academicrockclimber-
Which of the following studies is a radiologic procedure in which contrast media is injected through a cystoscope?retrograde urogram
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Which incisional approach is used for access to the lower ureter and may be used for donor kidney implantation?Gibson
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Flank, Gibson, inguinal, and scrotal are examples of:operative approaches
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Cyptorchidism is more commonly known as:undescended testicles
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Which component of the rigid endoscopic system for cystoscopy is blunt ended and minimizes mucosal trauma during insertion?obturator
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In which surgical approach would the latissimus dorsi, internal and external oblique muscles be transected for access to the operative site?subcostal flank
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Suprarenal glands are more commonly known as:adrenal
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Which of the following structures encloses the kidneys and suprarenal glands?Gerota’s fascia
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What does the adrenal medulla secrete?catecholamines
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At approximately what age or period would a patient MOST likely be diagnosed with a Wilms’ tumor?between ages 3 and 8 years
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Radical nephrectomy is usually performed with the patient in which position?supine
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Which structure is ligated and transsected first in a radical nephrectomy or laparoscopic simple nephrectomy, following isolation of the vessels and ureter?renal vein
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Which of the following comparisons of normal or typical kidney anatomy is CORRECT?The left kidney is larger and slightly higher than the right.
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Where is the hilum of the kidney located?medial midsection
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Which part of the kidney becomes the proximal ureter?renal pelvis
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What is the name of the basic structure composed of renal corpuscles and tubules and numbers over a million?nephron
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Adenocarcinoma has a direct correlation to each of the following EXCEPT:liver cirrhosis
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Simple nephrectomy is routinely performed in which position?lateral
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What measure is taken to reduce the metabolic needs and prevents tubular necrosis of a kidney removed for transplant?cooling with Collins solution or ice slush
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How many suture ligatures or free ties should the surgical technologist have prepared for ligation of the renal artery and vein prior to transsection and removal?three
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What is the morcellator used for in a laparoscopic simple nephrectomy?chopping the kidney and ureter into small pieces for suctioning
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Which of the following items would likely be needed if the pleural cavity is unintentionally entered during nephrectomy?chest tube with drainage system
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Which of the following is NOT a form of polycystic kidney disease?traumatic
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Dialysis and kidney transplant are the only two treatments for which of the following?end-stage renal disease
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When is a patient classified as being in end-stage renal failure?when both kidneys are functioning at or below 10% of normal
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Just before the surgeon clamps the renal vessels of the donor’s kidney, what does the anesthesia provider put in the IV?heparin and mannitol
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Which of the following is given IV after the donor kidney is removed to reverse the heparinization?protamine sulfate
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What might the donor kidney be placed into to reduce possibility of injury during handling and transplantation?woven stockinette
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Into which anatomical area of the abdomen will a transplated donor kidney be implanted?right lower quadrant
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Which cutting instruments should the surgical technologist have ready for anastomosis of the renal vessels into the recipient?#11 blade and 45° angle Potts scissors
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Which suture configuration is used to anastomose vessels in transplants?fine, nonabsorbable, double-armed
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What is the medical term for the procedure of connecting a donor ureter to a recipient bladder?ureteroneocystostomy
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Cystoscopy and ureteroscopy procedures are performed in which position?low-lithotomy
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Which of the following is used to ensure patency of the ureters or allow for drainage of urine from the kidneys?double-J or pigtail stent
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Where in the genitourinary system do calculi originate?kidney
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What device is used through the ureteroscope to capture an intact calculus or fragments if fractured by laser?basket stone forceps
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What procedure is performed to remove a calculus lodged in the area of the hilum?pyelolithotomy
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In what position is the patient placed for proximal pyelolithotomy?lateral
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What anatomical structure is the bladder attached to in males?prostate
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Which of the following is responsible for emptying of the bladder and closure of the bladder orifice?detrusor muscle
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The vesical arteries that supply the bladder arise from the:internal iliac artery
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Which irrigation or distention fluid would be contraindicated during cystoscopy for fulguration of bladder tumor?saline
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How is the anesthetic jelly that is inserted into the male urethra prior to cystoscopy kept from leaking out?A flexible penile clamp is applied to the head of the penis.
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What is a unique feature of the OR table in a cystoscopy suite?It has a mesh drain attachment.
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An elevated serum PSA exam might prompt the additional investigation of a(n):prostate biopsy
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Which of the following procedures could be done in either a male or female patient?TURBT
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Which of the following is a glass or plastic evacuator used to remove tissue and debris during TURP?Ellik
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Omnipaque, Renografin, and Isovue are used in cystoscopy as:contrast media
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Which instrument is used in TURP or TURBT and includes the sheath, obturator, working element, and ESU loops?resectoscope
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Which distention fluid is nonelectrolytic and will lyse malignant tumor cells because of cellular uptake?water
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What type of light is used for illumination in endoscopic equipment?fiber-optic
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What is the medical term for excision of the urinary bladder?cystectomy
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What is the more common name for ureteroileocutaneous diversion?ileal conduit
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What is the name of a continent urinary reservoir that may be performed following cystectomy?Koch pouch
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What is the name of the connective tissue that forms the umbilical ligament and is used for traction in radical cystectomy?urachus
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In radical cystectomy with ileal conduit on a male patient, what tissue will be sent for frozen section to verify clear margins?segments of bilateral ureters
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What is done with the edge of the ilium that is brought out through the abdominal wall for stoma creation?The edges are everted and affixed to the skin.
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Marshall-Marchetti-Krantz (MMK) is a traditional version of which general type of procedure?suprapubic vesicourethral suspension
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Vesicourethral suspension and pubovaginal slings are performed to mainly treat moderate to severe:stress incontinence
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What is one of the main objectives of procedures for female stress incontinence?restore the posterior urethrovesical angle
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Which of the following is NOT a type of pubovaginal or suburethral sling?radiopaque vaginal packing
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What structure of male anatomy is divided into three sections: prostatic, membranous, and spongy?urethra
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Approximately how many lobules comprise the average prostate gland?50
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What is the common diagnosis of a patient undergoing transurethral resection of the prostate?benign prostatic hypertrophy
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Which of the following are male urethral dilators or sounds?Van Buren
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Baumrucker, Iglesias, Stern-McCarthy, and Nesbit are types of:resectoscopes
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Which signal should alert the surgical team that prostate capsule perforation is imminent and may conclude the procedure?leg jerking
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What is used to resect the prostate gland tissue through the resectoscope?ESU loop electrode
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Which type of catheter is placed postoperatively following TURP?3-way 22 Fr. Foley with 30 mL balloon
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Which self-retaining retractor is used for open suprapubic prostatectomy?Judd-Mason
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Bonanno, Malecot, and Pezzer are types of:suprapubic catheters
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What does specialized tissue within the seminiferous tubules produce?sperm
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What is the term for an abnormal accumulation of serous fluid around the testis contained within the tunica vaginalis?hydrocele
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Which procedure is performed for testicular cancer, trauma, or necrosis secondary to torsion?orchiectomy
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What is the medical term for the free fold of skin that covers the glans penis?prepuce
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Which of the following is the term for the inability to retract the foreskin of the penis?phimosis
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Diabetes, vascular disorder, nerve damage, and trauma are all possible causes of:impotence
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What is the MOST serious post-op complication of penile implant surgery?surgical site infection
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Which dilating instrument is used to dilate the corpora for placement of penile prosthesis?Hegar
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What procedure is performed for penile carcinoma resistant to chemotherapy or radiation?penectomy
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Many hospitals allow use of only sterile gloves to set up the back table for cystoscopy procedures.True
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The anatomical structures excised during radical cystectomy are different between male and female patients.True
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Surgical technologists are not required to be proficient in endoscopic genitourinary procedures, only open cases because there are cystoscopy specialists who will do them.False
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Procedures for female urinary incontinence may be performed by gynecologists, urologists, or urogynocologists.True
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Every instrument or catheter placed into the urethra should be lubricated to minimize mucosal injury or irritation.True
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Congenital condition in which the urethral opening is located on the ventral surface of the penisHypospadias
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Congenital downward bowing of the penis caused by fibrous bandsChordee
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Inflammation of the glans penis due to poor hygieneBalanitis
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Twisting of the spermatic cord, resulting in pain, ischemia, and eventual necrosis; failure of immediate correction may require orchiectomyTorsion
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Coiled segment of the spermatic ducts that stores sperm and is attached to the superior surface of the testisEpididymis
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Serous sac that covers most of the testis, epididymis, and lower spermatic cordTunica vaginalis
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Particle detector that measures ionizing radiation levelsGeiger counter
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Radioactive seed implants used to treat aggressive prostate cancers in situ; stronger effect, so lower doses can be usedPalladium
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Minimally invasive surgical approach for removal of prostate with fewest post-op complications and quickest recovery timeRobotic
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Condition of abnormal increase in number of cells in tissues or organsHyperplasia
