Multiple Choice Questions (MCQ)

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Category: Emergency Medicine--->Urological Emergencies
Page: 1

Question 1# Print Question

Which ONE of the following regarding percutaneous suprapubic catheterisation (SPC) is FALSE?

A. History of previous lower abdominal surgery or irradiation is a contraindication to SPC insertion
B. Recognized complications include extraperitoneal extravasation, haematuria and injury to the bowel
C. Indications include trauma to the urethra, phimosis with urinary retention and pelvic trauma
D. It is less likely to cause bacteriuria than urethral chattelization

Question 2# Print Question

Regarding investigation of a patient with renal colic, which ONE of the following is TRUE?

A. Most stones cannot be visualized with magnetic resonance urography
B. Nearly all stones are radiolucent
C. Haematuria is not present in 40% of patients
D. A urinary pH of <5 suggests struvite stones

Question 3# Print Question

Which ONE of the following patients with a urological presentation to the emergency department (ED) requires referral for admission?

A. A patient with a single kidney who has a distal ureteric 3 mm stone with a low degree of obstruction and who is now pain free
B. An 82-year-old man who presents with macrosopic haematuria with passage of blood clots per urethra
C. An adolescent with fever, rigors, white cell casts in the urine with normal vital signs and no vomiting
D. A 13-year-old boy with gradual onset of pain over 1–2 days in the upper pole of the right testis and a blue dot sign is visible on examination

Question 4# Print Question

A young female patient presents to the ED with right flank pain, fever, rigors and vomiting. Her heart rate is 110 and systolic blood pressure (BP) is 95 mmHg. She has a penicillin allergy. Her body weight is 72 kg.

Which ONE of the following is the most appropriate empiric antibiotic regime?

A. Amoxicillin 500 mg orally 8-hourly for 7 days
B. Cephalexin 500 mg orally 6-hourly for 10 days
C. Gentamicin 220 mg IV first dose
D. Cefotaxime 1 g IV 8-hourly

Question 5# Print Question

Causes of priapism include all of the following EXCEPT:

A. Papaverine injection
B. Spinal cord injury
C. Systemic sclerosis
D. Sickle cell disease

Category: Emergency Medicine--->Urological Emergencies
Page: 1 of 3