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CME QUESTIONS FOR MARCH 2003 ISSUE OF THE JOURNAL OF UROLOGY ®
CME QUESTIONS FOR MARCH 2003 ISSUE OF THE JOURNAL OF UROLOGY 威 1. DISEASE PROGRESSION AND SURVIVAL OF PATIENTS WITH POSITIVE LYMPH NODES AFTER RADICAL PROSTATECTOMY. IS THERE A CHANCE OF CURE? (vol. 169, pp. 849 – 854) Patients with clinically localized prostate cancer with histological evidence of nodal disease found on meticulous node dissection at time of radical prostatectomy: a) b) c) d) e)
will all have prostate specific antigen relapse will have a 39% cure rate if only 1 positive node is found will have a 39% cure rate if 2 positive nodes are found will have a 39% cure rate if more than 2 positive nodes are found will experience the development of lymphoceles 10% of the time
2. TRANSVAGINAL RADIO FREQUENCY TREATMENT OF THE ENDOPELVIC FASCIA: A PROSPECTIVE EVALUATION FOR THE TREATMENT OF GENUINE STRESS URINARY INCONTINENCE (vol. 169, pp. 1028 –1032) Transvaginal radio frequency treatment for stress urinary incontinence: a) b) c) d) e)
has an intraoperative complication rate of 20% has a postoperative fistula rate of 20% has no effect on the endopelvic fascia has a 50% leak rate with the Valsalva maneuver at 1 year has a greater than 70% cure or improvement rate at 1 year
3. PERCUTANEOUS MANAGEMENT OF RENAL PELVIC UROTHELIAL TUMORS: LONG-TERM FOLLOWUP (vol. 169, pp. 925–930) Percutaneous resection of a renal pelvic urothelial tumor is acceptable treatment for: a) b) c) d) e)
tumors arising from the upper ureter and the renal pelvis in a solitary kidney grade III tumors involving multiple calices and the renal pelvis a 1 cm. single lesion arising from the renal pelvis in a solitary kidney 2 cm. or larger lesions arising from multiple caliceal infundibula a single, high grade lesion arising from the upper calix involving the renal parenchyma
4. SURGICAL MANAGEMENT OF MULTI-ORGAN VISCERAL TUMORS IN PATIENTS WITH VON HIPPEL-LINDAU DISEASE: A SINGLE STAGE APPROACH (vol. 169, pp. 895– 898) The multi-organ tumors found in patients with von Hippel-Lindau disease: a) b) c) d) e)
should be removed during separate operations are associated with a poor prognosis can often be resected in a single operative procedure often represent metastases are usually treated with resection of the entire involved organs
5. LONG-TERM OUTCOME OF ILEAL CONDUIT DIVERSION (vol. 169, pp. 985–990) In patients with long-term (more than 5 years) ileal conduit diversions: a) b) c) d) e)
stomal stenosis or parastomal hernias will develop less than 5% of the time symptomatic urinary tract infections will develop less than 5% of the time urolithiasis will develop less than 5% of the time surgical intervention will be needed less than 5% of the time renal function deterioration will have occurred in 80% within 10 years
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will all have prostate specific antigen relapse will have a 39% cure rate if only 1 positive node is found will have a 39% cure rate if 2 positive nodes are found will have a 39% cure rate if more than 2 positive nodes are found will experience the development of lymphoceles 10% of the time
2. TRANSVAGINAL RADIO FREQUENCY TREATMENT OF THE ENDOPELVIC FASCIA: A PROSPECTIVE EVALUATION FOR THE TREATMENT OF GENUINE STRESS URINARY INCONTINENCE (vol. 169, pp. 1028 –1032) Transvaginal radio frequency treatment for stress urinary incontinence: a) b) c) d) e)
has an intraoperative complication rate of 20% has a postoperative fistula rate of 20% has no effect on the endopelvic fascia has a 50% leak rate with the Valsalva maneuver at 1 year has a greater than 70% cure or improvement rate at 1 year
3. PERCUTANEOUS MANAGEMENT OF RENAL PELVIC UROTHELIAL TUMORS: LONG-TERM FOLLOWUP (vol. 169, pp. 925–930) Percutaneous resection of a renal pelvic urothelial tumor is acceptable treatment for: a) b) c) d) e)
tumors arising from the upper ureter and the renal pelvis in a solitary kidney grade III tumors involving multiple calices and the renal pelvis a 1 cm. single lesion arising from the renal pelvis in a solitary kidney 2 cm. or larger lesions arising from multiple caliceal infundibula a single, high grade lesion arising from the upper calix involving the renal parenchyma
4. SURGICAL MANAGEMENT OF MULTI-ORGAN VISCERAL TUMORS IN PATIENTS WITH VON HIPPEL-LINDAU DISEASE: A SINGLE STAGE APPROACH (vol. 169, pp. 895– 898) The multi-organ tumors found in patients with von Hippel-Lindau disease: a) b) c) d) e)
should be removed during separate operations are associated with a poor prognosis can often be resected in a single operative procedure often represent metastases are usually treated with resection of the entire involved organs
5. LONG-TERM OUTCOME OF ILEAL CONDUIT DIVERSION (vol. 169, pp. 985–990) In patients with long-term (more than 5 years) ileal conduit diversions: a) b) c) d) e)
stomal stenosis or parastomal hernias will develop less than 5% of the time symptomatic urinary tract infections will develop less than 5% of the time urolithiasis will develop less than 5% of the time surgical intervention will be needed less than 5% of the time renal function deterioration will have occurred in 80% within 10 years
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