Genitourinary Trauma

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2. Auto accidents are not causes of blunt renal trauma

True

False

3. Extraperitoneal rupture is

Compression from pelvic hematoma

Rupture at bladder dome into peritoneal cavity.

Incomplete tear of the bladder wall

Rupture at the bladder base into intravesical space

4. A total or partial nephrectomy is another intervention for penetrating renal trauma.

True

False

5. Involves the prostatic or membranous urethra; the area of the urethra superior to the urogenital diaphragm

Posterior urethral injuries

Anterior urethral injuries

6. Parenchymal disruption extending through the cortex and into the medulla. The collecting system may or may not be involved.

Vascular injuries

Minor lacerations

Major lacerations

Contusion

7. Intraperitoneal rupture is

Incomplete tear of the bladder wall

Rupture at the bladder base into intravesical space

Rupture at bladder dome into peritoneal cavity.

Compression from pelvic hematoma

8. Application of direct pressure and moist saline compression is a medical intervention to treat male genital injuries

True

False

9. The amputated penis requires

A foley catheter

A suprapubic cystotomy catheter

Cold packs, scrotal elevation, and reassurance.

10. Scrotal exploration is used

For avulsion

For burns

To evacuate hemotoma

For amputations

11. What are two causes of penetrating renal trauma?

Ureteral stenting

Stab wounds

IVP

RPG

Gunshot wounds

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12. Do not insert foley catheter if blood is present at _____________

Upper urethra

Vagina

Rectum

Urinary meatus

13. Causes of injury to the male genitalia

contusion

Non-penetrating injuries

Penetrating injuries

14. Causes of injury to the male genitalia

fractures

Non-penetrating injuries

Penetrating injuries

15. Often result from the external force of a straddle type injury or blunt trauma.

Posterior urethral injuries

Anterior urethral injuries

16. Causes of injury to the male genitalia

amputation

Non-penetrating injuries

Penetrating injuries

17. Causes of injury to the male genitalia

blunt trauma

Non-penetrating injuries

Penetrating injuries

18. Involves the bulbar or penile urethra, the area inferior to the urogenital diaphragm. Bleeding and extravasation of urine takes place in the pereneum

Posterior urethral injuries

Anterior urethral injuries

19. A nephrectomy is done if

Severe damage to ureter and multiple trauma exist

Large section of ureter nonviable

Compression from pelvic trauma

Rupture at bladder dome into peritoneal cavity.

20. Superficial cortical disruptions that do not involve renal medulla and collecting system

Vascular injuries

Minor lacerations

Major lacerations

Contusion

21. What is the most frequently seen cause of trauma to the ureter?

Stab wounds

Gunshot wounds

Accidental injury during surgery

Sex

22. For penile microneurovascular replantation, you would be reattaching an amputated penis

True

False

I just wanted to put this word here

Explanation

I just wanted to put this word here

23. Occlusions or tears of the renal artery or vein

Vascular injuries

Minor lacerations

Major lacerations

Contusion

24. Other than surgical repair of small tears in bladder wall, what are three surgical interventions for penetrating bladder trauma?

Foley catheter

Urinary divertion

MRI

Suprapubic cystotomy

CT

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25. Usually occur as a result of the shearing force of a pelvic fracture. The prostate and the ligaments are pulled in one direction while the urethra is pulled in the other

Posterior urethral injuries

Anterior urethral injuries

26. Reconstruction of renal parenchyma is one intervention for penetrating renal trauma.

True

False

27. A ureteroneocystostomy covers the _____________ of the ureter

Middle third

Lower third

Upper third

Large section of ureter nonviable

28. A pyeloplasty covers the ____________ of the ureter

Middle third

Lower third

Upper third

Large section of ureter nonviable

29. Injury near the bladder base

Foley catheter

Urinary divertion

MRI

Suprapubic cystotomy

CT

30. Foley can aid in treatment of blunt urethral trauma

True

False

31. Other than Assaults/personal violence, what are two other causes of blunt renal trauma?

Childbirth

Falls

Contact sports

Kidney stones

IVs

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32. Penile fracture or scrotal injury requires

A foley catheter

A suprapubic cystotomy catheter

It to be wrapped in moist, sterile gauze and placed in an ice bath

Cold packs, scrotal elevation, and reassurance.

33. Bruises or subcapsular hematomas, the renal capsule and collecting systems are intake

Vascular injuries

Minor lacerations

Major lacerations

Contusion

34. ___ to __ of all renal injuries are caused by blunt trauma.

60%, 70%

75%, 90%

80%,90%

50%-75%

35. A transureteroureterostomy is to correct if

Severe damage to ureter and multiple trauma exist

Large section of ureter nonviable

Compression from pelvic trauma

Rupture at bladder dome into peritoneal cavity

36. Small contusion, lacerations ruptures

Foley catheter

Urinary divertion

MRI

Suprapubic cystotomy

CT

37. Causes of injury to the male genitalia:
Avulsions

Non-penetrating injuries

Penetrating injuries

38. All bladder injuries requires urine to be diverted away from the injury.

Foley catheter

Urinary divertion

MRI

Suprapubic cystotomy

CT

39. Causes of injury to the male genitalia

burns

Non-penetrating injuries

Penetrating injuries

40. A Ureteroureterostomy covers the __________of the ureter

Middle third

Lower third

Upper third

Large section of ureter nonviable

41. Most ureteral injuries are discovered ____________________

After signs of incontinence start showing up

During surgical exploration following injury

After surgery

During presurgery prep

42. A contusion is

Compression from pelvic hematoma

Rupture at bladder dome into peritoneal cavity.

Rupture at the bladder base into intravesical space

Incomplete tear of the bladder wall

43. Teardrop bladder is

Rupture at bladder dome into peritoneal cavity.

Compression from pelvic hematoma

Rupture at the bladder base into intravesical space

Incomplete tear of the bladder wall

44. A subcutaneous nephrostomy is one example of a surgical intervention for penetrating ureteral trauma

True

False

Percutaneous

Explanation

Percutaneous

45. Penetrating trauma accounts for ___ percentage of bladder injuries

A large

A small

Over half of the

Less than half of the

46. What are two other examples of surgical interventions to treat male genital injuries?

Urinary divertion

Suprapubic cystotomy

Cystography

Surgical reanastomosis of major blood vessels, corporal bodies, and urethra

Urethroplasty

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47. Other than a Cystography, what are two medical interventions to treat blunt bladder trauma

Foley catheter

Urinary divertion

MRI

Suprapubic cystotomy

CT

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48. Skin grafts are used

For avulsion

For burns

To evacuate hemotoma

For amputations

49. Approximately __% of ureteral injuries occur during GYN surgery

85

50

95

60

50. What are three other medical interventions to treat blunt urethral trauma

RPG

RUG

Cystoscopy

Suprapubic catheter

Suprapubic cystotomy

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51. Medical interventions to treat blunt renal trauma include

laboratory work
UA
IVP
______
______
______

CT

MRI

Antibiotics

Bed rest with hospitalization

Lidocaine

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52. Pelvic fracture is present in more than __% of blunt trauma resulting in bladder damage.

50

65

75

70

60

53. Gunshot wounds constitute __% of ureteral injuries from penetrating trauma.

85

59

95

60

54. What is the usual cause of bladder injuries?

Gunshot wounds

Surgeries

Blunt force trauma

Stab wounds

55. What will the patient have postoperatively? (may be more than one thing.)

A foley catheter

A suprapubic cystotomy catheter

Cold packs, scrotal elevation, and reassurance.

A hug

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56. Other than IVP, what are three medical interventions for blunt urethral trauma?

CT

MRI

RPG

UA

Urethral stenting

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