Gu/gyn1

13 Questions

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Gu/gyn1

Questions and Answers
  • 1. 
    The caput of the epididymis is located
    • A. 

      Within the testis

    • B. 

      At the upper pole of the testis

    • C. 

      Along the posterior aspect of the testis

    • D. 

      At the inferior pole of the testis

  • 2. 
    Phimosis is found in an elderly male in the operating room.  A urinary catheter is required.  What is the best solution?
    • A. 

      Percutaneous suprapubic catheter placement

    • B. 

      Circumcision

    • C. 

      Dorsal slit of the foreskin

    • D. 

      Proceed without a catheter

  • 3. 
    Regarding creatinine clearance, which of the following is correct?
    • A. 

      It is an exact determination of renal function

    • B. 

      It records renal tubular function

    • C. 

      The GFR is easily measured

    • D. 

      It is based on age, weight and serum creatinine

  • 4. 
    The renal effects of PEEP are best characterized by:
    • A. 

      Renin release due to decreased venous return

    • B. 

      Increased intraabdominal pressure

    • C. 

      PEEP induced vasodilatation

    • D. 

      Diaphragmic pressure on renal vessels;

  • 5. 
    Cystometrograms for a voiding disorder following abdominoperineal resection will commonly reveal:
    • A. 

      Increased reflex activity

    • B. 

      Small contracted bladder

    • C. 

      Absence of reflex activity

    • D. 

      Outlet obstruction

  • 6. 
    Treatment of a resectable transitional tumor of the bladder with invasion of muscle is:
    • A. 

      Endoscopic resection

    • B. 

      Topical chemotherapy

    • C. 

      Radiation therapy

    • D. 

      Cystectomy

  • 7. 
    One of the unique features of an adenocarcinoma of the kidney is
    • A. 

      It is an uncommon tumor of the kidney

    • B. 

      It arises from the transitional epithelium

    • C. 

      Intravenous extension of the tumor often occurs

    • D. 

      Paraneoplastic syndromes are rare

  • 8. 
    Histologic diagnosis of a solid testicular tumor is determined by:
    • A. 

      Incisional biopsy trans-scrotal

    • B. 

      FNA of the tumor

    • C. 

      Orchiectomy via inguinal approach

    • D. 

      Core biopsy of the tumor

  • 9. 
    Stress incontinence of urine occurs with
    • A. 

      Meningocele

    • B. 

      Multiple sclerosis

    • C. 

      Anterior posterior resections

    • D. 

      Loss of pelvic support

  • 10. 
    Treatment for acute gonorrhoeae PID exhibiting peritoneal irritation and fever is
    • A. 

      IV cephalosporin

    • B. 

      Salpinogoopherectomy

    • C. 

      BSO-TAH

    • D. 

      Percutaneous pelvic drainage

  • 11. 
    A 30yo female with a history of dysmenorrhea and dyspareunia is found to have a tender 3cm smooth submucosal rectal mass.  Appropriate treatment is?
    • A. 

      Danazol

    • B. 

      Metronidazole

    • C. 

      Low anterior colon resection

    • D. 

      TAH-BSO

  • 12. 
    A 60yo female is operated on for a partial bowel obstruction.  A 6cm ovarian mass is found in one ovary.  The intraoperative pathology report is malignant.  The patient had a TAH 20 yrs ago.  The operation should:
    • A. 

      Be terminated for further workup

    • B. 

      Include BSO and omentectomy

    • C. 

      Periaortic node sampling

    • D. 

      Debulking, peritoneal washing, omentectomy and BSO

  • 13. 
    The findings associated with endometriosis include
    • A. 

      Deeply embedded tumors of the ovary

    • B. 

      White patches involving the vagina

    • C. 

      "gun powder" appearance of the pelvic viscera

    • D. 

      Gray nodules distributed over the parietal surface of the pelvis and abdomen