Urology Final Test Question on Surgical Sperm Retrieval Techniques

What is the most common causative organism in patients with acute bacterial prostatitis that develops after lower urinary tract manipulation?

Proteus

Pseudomonas

Escherichia coli (correct)

Klebsiella

Compared with age-matched controls, men with chronic prostatitis / chronic pelvic pain syndrome have a greater prevalence of which of the following?

BPH

Urinary incontinence (correct)

Premature ejaculation

Condyloma

In meta-analyses of treatments for chronic prostatitis / chronic pelvic pain syndrome, which combinations of therapy show the best results?

Skeletal muscle relaxants and antiinflammatory medications

5α-reductase inhibitors and α-blockers

Antiinflammatory medications and α-blockers

Antibiotics and α-blockers (correct)

The most commonly diagnosed bacterial sexually transmitted infection (STI) is:

Chlamydia Signup and view all the answers

The number of bacteria per high-power microscopic field that corresponds to colony counts of 100,000/mL is:

10 Signup and view all the answers

What is the most appropriate initial workup for asymptomatic microscopic hematuria (AMH)?

Flexible cystoscopy, urinary cytology, CT urogram, and UroVysion FISH Signup and view all the answers

What is the proteinaceous portion of stones composed of?

Protein-crystal complex Signup and view all the answers

Which of the following is NOT considered a high-risk feature for stone formation?

Parkinson disease Signup and view all the answers

In standard 24-hour urine testing for stone disease, what should NOT be measured?

Glucose Signup and view all the answers

What is the risk factor most associated with recurrent stone formation in patients with inflammatory bowel disease?

Hyperabsorption of oxalate in the jejunum Signup and view all the answers

Which of the following is NOT a factor affecting the probability of spontaneous passage of ureteral calculi?

Hyperabsorption of oxalate in the jejunum Signup and view all the answers

In the clinical situation described, which surgical sperm retrieval technique would be inappropriate?

Microsurgical epididymal sperm aspiration (MESA) for spermatogenic maturation arrest Signup and view all the answers

Which outcome is NOT expected after varicocele repair?

Increased risk of multiple gestation Signup and view all the answers

During varicocelectomy, which venous structure is intentionally preserved?

External spermatic veins Signup and view all the answers

What diagnostic method is NOT mentioned in the provided text?

Endoscopic retrograde cholangiopancreatography (ERCP) Signup and view all the answers

Which procedure is NOT associated with sperm retrieval in the provided text?

Microsurgical varicocelectomy Signup and view all the answers

Which outcome is mentioned as a result of varicocele repair in the text?

Return of sperm to the ejaculate in 40% to 50% of azoospermic men Signup and view all the answers

What can lead to hyperexcretion of calcium from the distal tubule?

Diminished citrate absorption in the terminal ileum Signup and view all the answers

Which factor plays a crucial role in choosing among shock-wave lithotripsy, ureteroscopic stone removal, and percutaneous nephrolitholapaxy for renal calculi?

Stone composition Signup and view all the answers

How long can a completely obstructing ureteral stone be present before irreversible loss of renal function occurs?

More than 6 weeks Signup and view all the answers

What might be the consequence of diminished citrate absorption in the terminal ileum?

Hyperabsorption of oxalate in the small bowel Signup and view all the answers

When accessing the renal collecting system for percutaneous nephrolitholapaxy, what is the preferred site of puncture?

Upper pole infundibulum Signup and view all the answers

What factor is critical to consider when evaluating the degree of hydronephrosis?

Stone location at presentation Signup and view all the answers