Urology Final Test Question on Surgical Sperm Retrieval Techniques
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Questions and Answers

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:

<p>Chlamydia (A)</p> 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:

<p>10 (C)</p> Signup and view all the answers

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

<p>Flexible cystoscopy, urinary cytology, CT urogram, and UroVysion FISH (C)</p> Signup and view all the answers

What is the proteinaceous portion of stones composed of?

<p>Protein-crystal complex (A)</p> Signup and view all the answers

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

<p>Parkinson disease (E)</p> Signup and view all the answers

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

<p>Glucose (B)</p> Signup and view all the answers

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

<p>Hyperabsorption of oxalate in the jejunum (C)</p> Signup and view all the answers

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

<p>Hyperabsorption of oxalate in the jejunum (B)</p> Signup and view all the answers

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

<p>Microsurgical epididymal sperm aspiration (MESA) for spermatogenic maturation arrest (D)</p> Signup and view all the answers

Which outcome is NOT expected after varicocele repair?

<p>Increased risk of multiple gestation (C)</p> Signup and view all the answers

During varicocelectomy, which venous structure is intentionally preserved?

<p>External spermatic veins (E)</p> Signup and view all the answers

What diagnostic method is NOT mentioned in the provided text?

<p>Endoscopic retrograde cholangiopancreatography (ERCP) (D)</p> Signup and view all the answers

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

<p>Microsurgical varicocelectomy (A)</p> Signup and view all the answers

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

<p>Return of sperm to the ejaculate in 40% to 50% of azoospermic men (A)</p> Signup and view all the answers

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

<p>Diminished citrate absorption in the terminal ileum (D)</p> 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?

<p>Stone composition (D)</p> Signup and view all the answers

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

<p>More than 6 weeks (C)</p> Signup and view all the answers

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

<p>Hyperabsorption of oxalate in the small bowel (C)</p> Signup and view all the answers

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

<p>Upper pole infundibulum (C)</p> Signup and view all the answers

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

<p>Stone location at presentation (B)</p> Signup and view all the answers

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