Urological Trauma Quiz (50)

Which of the following can be managed with Foley catheter drainage alone?

• Intraperitoneal bladder rupture

• Extraperitoneal bladder rupture

• Bladder neck rupture

• Combined bladder and rectal injury

• Bladder rupture with bone fragment intrusion

Which ureteral injury pattern is most amenable to primary ureteroureterostomy?

• Blunt contusion with mucosal slough

• Complete avulsion at ureteropelvic junction

• Partial transection in mid ureter

• Devitalized lower ureter

• Ureteral necrosis after radiation

Which testicular trauma finding is a contraindication to conservative management?

• Normal contour

• Intact tunica albuginea

• Homogeneous echotexture

• Extrusion of seminiferous tubules

• No hematocele

Which type of trauma most commonly causes testicular rupture?

• Penetrating gunshot

• Motorcycle accident

• Sports injury

• Fall from height

• Crush injury

What is the most feared complication of missed testicular torsion in trauma?

• Hydrocele

• Testicular atrophy

• Infertility

• Hematocele

• Varicocele

The most important goal in surgical repair of urethral injury is:

• Minimize hospital stay

• Maintain erectile function

• Prevent strictures

• Maintain urinary continence and flow

• Avoid suprapubic tube

Which of the following is a late complication of high-grade renal trauma?

• Hematuria

• Hypertension

• Anemia

• Urosepsis

• Scrotal edema

What is the best method for initial localization of a ureteral injury?

• IVP

• Delayed phase contrast CT

• Renal scintigraphy

• MRI

• KUB

A patient presents with anterior urethral bleeding post-fall on metal pole. What is the probable site of injury?

• Membranous urethra

• Prostatic urethra

• Bulbar urethra

• Navicular fossa

• Penile urethra

What is the initial management of extraperitoneal bladder rupture?

• Immediate laparotomy

• Cystoscopy

• Foley catheter for 10-14 days

• Bladder irrigation

• Ureteral stenting