Deck 35: Urologic Surgery

Question 1

Which is the working unit of the kidney?

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

Answer 1

A
Nephrons,the essential components of renal function,make up the renal pyramid.The renal pyramids form the renal medulla,which make up the renal parenchyma.

Question 2

What blood test is ordered after a prostate screening?

A)CBC
B)C125
C)24-Hour urine collection
D)PSA

Answer 2

D
The standard of care includes an annual digital prostate examination and prostate specific antigen (PSA)test after 40 years of age.

Question 3

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

Answer 3

B
Direct forward or 0-degree vision is useful in viewing the urethra and for use with the urethrotome.

Question 4

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 5

The sizes of urologic endoscopes are measured in what scale?

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

Question 6

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 7

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

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

Question 8

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

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

Question 9

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

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

Question 10

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 11

Which procedure measures the bladder voiding pressure?

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

Question 12

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 13

What size is the usual adult cystoscope?

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

Question 14

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 15

What position is a patient placed in for gynecology and urinary procedures?

A)Supine
B)Prone
C)Lateral
D)Lithotomy

Question 16

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 17

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 18

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 19

Which is a common postoperative complication after urologic surgery?

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

Question 20

An ileal conduit is usually created after which procedure?

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

Question 21

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 22

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 23

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

Question 24

A topical anesthetic is instilled into the urethra at the end of the prep such as 1% or 2% lidocaine to help with discomfort.

Question 25

Which is a reason for injecting a periurethral bulking agent?

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

Question 26

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

Question 27

What anatomic structure may be viewed through a cystoscopy?

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

Question 28

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

Question 29

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

Question 30

Which is one of the components of the resectoscope?

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

Question 31

When is ureteral stent placement necessary?

A)Long-term drainage
B)Removal of waste products
C)Increase blood pressure
D)Increase production of renin

Question 32

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

Question 33

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

Question 34

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

Question 35

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 36

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

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

Question 37

Hemodialysis is the removal of waste products from the blood with the use of an artificial kidney.

Question 38

Which is a procedure that can treat male impotence?

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

Question 39

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

Question 40

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

Question 41

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

Question 42

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