Urethral Injury and Stone Diagnosis Quiz
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Questions and Answers

What grade is a cortical laceration more than 1 cm without urine extravasation?

  • Grade 2
  • Grade 4
  • Grade 3 (correct)
  • Grade 1
  • Which of the following statements about T1 bladder cancer is true?

  • It is treated with radical cystectomy.
  • It is always muscle invasive.
  • It is non muscle invasive bladder cancer. (correct)
  • BCG has no role in treatment.
  • Which treatment option is typically associated with T1 bladder cancer?

  • Radiation therapy
  • Radical cystectomy
  • Chemotherapy
  • Transurethral resection (correct)
  • What is incorrect about the treatment of T1 bladder cancer?

    <p>It is only treated with medication.</p> Signup and view all the answers

    Which of the following is NOT a characteristic of T1 bladder cancer?

    <p>It is usually associated with extensive muscle invasion.</p> Signup and view all the answers

    What is the first measure to take in a case of urethral injury with a history of trauma and bleeding per urethra?

    <p>Suprapubic catheter</p> Signup and view all the answers

    Which imaging method is considered the best for diagnosing a stone?

    <p>Non-contrast CT</p> Signup and view all the answers

    What might be a consequence of incorrect initial management of a urethral injury?

    <p>Increased risk of infection</p> Signup and view all the answers

    When assessing for ureteral stones, which imaging method is least likely to provide a clear diagnosis?

    <p>X-ray</p> Signup and view all the answers

    In cases of urethral injury, why is urethral catheterization discouraged as the first step?

    <p>It can exacerbate bleeding.</p> Signup and view all the answers

    What type of stone is indicated in a patient with severe renal colic pain and a CT showing a stone?

    <p>Calcium stone</p> Signup and view all the answers

    What is the next step after a routine investigation shows a renal mass?

    <p>CT with contrast</p> Signup and view all the answers

    Which imaging method is most appropriate for characterizing a renal mass after initial routine investigation?

    <p>CT with contrast</p> Signup and view all the answers

    When a patient presents with renal colic pain, which stone type is most likely to be found on a CT?

    <p>Calcium stone</p> Signup and view all the answers

    In the context of renal masses, what is the first imaging technique usually recommended?

    <p>CT with contrast</p> Signup and view all the answers

    What is the most common pathological type of urinary bladder carcinoma?

    <p>Transitional Cell Carcinoma (TCC)</p> Signup and view all the answers

    What is the appropriate next step for a 60-year-old male with anuria and a 1cm left ureteric stone obstructing a solitary left kidney?

    <p>Urgent left DJ insertion</p> Signup and view all the answers

    Which of the following is NOT a type of urinary bladder carcinoma?

    <p>Renal Cell Carcinoma</p> Signup and view all the answers

    Anuria in a patient with a solitary kidney may indicate which of the following conditions?

    <p>Ureteric obstruction</p> Signup and view all the answers

    What is a common indication for inserting a DJ stent?

    <p>To relieve urinary obstruction</p> Signup and view all the answers

    What grade is a kidney injury characterized by extravasation?

    <p>Grade 4</p> Signup and view all the answers

    Which type of stone is known to be radiolucent?

    <p>Uric acid</p> Signup and view all the answers

    Which condition does NOT lead to a neurogenic bladder?

    <p>Prostatic abscess</p> Signup and view all the answers

    What is the clinical significance of a grade 4 kidney injury?

    <p>May lead to renal loss</p> Signup and view all the answers

    Which stone is most likely to be detected on X-ray imaging?

    <p>Calcium phosphate</p> Signup and view all the answers

    Study Notes

    Urethral Injury Management

    • Initial measure for urethral injury with trauma and per urethra bleeding is to place a suprapubic catheter.

    Stone Diagnosis

    • Non-contrast CT is the best imaging method for diagnosing urinary stones.

    Urinary Bladder Carcinoma

    • Transitional Cell Carcinoma (TCC) is the most common pathological type of urinary bladder carcinoma.

    Urgency in Ureteric Stone Management

    • For a 60-year-old male with anuria and a 1cm obstructing left ureteric stone in a solitary kidney, urgent left double J (DJ) stent insertion is necessary.

    Stone Composition

    • Calcium stones are indicated for patients presenting with severe renal colic pain confirmed by CT imaging.

    Management of Renal Mass

    • When routine investigations reveal a renal mass, the subsequent step is to perform a CT scan with contrast.

    Cortical Laceration Grading

    • A cortical laceration greater than 1 cm without urine extravasation is classified as Grade 3.

    T1 Bladder Cancer Characteristics

    • T1 bladder cancer is classified as non-muscle invasive.
    • Bacillus Calmette-Guérin (BCG) treatment plays a role in management.
    • Treatment typically involves transurethral resection.

    Kidney Injury Grading

    • A kidney injury that displays extravasation of urine is classified as Grade 4.

    Radiolucent Stones

    • Specific details on types of radiolucent stones are not included.

    Neurogenic Bladder Causes

    • Conditions that do not cause neurogenic bladder include prostatic abscess.

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    Description

    Test your knowledge on managing urethral injuries and diagnosing urinary stones. This quiz covers important measures related to trauma cases and optimal imaging techniques. Perfect for medical students and professionals looking to refresh their skills.

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