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CME QUESTIONS FOR FEBRUARY 2003 ISSUE OF THE JOURNAL OF UROLOGY®
CME QUESTIONS FOR FEBRUARY 2003 ISSUE OF THE JOURNAL OF UROLOGY威 1. MULTI-INSTITUTIONAL LONG-TERM EXPERIENCE WITH CONSERVATIVE SURGERY FOR INVASIVE PENILE CARCINOMA (vol. 169, pp. 500 –502) Patients with lymph node positive carcinoma of the penis: a) b) c) d) e)
need only conservative therapy need only chemotherapy need only radiotherapy need total penectomy are best treated based on anatomical and tumor characteristics
2. THE EVOLUTION OF DETRUSOR OVERACTIVITY AFTER WATCHFUL WAITING, MEDICAL THERAPY AND SURGERY IN PATIENTS WITH BLADDER OUTLET OBSTRUCTION (vol. 169, pp. 535–539) The most significant improvement of bladder outlet obstruction and detrusor overactivity is observed in patients treated with: a) b) c) d) e)
prostatectomy transurethral prostatic incision alfuzosin watchful waiting finasteride
3. EFFECT OF DIETARY CALCIUM ON STONE FORMING PROPENSITY (vol. 169, pp. 470 – 474) A high calcium diet in adults: a) b) c) d) e)
increases urinary calcium decreases urinary oxalate decreases urinary magnesium decreases urinary phosphorus decreases urine volume
4. OBSTRUCTIVE UROPATHY INDUCED BLADDER DYSFUNCTION CAN BE REVERSIBLE: BLADDER COMPLIANCE MEASURES BEFORE AND AFTER TREATMENT (vol. 169, pp. 563–566) The definitive test for determining the presence of bladder outlet obstruction and the need for medical or surgical intervention is: a) b) c) d) e)
poor maximum urine flow rate by uroflowmetry cystourethroscopy demonstrating enlarged lateral prostatic lobes voiding pressure flow urodynamics test demonstrating increased sustained voiding pressure with poor flow significant increase in American Urological Association symptom score enlarged prostate gland palpable on digital rectal examination
5. PREVENTION OF STONE FORMATION AND BONE LOSS IN ABSORPTIVE HYPERCALCIURIA BY COMBINED DIETARY AND PHARMACOLOGICAL INTERVENTIONS (vol. 169, pp. 465– 469) In absorptive hypercalciuria type I dietary restriction of calcium and oxalate plus treatment with thiazide and potassium citrate: a) b) c) d) e)
increases urinary oxalate does not alter urinary calcium does not alter urinary saturation of calcium oxalate increases stone formation increases spinal bone density
671
need only conservative therapy need only chemotherapy need only radiotherapy need total penectomy are best treated based on anatomical and tumor characteristics
2. THE EVOLUTION OF DETRUSOR OVERACTIVITY AFTER WATCHFUL WAITING, MEDICAL THERAPY AND SURGERY IN PATIENTS WITH BLADDER OUTLET OBSTRUCTION (vol. 169, pp. 535–539) The most significant improvement of bladder outlet obstruction and detrusor overactivity is observed in patients treated with: a) b) c) d) e)
prostatectomy transurethral prostatic incision alfuzosin watchful waiting finasteride
3. EFFECT OF DIETARY CALCIUM ON STONE FORMING PROPENSITY (vol. 169, pp. 470 – 474) A high calcium diet in adults: a) b) c) d) e)
increases urinary calcium decreases urinary oxalate decreases urinary magnesium decreases urinary phosphorus decreases urine volume
4. OBSTRUCTIVE UROPATHY INDUCED BLADDER DYSFUNCTION CAN BE REVERSIBLE: BLADDER COMPLIANCE MEASURES BEFORE AND AFTER TREATMENT (vol. 169, pp. 563–566) The definitive test for determining the presence of bladder outlet obstruction and the need for medical or surgical intervention is: a) b) c) d) e)
poor maximum urine flow rate by uroflowmetry cystourethroscopy demonstrating enlarged lateral prostatic lobes voiding pressure flow urodynamics test demonstrating increased sustained voiding pressure with poor flow significant increase in American Urological Association symptom score enlarged prostate gland palpable on digital rectal examination
5. PREVENTION OF STONE FORMATION AND BONE LOSS IN ABSORPTIVE HYPERCALCIURIA BY COMBINED DIETARY AND PHARMACOLOGICAL INTERVENTIONS (vol. 169, pp. 465– 469) In absorptive hypercalciuria type I dietary restriction of calcium and oxalate plus treatment with thiazide and potassium citrate: a) b) c) d) e)
increases urinary oxalate does not alter urinary calcium does not alter urinary saturation of calcium oxalate increases stone formation increases spinal bone density
671