MCQ 4th week of June, 2015 

11

 

  1. T8 paraplegia woman of 35 year old underwent augmentation iliocystoplasty to treat her incontinence that unrespond to CIC and antimuscarinics. This incontinence persist postoperatively and not respond to antimuscarinics too. Her Urodynamic study is seen below. What is the next step:
a.     Bladder neck closure and appendicovesicostomy.
b.    Creating an ileovesicostomy.
c.     placing a pubovaginal sling.
d.    Continent catheterizable urinary diversion.
e.     Inserting an additional bowel patch into the cystoplasty.

 

  1. A CT scan of 44 year old woman who has a sudden onset of sever Right flank pain shows a right perirenal hematoma. The underlying cause mostly is:
a.     Complex renal cyst.
b.    Renal adenocarcinoma.
c.     Polyarteritis nodosa.
d.    Renal angiomyolipoma.
e.     Renal artery aneurysm.

 

  1. A newborn boy with a history of Lt. prenatal Hydronephrosis develops a gram negative urosepsis despite prophylactic amoxicillin. VCUG is NL. Renal US show moderate hydronephrosis and hydroureter. MAG 3 renal scan  show the differential renal function is 74/26 (right/left) . the next step is:

 

a.     Tapered ureteral reimplantation.
b.    Observation.
c.     Distal cutaneous ureterostomy.
d.    Change prophylaxis to methoprim.
e.     Cutaneous pyelostomy.

 

  1. A 75 year old man has a retracted stoma and clear fluid leaking from midline incision three weeks after radical cystectomy and ileal conduit diversion. The next step is percutaneous pelvic drainage and:
a.     Exploration, repair of leak.
b.    Stomal cathter.
c.     Loop endoscopy, fulguration.
d.    Fascial repair.
e.     Stomal revision.

 

  1. A 72 year old healthy, uncircumcised man has a 4 cm penile tumor and undergoes partial penectomy. Histopathology shows high grade squamous cell carcinoma invading the corpora cavernosum with negative surgical margins. After four weeks of antibiotic therapy, there was bilateral bulky fixed, inguinal adenopathy and bilateral pelvic adenopathy. The next step is :
a.     Neoadjuvant cisplatin, ifosfamide and paclitaxel.
b.    XRT to inguinal nodes.
c.     Pelvic lymph node biopsy.
d.    Sentinel inguinal lymph node biopsy.
e.     Bilateral pelvic and inguinal lymph node dissection.

 

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1 Comment

Filed under MCQ

One response to “MCQ 4th week of June, 2015 

  1. samir

    1-c
    2-d
    3-c
    4-b
    5-b

    Like

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