CUA Surgical Procedures & Perioperative Care 2

Question 1

During laparoscopic urologic surgery, what is the standard intraabdominal CO2 insufflation pressure maintained?

Accepted Answer

10–15 mmHg

Answer

5–8 mmHg

Answer

18–20 mmHg

Answer

20–25 mmHg

Question 2

Which catheter is placed post-operatively after TURP to allow continuous bladder irrigation (CBI)?

Accepted Answer

Three-way Foley catheter

Answer

Straight urethral catheter

Answer

Coude catheter

Answer

Suprapubic catheter

Question 3

During cystoscopy, which intraoperative finding most strongly indicates bladder perforation?

Accepted Answer

Decreased irrigant return with sudden patient discomfort

Answer

Gross hematuria

Answer

Involuntary bladder contractions

Answer

Elevated blood pressure

Question 4

What is the primary purpose of a double-J ureteral stent placed after ureteroscopy?

Accepted Answer

Prevent ureteral obstruction from post-procedure edema

Answer

Deliver antibiotics directly to the renal pelvis

Answer

Measure ureteral peristaltic pressure

Answer

Prevent vesicoureteral reflux

Question 5

In robotic-assisted radical prostatectomy (RARP), what patient position is used to improve pelvic access?

Accepted Answer

Steep Trendelenburg

Answer

Reverse Trendelenburg

Answer

Lateral decubitus

Answer

Prone with hip flexion

Question 6

What is the most common early complication following radical cystectomy with urinary diversion?

Accepted Answer

Paralytic ileus

Answer

Cardiac arrhythmia

Answer

Wound dehiscence

Answer

Pulmonary embolism

Question 7

Which pre-operative laboratory value is most critical to assess in a patient on warfarin therapy before urologic surgery?

Accepted Answer

Prothrombin time/INR

Answer

Complete blood count

Answer

Basic metabolic panel

Answer

Serum creatinine