CUA Surgical Procedures & Perioperative Care

Question 1

What is the standard patient positioning for transurethral resection of the prostate (TURP)?

Accepted Answer

Lithotomy

Answer

Prone

Answer

Lateral decubitus

Answer

Supine with hip elevation

Question 2

Which irrigation fluid is used during monopolar TURP to avoid conducting electrical current?

Accepted Answer

Glycine 1.5%

Answer

Normal saline (0.9% NaCl)

Answer

Lactated Ringer's solution

Answer

Sterile water

Question 3

What is the hallmark presentation of transurethral resection (TUR) syndrome?

Accepted Answer

Hyponatremia with neurological symptoms

Answer

Hypertension and bradycardia only

Answer

Hyperkalemia and cardiac arrhythmias

Answer

Hypercalcemia and confusion

Question 4

Before ureteroscopy, which pre-operative assessment finding most warrants procedure postponement?

Accepted Answer

Positive urine culture

Answer

Serum creatinine 1.3 mg/dL

Answer

INR of 1.1

Answer

Mild hypertension

Question 5

Per current ASA guidelines, what is the recommended NPO duration for solid foods before elective urologic surgery?

Accepted Answer

6 hours

Answer

2 hours

Answer

4 hours

Answer

12 hours

Question 6

According to AUA guidelines, which antibiotic class is recommended for prophylaxis before cystoscopy in high-risk patients?

Accepted Answer

Fluoroquinolones or trimethoprim-sulfamethoxazole

Answer

Macrolides

Answer

First-generation cephalosporins

Answer

Aminoglycosides

Question 7

Which post-operative complication occurs most frequently after percutaneous nephrolithotomy (PCNL)?

Accepted Answer

Fever and urinary tract infection

Answer

Pneumothorax

Answer

Renal arteriovenous fistula

Answer

Colonic injury