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67 Cards in this Set
- Front
- Back
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A cystolithotomy is performed for:
a. enhancement of drainage b. removal of stones c. removal of stricture or contracture d. all of the above |
b. removal of stones
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The following explains the reason for concern about adrenal venules.
a. Maintaining blood flow during retraction as well as hemostasis is critical when dealing with kidneys. b. Kidneys are highly vascular organs c. Adrenal glands influence blood pressure and electrolyte balance. d. Since the blood supply is constant, damage to this area can cause significant blood loss. |
d. Since the blood supply is constant, damage to this area can cause significant blood loss.
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The ____ can check for stone position as well as patient placement on the cysto table.
a. IVP b. BUN c. UA d. KUB |
d. KUB
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Transverse suprapubic or vertical suprapubic incisions generally require a _______ position to access the _____.
a. supine, bladder or urethra b. lithotomy, vaginal area c. semirecumbent position, kidney d. lateral position for anterior or posterior approached, ureter |
a. supine, bladder or urethra
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This acquired disease results in unusual weight gain, edema, and hyperglycemia or hyperplasia.
a. Cushing's disease or syndrome b. Phimosis c. Wilms tumor d. hypospadias |
a. Cushing's disease or syndrome
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Which of the following is NOT a supply necessary for genitourinary procedures?
a. contrast medium (radiopaque dye) of choice, syringes, and needles--for xray b. Alcock evacuator--for removing substances from surgical site c. water soluble surgical jelly--nonconductive lubicant for instruments d. urostomy pouch--for diversion of urine to a bag |
b. Alcock evacuator--for removing substances from surgical site
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The presence of pus in the urine indicates_____.
a. pyuria b. oliguria c. dysuria d. anuria |
a. pyuria
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With patient in lateral position, the surgeon begins the ____incision at the costovertebral angle, and running parallel to the rib, extends it forward and downward between the iliac crest and the thorax.
a. supracostal extrapleural b. Nagamatsu or dorsolumbar flap c. lumbar or simple flank d. subcostal and transverse abdominal |
c. lumbar or simple flank
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Which organ is significantly different between genders?
a. urachus b calyx c. uretha d. urinary meatus |
c. uretha
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A total cystectomy involves removal of the bladder and adjacent structures. What is necessary to complete the procedure?
a. subsquent bladder transplant b. plastic repair of the bladder and replacement c. subsequent urinary diversion d. none of the above |
c. subsequent urinary diversion
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The test measures the wast products of protein metabolism.
a. IVP b. BUN c. UA d. KUB |
b. BUN
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The purpose of genitourinary surgery is to investigate and restore function to _______ _______ of the uninary system, such as________.
a. related organs; prostate testicle and penis b. principal organs; kidney, ureters, bladder and adrenal glands c. principal organs; the prostate, testicle and penis d. related organs; kidneys, ureters, bladder and adrenal glands |
a. related organs; prostate testicle and penis
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Urethroplasty is the _____that fails to respond to intermittent dilation.
a. repair of a urethral stricture b. removal of urethral calculi c. crushing of urethral calculi d. repair of urethral tear with mesh |
a. repair of a urethral stricture
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Which of the following is NOT a common open urethral procedure?
a. urethroplasty b. urethral meatotomy c. urethral dilation d. urethroscopy |
d. urethroscopy
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Which prostatectomy procedure allows the surgeon to correct associated bladder problems?
a. suprapubic prostatectomy b. radical prostatectomy with retroperitoneal lymphadenectomy c. transurethral resection of the prostate gland(TURP d. perineal prostatectomy |
a. suprapubic prostatectomy
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Multiple xrays are taken at timed intervals for visualization of the ureter and renal pelvis after intravenous injection of radiopaque dye. When diagnostic test is ordered, it is the:
a. IVP b. BUN c. UA d. KUB |
a. IVP
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_______ catheters contain a third lumen for irrigation as a closed drainage system when placed by suprapubic incision or trocar puncture.
a. Urethral b. Foley-W c. Whistle tip d. Suprapubic |
d. Suprapubic
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The _______gland surrounds the first part of the urethra and sends secretions along specialized ducts to the urethra.
a. Cowper's b. prostate c. adrenal d. bulbourethral |
b. prostate
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While urinary procedures are predominantly MIS procedures, many MIS procedures__________.
a. utilize the semi-recumbent position where table flexion is particularly critical b. require the same setup as invasive surgeries c. require extra precautions relative to blood loss d. have better success rates |
b. require the same setup as invasive surgeries
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Uteteroscopes are ______ in diameter and _______than the cystoscope.
a. larger, shorter b. smaller, shorter c. larger, longer d. smaller, longer |
d. smaller, longer
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This organ is located in the retroperitoneal area and is protected by lower ribs and costal rib cartilage.
a. bladder b. ureter c. kidney d. urethra |
c. kidney
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The repair of the bladder neck to overcome contracture of the bladder neck is commonly know as:
a. Y-V-plasty b. Marshall-Marchetti-Krantz c. bladder or transvaginal fascial sling d. TUR |
a. Y-V-plasty
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The diagnostic test is used to differentiate a solid tumor from a renal syst or to identify obstructions.
a. urethrogram or cystogram b. retrograde pyelogram c. nephrotomography d. renal ultrasound |
d. renal ultrasound
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The cystoscopy table with x-ray unit is designed to maintain the patient in the ____ position, allow for drainage of copious irrigation fluids and manage interoperative X-rays via the holder within the table
a. supine b lithotomy c. semi-recumbent d. lateral |
b lithotomy
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Which description of the urinary system is FALSE?
a. Its processess include regulation, filtration, reabsorption and secretion. b. It adjusts blood pH and blood contents, such as sodium and potassium. c. It regulates white blood cell production and blood pressure. d. it is composed of two kidneys, two ureters, the urinary bladder and urethra. |
c. It regulates white blood cell production and blood pressure.
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The following procedures all involve surgical intervention in which area?
(pyelolithotomy, pyeloplasty, pyelostomy, pyelotomy) a. the juncture between the kidneys and ureters b. the rectal pelvis c. the connection between the kidneys and adrenal glands d. the renal pelvis |
d. the renal pelvis
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Inability to completely empty the bladder is referred to as
a. anuria b. obstructive uropathy c. oliguria d. urinary retention |
d. urinary retention
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Which most accurately describes the thoracoabdominal incision commonly used for kidney procedures?
a oblique cut from just below the 12th rib toward the ilium for removal of impacted calculi with standard characteristics b. generally requires a semirecumbent position, extending below the ribs to the abdomen for effective rib retraction c. with patient in lateral position, the tenth and eleventh ribs are resected, and the chest cavity is opened, collapsing the lung; rib spreaders, approximators, and chest drainage are required d. modification of the simple flank incision with patient in lateral position made over the eleventh and twelfth ribs, removings a section of each |
c. with patient in lateral position, the tenth and eleventh ribs are resected, and the chest cavity is opened, collapsing the lung; rib spreaders, approximators, and chest drainage are required
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Which most accurately describes the thoracoabdominal incision commonly used for kidney procedures?
a oblique cut from just below the 12th rib toward the ilium for removal of impacted calculi with standard characteristics b. generally requires a semirecumbent position, extending below the ribs to the abdomen for effective rib retraction c. with patient in lateral position, the tenth and eleventh ribs are resected, and the chest cavity is opened, collapsing the lung; rib spreaders, approximators, and chest drainage are required d. modification of the simple flank incision with patient in lateral position made over the eleventh and twelfth ribs, removings a section of each |
c. with patient in lateral position, the tenth and eleventh ribs are resected, and the chest cavity is opened, collapsing the lung; rib spreaders, approximators, and chest drainage are required
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Which most accurately describes the thoracoabdominal incision commonly used for kidney procedures?
a oblique cut from just below the 12th rib toward the ilium for removal of impacted calculi with standard characteristics b. generally requires a semirecumbent position, extending below the ribs to the abdomen for effective rib retraction c. with patient in lateral position, the tenth and eleventh ribs are resected, and the chest cavity is opened, collapsing the lung; rib spreaders, approximators, and chest drainage are required d. modification of the simple flank incision with patient in lateral position made over the eleventh and twelfth ribs, removings a section of each |
c. with patient in lateral position, the tenth and eleventh ribs are resected, and the chest cavity is opened, collapsing the lung; rib spreaders, approximators, and chest drainage are required
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Which of the following is NOT a kidney tissue layer?
a. gerota's capsule b. renal hilum c. renal fasicia d. perirenal fat |
b. renal hilum
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Which of the following is NOT a kidney tissue layer?
a. gerota's capsule b. renal hilum c. renal fasicia d. perirenal fat |
b. renal hilum
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Which of the following is NOT a kidney tissue layer?
a. gerota's capsule b. renal hilum c. renal fasicia d. perirenal fat |
b. renal hilum
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Children generally require a size _______ to ______urethral catherter.
a. 6,8 b. 8,10 c. 12, 14 d. 14, 18 |
b. 8,10
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Children generally require a size _______ to ______urethral catherter.
a. 6,8 b. 8,10 c. 12, 14 d. 14, 18 |
b. 8,10
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Children generally require a size _______ to ______urethral catherter.
a. 6,8 b. 8,10 c. 12, 14 d. 14, 18 |
b. 8,10
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Ureterolithotomy involves an incision into the ureter for the surgical removal of a stone or calculi from the kidney, renal pelvis, or ureters. Which other procedures listed below is NOT generally perferred to this procedure?
a. transurethral-bladder-ureter stone manipulation b. extracorporeal shock wave lithotripsy c. neproscopic procedures d. cystoscopic procedures |
d. cystoscopic procedures
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Ureterolithotomy involves an incision into the ureter for the surgical removal of a stone or calculi from the kidney, renal pelvis, or ureters. Which other procedures listed below is NOT generally perferred to this procedure?
a. transurethral-bladder-ureter stone manipulation b. extracorporeal shock wave lithotripsy c. neproscopic procedures d. cystoscopic procedures |
d. cystoscopic procedures
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Hematuria is characterized by_______.
a. enlargement, leading to urinary retention or incontinence b. obstruction, leading to hydroneprosis c. the presence of blood in the urine d. obstruction, leading to prostatic cancer |
c. the presence of blood in the urine
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Hematuria is characterized by_______.
a. enlargement, leading to urinary retention or incontinence b. obstruction, leading to hydroneprosis c. the presence of blood in the urine d. obstruction, leading to prostatic cancer |
c. the presence of blood in the urine
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Ureterolithotomy involves an incision into the ureter for the surgical removal of a stone or calculi from the kidney, renal pelvis, or ureters. Which other procedures listed below is NOT generally perferred to this procedure?
a. transurethral-bladder-ureter stone manipulation b. extracorporeal shock wave lithotripsy c. neproscopic procedures d. cystoscopic procedures |
d. cystoscopic procedures
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Hematuria is characterized by_______.
a. enlargement, leading to urinary retention or incontinence b. obstruction, leading to hydroneprosis c. the presence of blood in the urine d. obstruction, leading to prostatic cancer |
c. the presence of blood in the urine
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Urethral chatheters range in size from ________ French.
a. 6 to 18 b. 8 to 30 c. 10 to 32 d. 12 to 32 |
b. 8 to 30
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Urethral chatheters range in size from ________ French.
a. 6 to 18 b. 8 to 30 c. 10 to 32 d. 12 to 32 |
b. 8 to 30
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Which statement is the most true concerning positioning patients for genitourinary procedures?
a. lateral positioning is standard for the majority of open cases? a. hypernaphroma is indicated by the prosence of a flank mass, where as neuroblastoma is not? b. Neuroblastoma affects the adrenal glands, while hypernephroma affects the kidneys, even though it resembles tumors of the adrenal cortex. c. Hypernephroma is a malignant tumor of the kidney; neuroblastoma is a benign tumor of the kidney whose cells resemble those from the adrenal cortex. d. Neuroblastoma can be treated with chemotherapy or irradiation; hypernephroma requires immediate surgical intervention. |
b. Neuroblastoma affects the adrenal glands, while hypernephroma affects the kidneys, even though it resembles tumors of the adrenal cortex.
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Which statement is the most true concerning positioning patients for genitourinary procedures?
a. lateral positioning is standard for the majority of open cases? a. hypernaphroma is indicated by the prosence of a flank mass, where as neuroblastoma is not? b. Neuroblastoma affects the adrenal glands, while hypernephroma affects the kidneys, even though it resembles tumors of the adrenal cortex. c. Hypernephroma is a malignant tumor of the kidney; neuroblastoma is a benign tumor of the kidney whose cells resemble those from the adrenal cortex. d. Neuroblastoma can be treated with chemotherapy or irradiation; hypernephroma requires immediate surgical intervention. |
b. Neuroblastoma affects the adrenal glands, while hypernephroma affects the kidneys, even though it resembles tumors of the adrenal cortex.
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There are five optical systems that provide several angles of vision, Which is NOT one of these optical systems?
a. foroblique, fixed b. direct forward, 0-degree c. retrospective, 90-degree d. right-angle, 30 - degree |
c. retrospective, 90-degree
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There are five optical systems that provide several angles of vision, Which is NOT one of these optical systems?
a. foroblique, fixed b. direct forward, 0-degree c. retrospective, 90-degree d. right-angle, 30 - degree |
c. retrospective, 90-degree
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Which statement most accurately captures the primary difference between the heminephrectomy and the nephrectomy?
a. Permission to harvest the kidney from a donor is required for both, but the heminephrectomy involves excision of a single kidney, instead of both kidneys for the nephrectomy b. The nephrectomy is the total removal of a kidney to treat some congenital abnormalities, tumors, diseases, or injuries to the kidney. The heminephrectomy is a partial ixcision of a kidney. c. The heminephrectomy involes excision of kidney, perirenal fat, adrenal gland, Gerota's capsule, and involved peraortic lymph nodes, whereas the nephrectomy is excision of just the kidney. d. A nephrectomy is performed prior to kidney transplantation, whereas heminephrectomies are not. |
b. The nephrectomy is the total removal of a kidney to treat some congenital abnormalities, tumors, diseases, or injuries to the kidney. The heminephrectomy is a partial ixcision of a kidney.
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Which statement most accurately captures the primary difference between the heminephrectomy and the nephrectomy?
a. Permission to harvest the kidney from a donor is required for both, but the heminephrectomy involves excision of a single kidney, instead of both kidneys for the nephrectomy b. The nephrectomy is the total removal of a kidney to treat some congenital abnormalities, tumors, diseases, or injuries to the kidney. The heminephrectomy is a partial ixcision of a kidney. c. The heminephrectomy involes excision of kidney, perirenal fat, adrenal gland, Gerota's capsule, and involved peraortic lymph nodes, whereas the nephrectomy is excision of just the kidney. d. A nephrectomy is performed prior to kidney transplantation, whereas heminephrectomies are not. |
b. The nephrectomy is the total removal of a kidney to treat some congenital abnormalities, tumors, diseases, or injuries to the kidney. The heminephrectomy is a partial ixcision of a kidney.
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Which extremely painful disorder must be dealt with immediately or the tissue my become ischemic and tissue death will occur?
a. uremia b. balanitis c. torsion testicle d. nephritis |
c. torsion testicle
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Which extremely painful disorder must be dealt with immediately or the tissue my become ischemic and tissue death will occur?
a. uremia b. balanitis c. torsion testicle d. nephritis |
c. torsion testicle
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Which of the following is NOT true of a ureteral catheter?
a. range in size from 3-18 French. b. If left in place, it must be labeled right or left. c. Available in various styles and sizes for specific puropses, such as plain shistle tip, olive tip, cone tip, etc. d. Used to inject dye for retrograde ureter or renal pelvis x-ray studies. |
a. range in size from 3-18 French.
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The ____ is attached to both posterior corners near openings from each_____ and also contains a single larger hole at the_______.
a. bladder neck, ureter, trigone floor. b. trigone floor, urachus, urethra c. trigone floor, ureter, bladder neck d. urachus, ureter, bladder neck |
c. trigone floor, ureter, bladder neck
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Which procedure requires the division of the ureter from the bladder and reimplanation of the ureter into the bladder at another site?
a. ureteroplasty b. ureterosigmidostomy c. ureteronecystotomy d. ureteroureterostomy |
c. ureteronecystotomy
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The pressure of pus in the urine is termed?
a. pyuria b. dysuria c. oliguria d. hematuria |
a. pyuria
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The followup surgery to testicular torsion is ____?
a. vasectomy b. orchiectomy c. prostatectomy d. orchipexy |
b. orchiectomy
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Select the statement below that accureately describes the middle structure of the ureters.
a. The middle structure experiences peristaltic activity as a part of the voluntary nervous system b. The middle structure extends from about the top of the fifth lumbar vertebrae down to the bottom of the sacroiliac joint. c. The middle structure consist of a involuntary muscular mid-layer, which exhibits the same paristaltic, rhythmic contraction of the digestive system covered by a mucous outer layer of tissue. d. The middle structure extends from about the top of the seventh lumbar vertebrae down to the bottom of the sacroillac joint, so that both abdominal and pelvic areas are included. |
b. The middle structure extends from about the top of the fifth lumbar vertebrae down to the bottom of the sacroiliac joint.
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When bladder calculi that are crushed and removed through the urethral, this is a?
a. open litholapaxy b. closed litholapaxy c. internal urethrotomy d. external urethrotomy |
b. closed litholapaxy
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Mrs. N is experiencing very little urination, often with a great deal of discomfort, Her doctor has diagnosed her as having?
a. pyuria b. nocturia c. oliguria d. hematuria |
c. oliguria
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Which of the following is NOT a corpus segment of the penile structure?
a. glans penis b. corpus spongiosue c corpus cavernosum d corpus callosum |
d corpus callosum
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To access the kidneys in an open procedure, which incision would a surgeon select of the following?
a. vertical abdominal incision b. hockeystick or Gibson incision c. inverted U-incision d. Foley muscle-splitting incision |
a. vertical abdominal incision
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_______ is the inflammation of the ___________.
a. cystitis, not only the renal pelvis but of connective tissues b. cystitis, not only the renal pelvis but of the ureters c. Nephritis, not only the renal plvis but of kidney connective tissues d. Nephritis, not only the renal pelvis but of the ureters |
c. Nephritis, not only the renal plvis but of kidney connective tissues
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Which of the following is NOT an example of urodynamic studies?
a. uroflowmetry b electromyography c. urography d. cystometry |
c. urography
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Which of the version of prostatectomy is the most common?
a. suprapubic prostatectomy b. radical prostatectomy with retroperitoneal lymphadenectomy c. transurethral resection of the prostate gland (TURP) d. perineal prostatectomy |
c. transurethral resection of the prostate gland (TURP
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The length of the urethra between the bladder and the glans penis is approximately ______.
a. 3 to 4 cm b. 12 cm c 16 cm d 20 cm |
d 20 cm
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A resection of the bladder and urethral tissue utilizes electric current generated by the electrosurgical unit, removing tissue piece by piece. Excised tissue collects with in the bladder, along with irrigation fluid. What is the next step?
a. fluid is emptied into an evacuator, whis is emptied over a wire mesh plate to collect samples b. The tissue is flused with 4 to 5 times with a specially cooled electrolytic saline solution. c. The surgeon determines whether a splinted catheter is necessary d. If the area continues to bleed, despite applied pressure, the surgeon will suture and urethral mucosa together, while maintaining the opening. |
a. fluid is emptied into an evacuator, whis is emptied over a wire mesh plate to collect samples
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