Special Surgical Procedures II

LESSON 3: Procedures in Genitourinary Surgery

Exercises: Lesson 3

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EXERCISES, LESSON 3

 

INSTRUCTIONS: The following exercises are to be answered by marking the lettered response that best answers the question or best completes the incomplete statement or by writing the correct word or phrase in the space provided.

 

After you have completed all the exercises turn to "Solutions to Exercises" at the end of the lesson and check your answers.

 

1. The urinary bladder is partly in the abdomen when it is:

a. Full.

 

b. Empty.

 

c. Healthy.

 

d. Infected.

 

2. A ureter extends from the ___________ to the ____________________.

a. Renal pelvis, bladder.

 

b. Calyces, rental pelvis.

 

c. Bladder, outside.

 

d. Kidney, outside.

 

3. The renal pelvis is in the shape of a:

a. Butterfly.

 

b. Funnel.

 

c. Ball.

 

d. Hand.

 

4. Adrenalectomy may be done to:

a. Remove adrenal tumors.

 

b. Treat hyperfunction of adrenals.

 

c. Discourage cancers elsewhere in the body.

 

d. All of the above.

 

5. What organ serves as the passageway for urine from the bladder to be eliminated

from the body?

a. Ureter.

 

b. Urethra.

 

c. Prostate.

 

d. Seminal vesicles.

 

6. The tubes in which sperm cells are actually formed are in the:

a. Spermatic cord.

 

b. Prostate gland.

 

c. Epididymides.

 

d. Testes.

 

7. Besides adrenalin (epinephrine), the adrenal glands secrete____________ and

other hormones.

a. Insulin.

 

b. Steroids.

 

c. Thyroxin.

 

d. Testosterone.

 

8. Kidney stones should always be placed in Formalin solution®.

a. True.

 

b. False.

 

9. Application of antiseptic in perineal skin preps is different from other areas

because many surgeons prefer to apply antiseptic to this area with:

a. Inhalation.

 

b. Cotton balls.

 

c. Gauze sponges.

 

d. Spray apparatus.

 

10. Heminephrectomy is an operation in which a:

a. Kidney is removed.

 

b. Kidney is resected.

 

c. Donor kidney is placed.

 

d. Kidney stone is removed.

 

11. Nephroureterectomy usually requires ________ separate incisions.

a. 0.

 

b. 1.

 

c. 2.

 

d. 3.

 

12. According to this subcourse, the kidneys are ordinarily positioned at

approximately the twelfth thoracic vertebra to the _______ lumbar vertebra.

a. First.

 

b. Second.

 

c. Third.

 

d. Fourth.

 

13. Tocar cystostomy involves draining the bladder by:

a. Incision.

 

b. Resection.

 

c. Blind puncture.

 

d. Urethral catheter.

 

14. The Marshall-Marchetti operation is performed on:

a. Males.

 

b. Females.

 

c. Newborns.

 

d. Males and females.

 

 

15. For vesical-urethral suspension, a ________________ incision is used.

a. Midline.

 

b. McBurney.

 

c. Suprapubic.

 

d. Midparamedian rectus.

 

16. An enlarged prostate is always benign.

a. True.

 

b. False.

 

17. Suprapubic prostatectomy with cystostomy includes:

a. Adrenalectomy.

 

b. Ureteral anastomosis.

 

c. Trocar blind puncture.

 

d. Incision of the bladder.

 

18. What shape excision is made in the neck of the bladder during retropubic

prostatectomy?

a. Semicircle.

 

b. Rectangle.

 

c. Square.

 

d. Wedge.

 

19. Pads are used under the buttocks for which kind of prostatectomy?

a. Perineal.

 

b. Retropubic.

 

c. Suprapubic.

 

d. Transurethral.

 

20. Ligation and partial excision of dilated veins in the scrotum may be done to reduce

venous congestion. This procedure is called:

a. Vasectomy.

 

b. Orchiectomy.

 

c. Hydrocelectomy.

 

d. Varicocelectomy.

 

21. The operation to bring an undescended testicle into place is called:

a. Hypospadias repair.

 

b. Varicocelectomy.

 

c. Orchiectomy.

 

d. Orchiopexy.

 

22. When the urethral meatus is on the upper side of the penis, this is called:

a. Chordee.

 

b. Epispadias.

 

c. Hypospadias.

 

d. Cryptorchidism.

 

23. Stenosis of the external urethral meatus requires that the meatus be:

a. Reduced in size.

 

b. Transposed.

 

c. Cauterized.

 

d. Enlarged.

 

24. A papillary tumor of the urethra is called a ________________:

a. Urethral caruncle.

 

b. Mitral annuls.

 

c. Carcinoma.

 

d. Empyema.

 

______________________________________________________________________

Special Instructions for Exercises 25 Through 34. Each numbered item in Column A can be matched best by one of the letter choices in Column B. Write the letter of the best answer to the left of the number in Column A.

———————————————————————————————————————

 

Column A Column B

 

______ 25. Nephrotomy

 

a. Incision into renal pelvis.

 

______ 26. Pyelotomy

 

b. Removal of small stone(s) from renal pelvis.

 

______ 27. Pyelostomy

 

c. Removal of staghorn calculus.

______ 28. Pyelolithotomy

 

d. Opening of a kidney for drainage.

______ 29. Nephrostomy

 

e. Opening of the renal pelvis for drainage.

______ 30. Nephrolithtomy

 

f. Simple kidney incision.

______ 31. Cystotomy

 

g. Bladder is opened to removed stones.

______ 32. Cystolithotomy

 

h. Bladder is excised.

______ 33. Cystostomy

 

i. Bladder is cut open.

______ 34. Cystectomy

 

j. Bladder is opened for continuous drainage.

 

______________________________________________________________________

Special Instructions for Exercise 35. Write the name in the correct column for the male reproductive organs that are found in pairs and those that appear singly.

———————————————————————————————————————

 

Testis Seminal vesicle Seminal duct

Prostate Urethra Cowper's gland

Ejaculatory duct

 

35.

 

PAIRS

SINGLY

 

 

 

 

 

 

 

 

 

 

 

 

Check Your Answers on Next Page

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