Soal Ppds Urologi Free

Urology Resident Selection Exams

This is a specialized request for medical education content, specifically for (Soal PPDs Urologi). In Indonesia, "PPDS" (Program Pendidikan Dokter Spesialis) refers to the specialist doctor training program.

Soal 5 (Trauma Uretra – Posterior)

Question:

Pasien 72 tahun mengeluh sulit buang air kecil (hesitansi, pancaran lemah). Tekanan darah 150/90. diberikan Tamsulosin 0.4 mg. Efek samping yang paling harus diwaspadai pada pasien ini adalah? a) Ginekomastia b) Hipotensi ortostatik c) Disfungsi ejakulasi d) Takikardia e) Edema perifer soal ppds urologi

• Pathophysiology of nephrolithiasis (Calcium oxalate, uric acid, struvite).
• SWL (Shock Wave Lithotripsy) indications vs. PCNL (Percutaneous Nephrolithotomy).
• Ureteroscopy (URS) complications (avulsion, stricture).

Mistake

| | Why it fails | The Fix | | :--- | :--- | :--- | | Ignoring "Staging" | You choose surgery for Stage 4 cancer | Memorize TNM classification for Prostate, Bladder, Kidney. | | Mixing Pharmacology | Giving Alpha-blocker for Detrusor overactivity | Create a drug table: Overactive Bladder = Anticholinergic; BPH = Alpha-blocker; Painful stone = NSAID (not opioid first). | | Over-reliance on CT | In testicular torsion, CT is useless | Go by physical exam + Doppler USG. Never delay surgery for a CT scan. | | Forgetting Urethral Catheter size | Choosing 24 Fr for a pediatric patient | Know standard sizes: Neonates (6 Fr), Adult Male (16-18 Fr), Hematuria (20-22 Fr 3-way). | Urology Resident Selection Exams This is a specialized

Seorang remaja 17 tahun datang dengan nyeri testis kiri onset tiba-tiba 3 jam yang lalu disertai mual. Pada pemeriksaan, testis kiri teraba lebih tinggi dan posisi horisontal. Tidak ada demam. Apa yang harus dilakukan? A. Antibiotik dosis tinggi B. USG Doppler skrotum C. Eksplorasi skrotum emergensi D. Observasi dengan analgesic E. Orchiectomy Mistake | | Why it fails | The

Answer:

C. TURBT is diagnostic and therapeutic.

• Q1: Probable diagnosis and staging study? (3 pts)
• Q2: Next step – biopsy vs. radical orchiectomy? (2 pts)
• Q3: Post-orchiectomy management if stage IIA? (5 pts)