Urology OSCE

Urology OSCE 05.02.2012Station 1Name the structure to Which is pointing.

What are the indications To use this structure?

Double J catheterIndications: 1) after surgery 2) to bypass obstruction 3) after lithotripsy ..2Station 2

An IVP image showing a left non functioning kidney (no contrast excretion), right hydronephrosis and a filling defect in the bladder. Q: Name 3 radiological abnormalites. Station 3 This is KUB of a 37 year old female patient with a history of loin pain and recurrent UTI. This patients has 2 kids. A- what is the most probable etiology for her condition?B- What is the composition of this pathology?C- What is the most appropriate method of management?

A- recurrent infections UTIB- Ammonium magnesiumC- 4Station 4 For each of the following conditions, write the most appropriate method of diagnosis.A- renal scarB- renal cystC- renal stoneD- VURE- pelviureteric junction obstruction A- DMSAB- U/S ( C- non contrast helical CT scanD- IVPE_ U/S ( 5Station 5 For each of the following, write down the most appropriate method of treatment. A- 8mm diameter mid ureteric stoneB- 13mm stone in the mid renal calyx.C- solitary, exophytic T1 transitional cell carcinoma of the bladderD- BPH with bothersome urinary obstructive symptoms.E- advanced prostatic adenocarcinoma with bony metastasis. Station 6A 37 year old businessman presented with flank pain, high fever and chills. He has been started on gout medication since 2 months.A- what is the most probable diagnosis. B- what investigations you would like to order. A- acute pyelonephritisB- CBC UA uric acid level 7Station 7 A 70 year old man with long history of low back pain presented to ER at night with - I can not urinate since early morning A- what clinical test you will do to confirm the diagnosis.B- what is the most important 1st step of management. A- suprapubic palpation or percussionB- urinary catheterization8Station 8

What is the name of this test?What is the diagnosis? Transillumination testhydrocele9