MCQ 3rd week of April, 2015

 

11

  1. 32 year old female patient develop lower limb weakness after one month of L5 laminectomy. She has intermittency with residual urine volume of 310 cc. Video-urodynamics study demonstrate detrusor- sphincter dyssynergia. The most likely explanation is: .
a.     Recurrent lumbar disk herniation.
b.    Pseudodyssynergia.
c.     Permanent nerve injury from the disk.
d.    Cauda equina syndrome.
e.     undiagnosed Multiple sclerosis.

 

  1. 27 year old male patient with pelvic fracture due to car accident. Two years later, he complains of in adequate erection. He denied any difficulty in orgasm and ejaculation. Intracavernosal injection of 15 µg of PGE1 produces soft erection. The next step is:

 

a.     Pelvic /pedendal arteriography.
b.    Infusion cavernosography.
c.     Color Doppler study of penile arteries.
d.    Intracavernosal injection of  30 µg of PGE1 .
e.     Infusion cavernosometry.

 

  1. 41 year old woman develop pelvic and suprapubic pain associated with temperature of 38.5 C , three weeks after retropubic bladder neck suspension. She also has difficulty in adducting her thighs and has pain on palpation of symphysis pubis. The most likely diagnosis is:                               .
a.     Osteomyelitis of pubis
b.    Osteitis pubis.
c.     Pelvic abscess.
d.    Urinary extravasation.
e.     Obturator nerve injury.

 

  1. During the exchange of chronic 6 Fr DJ stent in 44 year old woman with history of pelvic radiation for Cervical cancer, she develops sever bleeding from the right ureteric orifice which continues for 6 hours inspite of that she remains stable. The next step is:

 

 

a.     Right percutaneous nephrostomy.
b.    Replace the stent with 8 Fr. Stent.
c.     Open exploration.
d.    Ureteroscopy with fulgration.
e.     Angiography and placement of endovascular graft.

 

  1. With a pneumoperitoneum of 15 mm.Hg the following changes would be expected:

 

a.    Increased Heart rate , decreased GFR, increased Mean arterial pressure.
b.    Increased Heart rate , decreased GFR, decreased Mean arterial pressure.
c.     Increased Heart rate , increased GFR, decreased Mean arterial pressure.
d.    Decreased Heart rate , increased GFR, decreased Mean arterial pressure.
e.    Decreased Heart rate , decreased GFR, increased Mean arterial pressure.

 

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1 Comment

Filed under MCQ

One response to “MCQ 3rd week of April, 2015

  1. SAMIR

    1- e
    2-d
    3-a
    4-e
    5-b

    Like

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