- Email: [email protected]
CME Questions for European Urology Supplements Volume 14 (2015) pp. 2–24
EUROPEAN UROLOGY SUPPLEMENTS 14 (2015) 25–26
available at www.sciencedirect.com journal homepage: www.europeanurology.com
CME Questions for European Urology Supplements Volume 14 (2015) pp. 2–24
CME questions All CME articles can be read and answered for CME credit at http://www.eu-acme.org/europeanurology/ 1. Which condition indicates a genetic background? A. Low birth weight B. Consanguinity C. Maternal substance abuse D. Maternal smoking 2. In which patient would you initiate a genetic evaluation? A. Posterior urethral valves B. Bladder exstrophy C. Hydronephrosis D. Penile hypospadias 3. When do you not ask about heredity in the family of a child with a congenital malformation? A. Hypospadias B. Vesicoureteral reflux C. Phimosis D. Bladder exstrophy 4. Which data do not give a strong indication of a genetic background? A. An uncle with the same malformation B. Unilateral vesicoureteral reflux grade 2 C. Hypospadias in association with cryptorchidism D. Bilateral vesicoureteral reflux grade 5 5. Which is not a likely diagnosis in a boy with bilateral nonpalpable testis and hypospadias? A. Partial androgen insensitivity B. Denys-Drash syndrome C. Prune belly syndrome D. Congenital adrenal hyperplasia in a virilized girl 6. How is a complex inheritance described? A. Polygenic inheritance B. Monogenic inheritance
http://dx.doi.org/10.1016/j.eursup.2015.01.002 1569-9056/
7.
8.
9.
10.
11.
12.
C. Environmental factors D. A combination of A and C Vesicoureteral reflux should be treated with antibiotic prophylaxis: A. During the first 10 yr of life B. Until the reflux has dissolved or been treated C. During the first year of life, regardless of severity D. Only grades 1 and 2 should receive antibiotic prophylaxis The indication for invasive treatment of vesicoureteral reflux is dependent on: A. The severity of vesicoureteral reflux B. Breakthrough infections C. The presence of lower urinary tract dysfunction D. All of the above The main danger of vesicoureteral reflux is: A. Overtreatment B. Symptomatic urinary tract infection C. Renal scarring due to pyelonephritis D. Parental low compliance What is the first-line imaging modality when a stone is suspected in a child? A. Kidney, ureter, and bladder x-ray B. Ultrasound C. Noncontrast computed tomography D. Nuclear renal scan The treatment of choice for a 12-mm calculus located in the renal pelvis is: A. Shock wave lithotripsy B. Ureteroscopy C. Percutaneous nephrolithotomy D. Laparoscopic pyelolithotomy The treatment of choice for a 12-mm calculus located in a lower dilated calyx is: A. Shock wave lithotripsy B. Mini-perc nephrolithotomy
26
13.
14.
15.
16.
EUROPEAN UROLOGY SUPPLEMENTS 14 (2015) 25–26
C. Laparoscopic pyelolithotomy D. Open nephrolithotomy The treatment of choice for a pediatric staghorn stone is: A. Shock wave lithotripsy B. Ureteroscopy C. Percutaneous nephrolithotomy D. Laparoscopic pyelolithotomy The treatment of choice for a lower ureteric stone is: A. Shock wave lithotripsy B. Ureteroscopy C. Open ureterolithotomy D. Laparoscopic ureterolithotomy The management of choice for a 14-mm cysteine stone located in the upper calyx is: A. Open nephrolithotomy B. Shock wave lithotripsy C. Retrograde intrarenal surgery or percutaneous nephrolithotomy D. Extracorporeal shock wave lithotripsy Which of the following statements about laparoscopy in children is not correct? A. Blood loss will lead to problems more quickly. B. Ports should generally be placed under visual control.
C. CO2 absorption is faster than in adults. D. Intra-abdominal pressure up to 12 mm Hg is well tolerated by children. 17. Which of the following statements about the retroperitoneoscopic approach for pyeloplasty in children is not correct? A. There is less chance of bowel injury compared with the transabdominal approach. B. It is easier to learn than the transabdominal approach. C. Urinary leakage is better contained than with the transabdominal approach. D. It is generally easier than the retroperitoneoscopic approach in adults. 18. Which of the following statements is not correct? Gas insufflation for laparoscopy in children leads to: A. Reduced pulmonary compliance B. Increased peak airway pressure C. Increased end-tidal CO2 concentration D. Increased urinary output
available at www.sciencedirect.com journal homepage: www.europeanurology.com
CME Questions for European Urology Supplements Volume 14 (2015) pp. 2–24
CME questions All CME articles can be read and answered for CME credit at http://www.eu-acme.org/europeanurology/ 1. Which condition indicates a genetic background? A. Low birth weight B. Consanguinity C. Maternal substance abuse D. Maternal smoking 2. In which patient would you initiate a genetic evaluation? A. Posterior urethral valves B. Bladder exstrophy C. Hydronephrosis D. Penile hypospadias 3. When do you not ask about heredity in the family of a child with a congenital malformation? A. Hypospadias B. Vesicoureteral reflux C. Phimosis D. Bladder exstrophy 4. Which data do not give a strong indication of a genetic background? A. An uncle with the same malformation B. Unilateral vesicoureteral reflux grade 2 C. Hypospadias in association with cryptorchidism D. Bilateral vesicoureteral reflux grade 5 5. Which is not a likely diagnosis in a boy with bilateral nonpalpable testis and hypospadias? A. Partial androgen insensitivity B. Denys-Drash syndrome C. Prune belly syndrome D. Congenital adrenal hyperplasia in a virilized girl 6. How is a complex inheritance described? A. Polygenic inheritance B. Monogenic inheritance
http://dx.doi.org/10.1016/j.eursup.2015.01.002 1569-9056/
7.
8.
9.
10.
11.
12.
C. Environmental factors D. A combination of A and C Vesicoureteral reflux should be treated with antibiotic prophylaxis: A. During the first 10 yr of life B. Until the reflux has dissolved or been treated C. During the first year of life, regardless of severity D. Only grades 1 and 2 should receive antibiotic prophylaxis The indication for invasive treatment of vesicoureteral reflux is dependent on: A. The severity of vesicoureteral reflux B. Breakthrough infections C. The presence of lower urinary tract dysfunction D. All of the above The main danger of vesicoureteral reflux is: A. Overtreatment B. Symptomatic urinary tract infection C. Renal scarring due to pyelonephritis D. Parental low compliance What is the first-line imaging modality when a stone is suspected in a child? A. Kidney, ureter, and bladder x-ray B. Ultrasound C. Noncontrast computed tomography D. Nuclear renal scan The treatment of choice for a 12-mm calculus located in the renal pelvis is: A. Shock wave lithotripsy B. Ureteroscopy C. Percutaneous nephrolithotomy D. Laparoscopic pyelolithotomy The treatment of choice for a 12-mm calculus located in a lower dilated calyx is: A. Shock wave lithotripsy B. Mini-perc nephrolithotomy
26
13.
14.
15.
16.
EUROPEAN UROLOGY SUPPLEMENTS 14 (2015) 25–26
C. Laparoscopic pyelolithotomy D. Open nephrolithotomy The treatment of choice for a pediatric staghorn stone is: A. Shock wave lithotripsy B. Ureteroscopy C. Percutaneous nephrolithotomy D. Laparoscopic pyelolithotomy The treatment of choice for a lower ureteric stone is: A. Shock wave lithotripsy B. Ureteroscopy C. Open ureterolithotomy D. Laparoscopic ureterolithotomy The management of choice for a 14-mm cysteine stone located in the upper calyx is: A. Open nephrolithotomy B. Shock wave lithotripsy C. Retrograde intrarenal surgery or percutaneous nephrolithotomy D. Extracorporeal shock wave lithotripsy Which of the following statements about laparoscopy in children is not correct? A. Blood loss will lead to problems more quickly. B. Ports should generally be placed under visual control.
C. CO2 absorption is faster than in adults. D. Intra-abdominal pressure up to 12 mm Hg is well tolerated by children. 17. Which of the following statements about the retroperitoneoscopic approach for pyeloplasty in children is not correct? A. There is less chance of bowel injury compared with the transabdominal approach. B. It is easier to learn than the transabdominal approach. C. Urinary leakage is better contained than with the transabdominal approach. D. It is generally easier than the retroperitoneoscopic approach in adults. 18. Which of the following statements is not correct? Gas insufflation for laparoscopy in children leads to: A. Reduced pulmonary compliance B. Increased peak airway pressure C. Increased end-tidal CO2 concentration D. Increased urinary output