Ureteroscopy and Percutaneous Nephrolithotomy Quiz
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Questions and Answers

Which treatment approach is considered the most effective for large renal calculi and those on the upper calyx, as well as lower pole stones and those with kidney obstruction and infection?

  • Ureteroscopy
  • Open surgery
  • Percutaneous nephrolithotomy (PCNL) (correct)
  • Extracorporeal shock wave lithotripsy (ESWL)

    • What is the success rate of ureteroscopic treatment?

  • 90%
  • 100%
  • 95% (correct)
  • 80%

    • What is the main limitation of Extracorporeal Shock Wave Lithotripsy (ESWL)?

  • It is limited to certain types of stones and lacks effective aftercare (correct)
  • It requires a percutaneous surgical tract and a general or spinal anesthetic
  • It has a high incidence of complications
  • It is an invasive procedure

    • When is ureteroscopy used as an alternative treatment approach?

    <p>When a stone is displaced during the procedure</p> Signup and view all the answers

    What is the typical incidence of complications associated with Percutaneous Nephrolithotomy (PCNL)?

    <p>20-30% minor complications, 10-20% major complications</p> Signup and view all the answers

    What is the main advantage of ureteroscopy compared to open surgery?

    <p>Shorter recovery time</p> Signup and view all the answers

    What is the recommended treatment for pregnant women or patients with bleeding disorders who cannot undergo invasive surgical procedures?

    <p>Extracorporeal shock wave lithotripsy (ESWL)</p> Signup and view all the answers

    Which procedure involves puncturing the skin at the intersection of the lower pole of the kidney and the mid axillary line?

    <p>Percutaneous nephrolithotomy (PCNL)</p> Signup and view all the answers

    Which of the following statements about ureteroscopy is NOT true?

    <p>It is the recommended first-line treatment for all ureteric stones.</p> Signup and view all the answers

    What is the recommended treatment for lower pole stones, according to an animal model mentioned in the text?

    <p>Creating a nephrostomy and allowing the stone to pass into the kidney before removal</p> Signup and view all the answers

    Which procedure involves removing the kidney for an extracorporeal procedure to remove the stone, typically reserved for complex stone burden in a poorly functioning kidney?

    <p>Ex-vivo nephrolithotripsy</p> Signup and view all the answers

    Which statement about traditional open nephrolithotomy is NOT true?

    <p>It is the recommended treatment for all types of kidney stones.</p> Signup and view all the answers

    What is the success rate of extracorporeal shock wave lithotripsy (ESWL) for the treatment of urolithiasis?

    <p>70-90%</p> Signup and view all the answers

    Which procedure is recommended for children when surgery poses an unacceptable risk to their well-being?

    <p>Extracorporeal shock wave lithotripsy (ESWL)</p> Signup and view all the answers

    Which of the following statements about percutaneous nephrolithotomy (PCNL) is NOT true?

    <p>It is recommended for patients with small stones less than 2 cm.</p> Signup and view all the answers

    What is the advantage of ureteroscopy?

    <p>Its ability to directly visualize the ureter and kidney, allowing for direct treatment of stones.</p> Signup and view all the answers

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