FC Urol(SA) Final / GK Urol (SA) Finaal

THE COLLEGES OF MEDICINE OF SOUTH AFRICA

Incorporated Association not for gain Reg No 1955/000003/08

Final Examination for the Fellowship of the College of Urologists of South Africa

31 August 2011 Paper 1 Vraestel 1 (3 hours) (3 uur)

All questions are to be answered. Each question to be answered in a separate book (or books if more than one is required for the one answer) Al die vrae moet beantwoord word. Elke vraag moet in n aparte boek (of boeke indien meer as een nodig is vir n vraag) geskryf word

1 1 2

Discuss the pathophysiology of Neisseria gonorrhoeae in the urogenital system.[100] Bespreek die patofisiologie van Neisseria gonorrhoeae in die urogenitale stelsel.[100] Discuss in detail the paraneoplastic syndromes associated with the following urologic malignancies a) Renal cell cancer. (50) b) Prostate cancer. (50) [100] Bespreek in besonderhede die paraneoplastiese sindrome wat geassosieer word met die volgende urologiese maligniteite a) Renaalselkarsinoom. (50) b) Prostaatkarsinoom. (50) [100] Discuss the evaluation, management and possible complications of a staghorn stone in the left kidney of a 60-year-old man. [100] Bespreek die evaluering, hantering en moontlike takbokhoringsteen in die linkernier van n 60-jarige man. komplikasies van n [100]

3 3 4

Discuss the contra-indications, pre-operative and intra-operative preparation and possible complications associated with transperitoneal laparoscopic nephrectomy. [100] Bespreek die kontra-indikasies, pre-operatiewe en intra-operatiewe voorbereiding en moontlike komplikasies geassosieer met transperitoneale laparoskopiese nefrektomie. [100]

FC Urol(SA) Final / GK Urol (SA) Finaal

THE COLLEGES OF MEDICINE OF SOUTH AFRICA

Incorporated Association not for gain Reg No 1955/000003/08

Final Examination for the Fellowship of the College of Urologists of South Africa

1 September 2011 Paper 2 Vraestel 2 (3 hours) (3 uur)

All questions are to be answered. Each question to be answered in a separate book (or books if more than one is required for the one answer) Al die vrae moet beantwoord word. Elke vraag moet in n aparte boek (of boeke indien meer as een nodig is vir n vraag) geskryf word

Write short notes on a) The significance of oligo-terato-asthenozoospermia in a man with secondary infertility. (25) b) Testosterone supplementation in a 60-year-old man 3-years after radical prostatectomy with a PSA nadir of less than 0.01 ng/ml. (25) c) Options for management of a healthy 60-year-old lady with a 2cm incidental solid renal mass on CT scan. (50) [100] Skryf kort aantekeninge oor a) Die betekenis van oligo-terato-astenozospermie in n man met sekondre infertiliteit. (25) b) Testosteroon-aanvulling in n 60-jarige man 3-jaar na radikale prostatektomie met n PSA-laagtepunt van minder as 0.01 ng/ml. (25) c) Opsies in die hantering van n gesonde 60-jarige vrou met n 2cm toevallig ontdekte soliede niermassa op RT (50) [100] Briefly discuss the a) Grading and staging of Wilms tumour. b) Classification and grading of vesico-ureteric reflux. c) Classification of disorders of sexual differentiation. Bespreek kortliks die a) Gradering en stadiring van Wilms-tumor. b) Klassifikasie en gradering van vesiko-ureteriese refluks. c) Klassifikasie van versteurings van seksuele differensiasie. Discuss a) Conservative treatment of phimosis. b) Fibro-epithelial polyp of the ureter. c) Villous adenoma of the bladder. d) Leydig cell tumour of the testis. e) Sertoli cell tumour of the testis. Bespreek (25) (25) (50) [100] (25) (25) (50) [100]

[100]

a) b) c) d) e) 4

Konserwatiewe behandeling van fimose. Fibroepitelile poliep van die ureter. Villeuse adenoom van die blaas. Leydigseltumor van die testis. Sertoliseltumor van die testis.

[100]

Write short notes on a) The etiology and treatment of autonomic dysreflexia in patients with spinal cord injuries. b) The diagnosis and treatment of a ureteric stone in a pregnant woman. c) The causes of an acute scrotum in a 14-year-old boy with no history of trauma. d) The prevention and treatment of bladder perforation during transurethral resection of a bladder tumour (TURBT). [100] Skryf bondige notas oor a) Die etiologie en behandeling van outonome disrefleksie in pasinte met rugmurgbeserings. b) Die diagnose en behandeling van n uretersteen in n swanger vrou. c) Die oorsake van n akute skrotum in n 14-jaar oue seun sonder n geskiedenis van trouma. d) Die voorkoming en behandeling van blaasperforasie tydens transuretrale reseksie van n blaastumor (TURBT). [100]