Priapism

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Q) What is the cause of priapism in a patient with trauma a) Penile rupture b) Dorsal vein of penis thrombosis c) Spinal cord injury d) Sickle cell anemia Answer  Most common cause of priapism is sickle cell anemia, but in the setting of trauma…. Read on  Q 86

cancer of testis

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Q ) Most Common  cancer of testis in children is  a. Yolk sac  tumor b. Leydig cell tumor c. Seminoma testis d. Choriocarcinoma Answer- 

Horseshoe kidney ascent

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Q) Ascent of horseshoe kidney is prevented by? a) Superior Mesenteric artery b) Superior Mesenteric Vein c) Inferior mesenteric artery d) Inferior mesenteric vein Answer with  photo

Renal stones

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Q) Most common radiolucent renal stone . a. Calcium oxalate . b. Calcium phosphate c. Triple phosphate d. Uric acid Answer for premium members

Fowler Stephen Surgery

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Q) Fowler Stephen Surgery is done for  a) Epispadias b) Hypospadias c) Exstrophy of bladder d) Cryptorchidism Answer Free for all  d) Cryptorchidism   Cryptorchidism – Fowler stephens surgery means division of short testicular vessels to mobilise the testis The testicular blood supply is then dependent on collaterals from the vasal artery. Surgeries for Epispadias are –  Exstrophy  1. MSRE- Modern stage repair of Exstrophy includes bladder closure, pelvic osteotomies followed by epispadis repair and uretheroplasty at 12-18 months  Young-Dees-Leadbetter repair- Bladder neck reconstruction for exstrophy  Kelly repair (RSTM) Radical soft tissue mobilization 2.  Complete primary repair for classic bladder exstrophy (CPRE)       

Ureteral injuries

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Q) A 24 year old male suffers low velocity gun shot wound in lower abdomen. On exploration there is a 1 cm segment loss of left ureter above the pelvic brim. Best management is : a) Ureterocystostomy b) Uretero ureterostomy c) Ureterostomy d) Ligation of ureter  Click for answer

Rupture of Urinary Bladder

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Q) Rupture of Urinary Bladder : False statement is  a) Associated with perineal hematoma b) Emergency laparotomy is required in most cases c) Investigation of choice is IVP d) Blunt urinary bladder trauma is associated with pelvic fractures Answer c Both b and c are wrong but the question was like this only. Rupture of urinary bladder is mostly extraperitoneal (80%) but can also be intraperitoneal (20%). Intra peritoneal rupture is usually when injury occurs in a full distended bladder. Haematuria may or may not be present. Perineal injuries may be seen in most cases Associated uretheral injury may be common.