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genitourinary
st430 predictor test
| Question | Answer |
|---|---|
| Which part of the kidney becomes the proximal ureter? | renal pelvis |
| Which irrigation or distention fluid would be contraindicated during cystoscopy for fulguration of bladder tumor? | saline |
| Which distention fluid is nonelectrolytic and will lyse malignant tumor cells because of cellular uptake? | water |
| What is the name of the connective tissue that forms the umbilical ligament and is used for traction in radical cystectomy? | urachus |
| Which type of catheter is placed postoperatively following TURP? | 3-way 22 Fr. Foley with 30 mL balloon |
| Which of the following items would likely be needed if the pleural cavity is unintentionally entered during nephrectomy? | chest tube with drainage system |
| Dialysis and kidney transplant are the only two treatments for which of the following? | end-stage renal disease |
| Every instrument or catheter placed into the urethra should be lubricated to minimize mucosal injury or irritation. | True |
| Where in the genitourinary system do calculi originate? | kidney |
| What is the medical term for excision of the urinary bladder? | cystectomy |
| Bonanno, Malecot, and Pezzer are types of : | suprapubic catheters |
| Many hospitals allow use of only sterile gloves to set up the back table for cystoscopy procedures. | True |
| Simple nephrectomy is routinely performed in which position? | lateral |
| The vesical arteries that supply the bladder arise from the: | internal iliac artery |
| Flank, Gibson, inguinal, and scrotal are examples of: | operative approaches |
| Which of the following is responsible for emptying of the bladder and closure of the bladder orifice? | detrusor muscle |
| What device is used through the ureteroscope to capture an intact calculus or fragments if fractured by laser? Question 17Answer | basket stone forceps |
| Approximately how many lobules comprise the average prostate gland? | 50 |
| Which cutting instruments should the surgical technologist have ready for anastomosis of the renal vessels into the recipient? | #11 blade and 45° angle Potts scissors |
| When is a patient classified as being in end-stage renal failure? | when both kidneys are functioning at or below 10% of normal |
| What is the more common name for ureteroileocutaneous diversion? | ileal conduit |
| Which of the following is a glass or plastic evacuator used to remove tissue and debris during TURP? | Ellik |
| What might the donor kidney be placed into to reduce possibility of injury during handling and transplantation? | woven stockinette |
| What is the MOST serious post-op complication of penile implant surgery? | surgical site infection |
| Suprarenal glands are more commonly known as: | adrenal |
| Which suture configuration is used to anastomose vessels in transplants? | fine, nonabsorbable, double-armed |
| What anatomical structure is the bladder attached to in males? | prostate |
| Cystoscopy and ureteroscopy procedures are performed in which position? | low-lithotomy |
| Which of the following are male urethral dilators or sounds? | Van Buren |
| Omnipaque, Renografin, and Isovue are used in cystoscopy as: | contrast media |
| What is done with the edge of the ilium that is brought out through the abdominal wall for stoma creation? | The edges are everted and affixed to the skin. |
| In what position is the patient placed for proximal pyelolithotomy? | lateral |
| What is the name of the basic structure composed of renal corpuscles and tubules and numbers over a million? | nephron |
| Which of the following comparisons of normal or typical kidney anatomy is CORRECT? | The left kidney is larger and slightly higher than the right. |
| Surgical technologists are not required to be proficient in endoscopic genitourinary procedures, only open cases because there are cystoscopy specialists who will do them. | False |
| What is the name of a continent urinary reservoir that may be performed following cystectomy? | Koch pouch |
| What is the medical term for the free fold of skin that covers the glans penis? | prepuce |
| Which signal should alert the surgical team that prostate capsule perforation is imminent and may conclude the procedure? | leg jerking |
| Which instrument is used in TURP or TURBT and includes the sheath, obturator, working element, and ESU loops? | resectoscope |
| What is a unique feature of the OR table in a cystoscopy suite? | It has a mesh drain attachment. |
| Cryptorchidism is more commonly known as: | undescended testicles |
| What is the term for an abnormal accumulation of serous fluid around the testis contained within the tunica vaginalis? | hydrocele |
| What type of light is used for illumination in endoscopic equipment? | fiber-optic |
| Which of the following studies is a radiologic procedure in which contrast media is injected through a cystoscope? | retrograde urogram |
| Which of the following is NOT a type of pubovaginal or suburethral sling? | radiopaque vaginal packing |
| What does specialized tissue within the seminiferous tubules produce? | sperm |
| Radical nephrectomy is usually performed with the patient in which position? | supine |
| What does the adrenal medulla secrete? | catecholamines |
| Which dilating instrument is used to dilate the corpora for placement of penile prosthesis? | Hegar |
| What structure of male anatomy is divided into three sections: prostatic, membranous, and spongy? | urethra |
| Which of the following is the term for the inability to retract the foreskin of the penis? | phimosis |
| Procedures for female urinary incontinence may be performed by gynecologists, urologists, or urogynocologists. | True |
| Into which anatomical area of the abdomen will a transplated donor kidney be implanted? | right lower quadrant |
| Diabetes, vascular disorder, nerve damage, and trauma are all possible causes of: | impotence |
| What is used to resect the prostate gland tissue through the resectoscope? | ESU loop electrode |
| What is one of the main objectives of procedures for female stress incontinence? | restore the posterior urethrovesical angle |
| What is the common diagnosis of a patient undergoing transurethral resection of the prostate? | benign prostatic hypertrophy |
| Marshall-Marchetti-Krantz (MMK) is a traditional version of which general type of procedure? | suprapubic vesicourethral suspension |
| The anatomical structures excised during radical cystectomy are different between male and female patients. | True |
| In which surgical approach would the latissimus dorsi, internal and external oblique muscles be transected for access to the operative site? | subcostal flank |
| Which of the following is given IV after the donor kidney is removed to reverse the heparinization? | protamine sulfate |
| In radical cystectomy with ileal conduit on a male patient, what tissue will be sent for frozen section to verify clear margins? | segments of bilateral ureters |
| Which of the following structures encloses the kidneys and suprarenal glands? | Gerota's fascia |
| Which of the following is NOT a form of polycystic kidney disease? | traumatic |
| Which procedure is performed for testicular cancer, trauma, or necrosis secondary to torsion? | orchiectomy |
| What is the morcellator used for in a laparoscopic simple nephrectomy? | chopping the kidney and ureter into small pieces for suctioning |
| Baumrucker, Iglesias, Stern-McCarthy, and Nesbit are types of: | resectoscopes |
| What measure is taken to reduce the metabolic needs and prevents tubular necrosis of a kidney removed for transplant? | cooling with Collins solution or ice slush |
| How many suture ligatures or free ties should the surgical technologist have prepared for ligation of the renal artery and vein prior to transsection and removal? | three |
| What procedure is performed to remove a calculus lodged in the area of the hilum? | pyelolithotomy |
| Which structure is ligated and transsected first in a radical nephrectomy or laparoscopic simple nephrectomy, following isolation of the vessels and ureter? | renal vein |
| Which of the following procedures could be done in either a male or female patient? | TURBT |
| What is the medical term for the procedure of connecting a donor ureter to a recipient bladder? | ureteroneocystostomy |
| An elevated serum PSA exam might prompt the additional investigation of a(n): | prostate biopsy |
| Vesicourethral suspension and pubovaginal slings are performed to mainly treat moderate to severe: | stress incontinence |
| Which of the following is used to ensure patency of the ureters or allow for drainage of urine from the kidneys? | double-J or pigtail stent |
| What procedure is performed for penile carcinoma resistant to chemotherapy or radiation? | penectomy |
| Where is the hilum of the kidney located? | medial midsection |
| Just before the surgeon clamps the renal vessels of the donor's kidney, what does the anesthesia provider put in the IV? | heparin and mannitol |
| How is the anesthetic jelly that is inserted into the male urethra prior to cystoscopy kept from leaking out? | A flexible penile clamp is applied to the head of the penis. |
| Which incisional approach is used for access to the lower ureter and may be used for donor kidney implantation? | Gibson |
| Which self-retaining retractor is used for open suprapubic prostatectomy? | Judd-Mason |
| At approximately what age or period would a patient MOST likely be diagnosed with a Wilms' tumor? | between ages 3 and 8 years |
| Adenocarcinoma has a direct correlation to each of the following EXCEPT: | liver cirrhosis |
| Which component of the rigid endoscopic system for cystoscopy is blunt ended and minimizes mucosal trauma during insertion? | obturator |
Created by:
editsuchan
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