ureteral stricture?

A) Acorn-tip catheter
B) Olive-tip catheter
C) Garceau tapered-tip catheter
D) Flexible filiform-tip catheter

Question 16

In female to male sex reassignment situations,it is possible to create a similar shaped penile shaft and a comparable scrotum.

Question 17

An ileal conduit is usually created after which procedure?

A) Prostatectomy
B) Subtotal colectomy
C) Radical cystectomy
D) Pyelolithotomy

Question 18

Which patient position is commonly used when the kidney is exposed posteriorly?

A) High lithotomy
B) Supine
C) Lateral
D) Recumbent

Question 19

What type of instrument is used to dilate the male urethra before a cystoscope is performed?

A) Hagar dilator
B) Straight sounds
C) Van Buren sounds
D) Uterine sounds

Question 20

A Toomey evacuator is a double-bowl-shaped glass or plastic receptacle used to trap fragments so that they do not wash back into the sheath of the endoscope during irrigation.

Question 21

Which is a solution that may be used during a cystoscopic procedure when an ESU is in use?

A) Saline
B) Sterile water
C) Glycine
D) Distilled water

Question 22

MATCHING
Match each condition with its definition.
a.Nephrectomy
b.Pyeloplasty
c.Prostatic hypertrophy
d.Phimosis
e.Varicocele
f.Penectomy
g.Orchiectomy
h.Hydrocele
i.Vasovasostomy
Accumulated fluid in scrotum

Question 23

MATCHING
Match each condition with its definition.
a.Nephrectomy
b.Pyeloplasty
c.Prostatic hypertrophy
d.Phimosis
e.Varicocele
f.Penectomy
g.Orchiectomy
h.Hydrocele
i.Vasovasostomy
Anastomosis of vas deferens

Question 24

Which is a common postoperative complication after urologic surgery?

A) Joint pain
B) Wound dehiscence
C) Headache
D) Oliguria

Question 25

What anatomical structure may be viewed through a cystoscopy?

A) Kidney
B) Renal vein
C) Renal pelvis
D) Bladder

Question 26

In what procedure is the perineum incised between the scrotum and the anal sphincter in order to enucleate the prostate gland from its capsule?

A) Radical retropubic prostatectomy
B) Perineal prostatectomy
C) TURP
D) Suprapubic prostatectomy

Question 27

MATCHING
Match each condition with its definition.
a.Nephrectomy
b.Pyeloplasty
c.Prostatic hypertrophy
d.Phimosis
e.Varicocele
f.Penectomy
g.Orchiectomy
h.Hydrocele
i.Vasovasostomy
Removal of one or both kidneys

Question 28

What determines which method of removing the prostate will be used?

A) Size of the prostate
B) Type of anesthesia
C) Age of the patient
D) Type of hospital

Question 29

MATCHING
Match each condition with its definition.
a.Nephrectomy
b.Pyeloplasty
c.Prostatic hypertrophy
d.Phimosis
e.Varicocele
f.Penectomy
g.Orchiectomy
h.Hydrocele
i.Vasovasostomy
Reconstruction of the kidney pelvis

Question 30

Which is a reason for injecting a periurethral bulking agent?

A) Erectile dysfunction
B) Neurogenic bladder
C) Urinary incontinence
D) Peritoneal dialysis

Question 31

Which is a procedure that can treat male impotence?

A) Penectomy
B) Dorsal vein ligation
C) Circumcision
D) Adrenalectomy

Question 32

MATCHING
Match each condition with its definition.
a.Nephrectomy
b.Pyeloplasty
c.Prostatic hypertrophy
d.Phimosis
e.Varicocele
f.Penectomy
g.Orchiectomy
h.Hydrocele
i.Vasovasostomy
Removal of testis

Question 33

What is created when both ureters are anastomosed to the terminal ileum?

A) Colostomy
B) Ileal conduit
C) Nephrostomy
D) Cutaneous ureterostomy

Question 34

Which glands are sometimes removed to prevent a recurrence of prostate or breast cancer?

A) Pituitary
B) Epithelial
C) Adrenal
D) Thyroid

Question 35

MATCHING
Match each condition with its definition.
a.Nephrectomy
b.Pyeloplasty
c.Prostatic hypertrophy
d.Phimosis
e.Varicocele
f.Penectomy
g.Orchiectomy
h.Hydrocele
i.Vasovasostomy
Enlarged prostate

Question 36

Which is the working unit of the kidney?

A) Nephron
B) Renal pyramid
C) Ureter
D) Renin

Question 37

The sizes of urologic endoscopes are measured in what scale?

A) French
B) Gauge
C) Inches
D) Yards

Question 38

Which is one of the components of the resectoscope?

A) Inner cannula
B) Outer cannula
C) Holder
D) Sheath

Question 39

MATCHING
Match each condition with its definition.
a.Nephrectomy
b.Pyeloplasty
c.Prostatic hypertrophy
d.Phimosis
e.Varicocele
f.Penectomy
g.Orchiectomy
h.Hydrocele
i.Vasovasostomy
Dilation of spermatic veins

Question 40

Which is a function of renal dialysis?

A) Increase removal of urine
B) Removal of waste products
C) Increase blood pressure
D) Increase production of renin

Question 41

MATCHING
Match each condition with its definition.
a.Nephrectomy
b.Pyeloplasty
c.Prostatic hypertrophy
d.Phimosis
e.Varicocele
f.Penectomy
g.Orchiectomy
h.Hydrocele
i.Vasovasostomy
Difficulty with foreskin retraction

Question 42

MATCHING
Match each condition with its definition.
a.Nephrectomy
b.Pyeloplasty
c.Prostatic hypertrophy
d.Phimosis
e.Varicocele
f.Penectomy
g.Orchiectomy
h.Hydrocele
i.Vasovasostomy
A treatment for penile cancer