CUA Surgical Procedures & Perioperative Care

Question 1

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

Accepted Answer

Lithotomy

Answer

Lithotomy position provides optimal perineal and urethral access required for all transurethral endoscopic procedures.

Question 2

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

Accepted Answer

Glycine 1.5%

Answer

Glycine 1.5% is a non-electrolyte, non-hemolytic solution used in monopolar TURP because normal saline conducts electricity and would disperse monopolar current.

Question 3

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

Accepted Answer

Hyponatremia with neurological symptoms

Answer

TUR syndrome results from systemic absorption of hypotonic irrigant, causing dilutional hyponatremia that manifests as neurological symptoms including confusion, seizures, and cardiovascular instability.

Question 4

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

Accepted Answer

Positive urine culture

Answer

A positive urine culture must be treated before ureteroscopy to prevent urosepsis from instrumenting an infected, closed urinary system under pressure.

Question 5

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

Accepted Answer

6 hours

Answer

Current ASA guidelines require 6 hours NPO for light meals and 8 hours for fatty meals, with the standard recommendation for solid foods being 6 hours before elective surgery.

CUA - Certified Urologic Associate Practice Test

CUA - Certified Urologic Associate Practice Test

CUA Surgical Procedures & Perioperative Care