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Category: Emergency Medicine--->Urological Emergencies
Page: 2

Question 6# Print Question

Regarding the management of priapism in the ED, which ONE of the following statements is most CORRECT?

A. For low-flow priapism, administer analgesia and apply ice to the shaft for 4 hours
B. If thrombosis is the cause, administer IV fluids, oxygen and analgesia, commence exchange blood tranfusion and request a urological review
C. Prescribe analgesia, insert a urethral catheter if the patient is in retention and provide reassurance
D. If the patient has high-flow priapism perform a penile block, insert an 18-gauge needle into one of the corpus cavernosum and inject phentolamine


Question 7# Print Question

Regarding urogenital trauma, which ONE of the following statements is TRUE?

A. In blunt trauma the ureter is most likely to be injured from a rapid deceleration injury
B. Renal trauma usually occurs in isolation
C. The degree of haematuria is proportional to severity of the injury sustained from blunt trauma
D. A grade III renal injury is defined as a laceration to the parenchyma >1 cm depth with urinary extravasation or rupture of the collecting system


Question 8# Print Question

Regarding testicular torsion, which ONE of the following statements is TRUE?

A. It is mostly due to lateral rotation of the spermatic cord
B. The cremasteric reflex is always absent
C. It can be reliably excluded with scrotal ultrasound scan (USS)
D. It can be associated with a fever


Question 9# Print Question

All of the following conditions cause scrotal pain EXCEPT:

A. Mumps
B. Abdominal aortic aneurysm
C. Renal colic
D. Genital warts


Question 10# Print Question

Which ONE of the following statements regarding urinary retention is TRUE?

A. If the patient is able to pass small amounts of urine, urinary retention can be excluded
B. Medications that cause urinary retention include tricyclic antidepressants, nonsteroidal anti-inflammatory drugs (NSAIDs), selective serotonin reuptake inhibitors (SSRIs) and α-blockers
C. It is infrequently associated with obstructive uropathy causing renal impairment
D. 55% of men who present with urinary retention have or will develop prostate cancer




Category: Emergency Medicine--->Urological Emergencies
Page: 2 of 3