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Collection of Test Tasks on Urology to Control the Level of Knowledge of Students of the Fourth Year of the Medical Faculty

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Collection of Test Tasks on Urology to Control the Level of Knowledge of Students of the Fourth Year of the Medical Faculty Ministry of Health of Ukraine Ukrainian Medical Stomatological Academy L.P. Sarychev, S.M. Suprunenko, Y.V.Sarychev Collection of test tasks on urology to control the level of knowledge of students of the fourth year of the medical faculty Poltava – 2019 UDC 616.61(075.8) Authors: – Leonid P. Sarychev, Doctor of Medical Sciences, Head of Department of Urology with Forensic Medicine, Ukrainian Medical Stomatological Academy; – Serhiy M. Suprunenko, Ph.D., Assistant Professor, Chair of Urology with Forensic Medicine of Ukrainian Medical Stomatological Academy; – Yaroslav V. Sarychev, Ph.D., Associate Professor, Chair of Urology with Forensic Medicine of Ukrainian Medical Stomatological Academy. Reviewers: – Olexiy O. Lyulko, Doctor of Medical Sciences, Head of Department of Urology, Zaporizhzhya Medical Academy of Postgraduate Education; – Mykhailo I. Ukhal, Doctor of Medical Sciences, Head of Department of Urology and Nephrology of Odessa National Medical Univercity. Sarychev L.P., Suprunenko S.N., Sarychev Y.V.. “Collection of test tasks on urology to control the level of knowledge of students of the fourth year of the medical faculty” for students of higher medical educational institutions of the third and fourth levels of accreditation, Poltava, 2018 - 185 p. The collection of tests discloses modern approaches to the organization of the educational process on the subject of urology, the provision of practical training, and the organization of independent training of students. The collection has a practical direction and is designed for students of higher medical institutions of Ukraine. 2 Contents 1. Clinical anatomy, physiology of the urinary system and male reproductive system… .......................................................................................................... 5 2. Symptoms of urological diseases ................................................................. 17 3. Methods of urological patients examination ................................................ 29 4. Anomalies of the urinary and male reproductive system …………………42 5. Acute pyelonephritis ..................................................................................... 55 6. Chronic pyelonephritis ................................................................................. 69 7. Pyonephrosis, paranephritis ......................................................................... 84 8. Cystitis, prostatitis, urethritis, cavernitis, epididymitis ................................ 98 9. Tuberculosis of the urinary and male reproductive systems ..................... 110 10. Urinary stone disease .................................................................................123 11. Traumatic injuries of the urogenital system .............................................. 135 12. Neoplasms of the urinary and male reproductive systems ........................ 146 13. Acute and chronic renal failure .................................................................. 160 14. Urgent care for diseases of the urinary and male reproductive systems ... 173 15. References … ............................................................................................. 185 3 Topic: Clinical anatomy, physiology of the urinary system and male reproductive system. Tests for 1st level: 1. The correct location of the elements of the renal pedicle from front to back: A. Vein, artery, pelvis. B. Аrtery, vein, ureter. C. Аrtery, ureter, vein. D. Ureter, vein, artery. E. Vein, ureter, artery. 2. What is attached to the left kidney anteriorly and exteriorly: A. Spleen and colon B. Spleen C. Descending colon. D. Small intestine loops. E. Pancreas. 3. The renal pelvis is normally located within the range: A. L1 - L2. B. Th11 - L1. C. Th11 - Th12. D. L2 - L4. E. L1 - L3. 4. Normally, the kidneys may move: A. To the height of one vertebra. B. The left kidney is slightly rotated. C. Do not move during breath. D. Lower while exhalation. E. Angulation 1600. 5. Abdominal kidney system consists of: A. pelvis, major and minor calyxes. B. pelvis, major, middle and minor calyxes. C. pelvis, calyxes and vaults. D. major, middle and minor calyxes. E. pelvis, major and minor calyxes and the beginning of the ureter. 6. The kidney forniceal apparatus includes: A. Part of the minor calyx, its vaults and papilla. B. Renal pyramid and papilla. C. Major calyx and minor calyxes. 4 D. Collector tubules and papilla. E. Minor calyx and pelvis. 7. What is typical for the kidney anatomical structure (find the false variant): A. The right kidney is located higher then the left one on one vertebra. B. The kidney has a fibrous capsule. C. Renal pelvis is located at the level of L1 -L2. D. Each major calyx is formed from 2-3 minor calyxes. E. The physiological mobility of the kidney can be within 1 vertebra. 8. The ureter has a physiological narrowing at the level of (find the false variant): A. crossing with the testicular vein. B. intramural segment. C. juxtavesical segment. D. intersection with the iliac vessels. E. ureteropelvic junction. 9. Where is an X-ray projection of the ureters located? A. on the periphery of transverse processuses of the vertebrae. B. on the posterior part of axillary furrow. C. on the periphery of vertebrae. D. on the periphery of rectum muscles. E. on the periphery of internal oblique muscle. 10. The right ureter is met with _____ at the terminal line of the pelvis. A. The external iliac artery. B. The internal iliac artery. C. The hypogastric artery. D. The common iliac artery. E. The testicular artery. 11. The left ureter is met with _____ at the terminal line of the pelvis. A. the common iliac artery. B. the internal iliac artery. C. the hypogastric artery. D. the external iliac artery. E. the obturator artery. 12. Where is the urinary duct (urachus) with reference to the prostate fascia located? A. Behind the prostate fascia. B. Infront of the prostate fascia. C. In the mass of the prostate fascia. 5 D. To the side of the prostate fascia. E. c) and d) are true 13. When can Lieutaud triangle be identified? A. While cystoscopy. B. During excretory urography. C. Under urethroscopy. D. While cystography. E. During chromocystoscopy. 14. Lieutaud triangle is formed by.. A. The openings of the ureters and the internal opening of the urethra. B. The ureteral openings and the fundus of bladder. C. The kidneys and bladder. D. The kidneys. E. The vertebral column and ureters. 15. What numbers of the clock dial does the location of ureteral orifices correspond: A. 7 right and 5 left. B. 5 right and 7 left. C. 9 right and 3 left. D. 1 right and 11 left. E. 8 right and 4 left. 16. Where is the external sphincter of the bladder located: A. In the urogenital diaphragm. B. In the muscle that elevates the anus of the rectum. C. At the base of the bladder. D. In the tendon center of the perineum. E. B) and D) are true. 17. The basis of the prostate gland is composed of: A. everything said here below. B. fundus of urinary bladder. C. seminal vesicles. D. ampulla of the deferent duct. E. c) and d) are true. 18. The urethra perforates the urogenital diaphragm with: A. The membraniform part. B. The pars cavernosa. C. The prostatic and membranous parts. D. The prostatic part. E. None of the above-mentioned. 6 19. The caliber of the male urethra is the shortest and the narrowest: A. In the area of the membranous part of the urethra. B. In place of the transfer of the bladder into the urethra. C. In the area of the external opening of the urethra. D. In all these places of the urethra narrowing. E. b) and c) are true. 20. Testicle is covered with: A. Seven layers of scrotum. B. Five layers of scrotum. C. Six layers of scrotum. D. Four layers of scrotum. E. Eight layers of scrotum. 21. Serous fluid (hydrocele) can be accumulated under pathological conditions between ________. A. Parietal and visceral layers of the funicular process of the testicle. B. External and internal spermatic fascia. C. External spermatic fascia and dartos. D. Perididymis and visceral layer of the funicular process of the testicle. E. Internal spermatic fascia and funicular process of the testicle. 22. The testicles are the main elements of the male reproductive system and they are destined to: A. all answers are correct. B. the hormone production. C. the formation of sperm. D. the function as separate organs. E. the procreation. 23. Normally, daily diuresis is up…. A. to 2000 ml. B. about 500 ml. C. to 1000 ml. D. to 3000 ml. E. to 1200 ml. 24. Oliguria is the medical term for a decreased output of urine that is less than ___. A. 500 ml. B. 100 ml. C. 1000 ml. 7 D. 300 ml. E. 50 ml. 25. Anuria is characterized by: A. Deep deficiency of urine excretion by the kidneys. B. Sharp lumbar pain. C. Lack of protein in the urine. D. Sudden hypotension. E. Lack of urine excretion from the bladder. 26. Determine, which of the following causes cannot stain urine red? A. Kidney tumor. B. Lead poisoning. C. Intake of rifampicin. D. Intake of higher doses of sulfonamides. E. Consumtion of large amounts of beets. 27. Normally, the urine specific gravity is: A. 1010- 1025. B. 1002- 1020. C. 1002- 1012. D. 1015- 1035. E. 1010- 1045. 28. Isosthenuria is: A. The range of specific gravity of urine per day is less than 7-8 units. B. The high of specific gravity of urine during the day. C. The range of specific gravity of urine per day is less than 20 units. D. The range of specific gravity of urine is less than 1003. E. The low of specific gravity of urine during the day. 29. Hyposthenuria is characterized by? A. Chronic renal failure. B. Urolithiasis. C. Acute glomerulonephritis. D. Acute cystitis. E. Interstitial nephritis. 30. Hypostenuria is a decrease in urine specific gravity less than A. 1005. B. 1020. C. 1030. D. 1015. E. 1010. 8 31. What is a normal urine reaction? A. faintly acid. B. weakly alkaline. C. acidulous. D. neutral. E. alkaline. 32. The concentration of protein in the urine should not outrange ______ in a healthy person. A. 0,030 g / l. B. 0,150 g / l. C. 0,100 g / l. D. 0,400 g / l. E. 0,010 g / l. 33. When does extrarenal proteinuria occur? A. The breakdown of white blood cells and red blood cells.
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