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

Standard pneumoperitoneum is maintained at 10–15 mmHg, providing adequate visualization and working space while minimizing cardiorespiratory compromise from elevated intraabdominal pressure.

Question 2

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

Accepted Answer

Three-way Foley catheter

Answer

A three-way Foley catheter has an extra lumen for continuous saline irrigation, allowing CBI to flush blood and prevent clot retention in the bladder after TURP.

Question 3

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

Accepted Answer

Decreased irrigant return with sudden patient discomfort

Answer

Bladder perforation causes irrigation fluid to extravasate into perivesical or peritoneal space, reducing fluid return while producing abdominal or shoulder pain from fluid accumulation.

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

Double-J stents are placed after ureteroscopy to maintain ureteral patency and allow healing while preventing obstruction from post-procedural mucosal edema.

Question 5

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

Accepted Answer

Steep Trendelenburg

Answer

Steep Trendelenburg (head-down tilt 25–40°) uses gravity to displace the bowel cephalad, improving surgical access and visualization of the prostate and bladder neck.

CUA - Certified Urologic Associate Practice Test

CUA - Certified Urologic Associate Practice Test

CUA Surgical Procedures & Perioperative Care 2