Comp CCs: Urology

Comprehensive core conditions for urology.

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Last updated: January 19, 2025

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Hint	Answer
What is the first-line imaging investigation for suspected testicular cancer?	Bilateral testis ultrasound
What is the surgical management of bladder cancer (if non-muscle invasive, i.e. T1)?	TURBT (transurethral removal of bladder tumour)
What is the tumour marker for prostate cancer?	PSA
A pt with acute urinary retention >1000ml may have post-obstructive ____ (complication) after treatment and must be monitored for this	diuresis
Blood tests/tumour markers for testicular cancer include ___, LDH and AFP	hCG (human chorionic gonadotropin)
Pts with benign prostatic hyperplasia may be treated with ____ blockers e.g. tamsulosin	alpha
Testicular cancer normally causes inguinal lymphadenopathy, true or false?	False
Testicular cancer can cause ____ pain	abdominal
In a pt with acute urinary retention, an ultrasound scan of the renal tract may show ____	hydronephrosis
What is the surgical management for bladder cancer which is muscle invasive (T2 or T3)?	Cystectomy
Which relevant clinical sign is negative in a pt with testicular torsion?	Prehn's
Testicular torsion is a ____ diagnosis	clinical
What is the surgical management for prostate cancer?	Prostatectomy
Management for pts with locally advanced prostate cancer may include androgen ___ therapy	deprivation
Which relevant reflex is absent in a pt with testicular torsion?	Cremateric

Hint	Answer
Which condition is the most common urological emergency?	Acute urinary retention
Benign prostatic enlargement may cause difficulty with starting to urinate. This is called ____	hesitancy
What is the surgical management for benign prostatic enlargement?	TURP (transurethral resection of the prostate)
A bladder scan is abnormal if more than ___ml of urine is present in the bladder	500
The ____ (acronym) score is used to grade the severity of symptoms in benign prostatic hyperplasia	IPSS
Chromosome __ abnormality is present in almost all testicular cancers	12
Testicular torsion presents with ____-onset scrotal pain	sudden
Blood tests/tumour markers for testicular cancer include hCG, LDH and ___	AFP (alpha feto-protein)
What is the management for acute urinary retention?	Immediate urethral catheterisation
Is the tumour marker AFP more specific to seminomatous or non-seminomatous testicular cancer?	Non-seminomatous
The ___ score is used to grade prostate cancer	Gleason
Prostate cancer can cause bone pain, true or false?	True
Which tumour marker may be raised in benign prostatic enlargement?	PSA
Frank haematuria in a pt >45 (w/ no UTI) is ____ cancer until proven otherwise	bladder
Diagnosis of bladder cancer is made on ____ (investigation) and biopsy	(blue light) cystoscopy