FC Urol(SA) Final

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

22 August 2013 Paper 1 (3 hours)

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

Discuss renovascular hypertension (RVH) under the following a) Pathogenesis. b) Causes. c) Diagnosis. d) Treatment.

(25) (25) (25) (25) [100]

Bespreek renovaskulre hipertensie (RVH) onder die volgende a) Patogenese. b) Oorsake. c) Diagnose. d) Behandeling.

(25) (25) (25) (25) [100]

A 50-year-old female presents to you with painful, frequent micturition of three years duration. She has been seen by other urologists in the past who have labelled her condition as interstitial cystitis. It has been some time since she saw anyone about this condition as she has been told that there is no treatment. Outline her management, including the criteria you would use for confirming her diagnosis, and her options for treatment. [100] n 50-Jarige vrou doen by u voor met pynlike urinre frekwensie vir drie jaar. Sy is voorheen deur ander urolo gesien wat haar toestand as interstisile sistitis etiketteer het. Dit is n geruime tyd sedert sy enigiemand oor hierdie toestand gesien het, omdat sy vertel is dat daar geen behandeling is nie. Beskryf haar hantering, insluitend die kriteria wat u sal gebruik om haar diagnose te bevestig, en haar behandelings-opsies. [100] Discuss the diagnosis and management of squamous cell carcinoma of the penis. Bespreek die diagnose en hantering van plaveiselkarsinoom van die penis. [100] [100]

3 3

PTO/Page 2 Question 4

-24 Describe a) The embryology of the exstrophy-epispadias complex. b) The anatomical defects found in a baby with classic bladder exstrophy. Beskryf a) Die embriologie van die ekstrofie-epispadie-kompleks. b) Die anatomiese afwykings gevind in n baba met klassieke blaasekstrofie.

[100]

[100]

FC Urol(SA) Final

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

23 August 2013 Paper 2 (3 hours)

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

a) b) c) d)

Discuss the peri-operative management of a Jehovah's witness who needs a major operation. (25) Describe the anatomy of the male perineum and how it will influence the spread of infection in a patient with Fournier's gangrene. (25) Discuss the different types of blunt trauma of the male urethra, their radiographic appearance and the available treatment options for all types of urethral injuries. (25) Tabulate the early and late complications after renal transplantation and discuss the treatment of these complications. (25) [100] Bespreek die peri-operatiewe hantering van n Jehova-getuie wat n groot operasie benodig. (25) Beskryf die anatomie van die manlike perineum en hoe dit die verspreiding van infeksie in n pasint met Fournier se gangreen sal benvloed. (25) Bespreek die verskillende soorte stomp besering van die manlike uretra, hul radiografiese voorkoms en die beskikbare behandelingsopsies vir alle soorte uretrabeserings. (25) Tabuleer die vroe en laat komplikasies na nieroorplanting en bespreek die hantering van hierdie komplikasies. (25) [100]

a) b) c)

d)

Write short notes on a) Congenital adrenal insufficiency. b) FowlerStephens orchidopexy. c) The urodynamic findings in bladder outlet obstruction in male patients. d) The diagnosis of sarcoidosis of the urogenital tract.

(25) (25) (25) (25) [100]

PTO/Page 2 Question 2

-22 Skryf kort aantekeninge oor a) Kongenitale bynierontoereikendheid. b) FowlerStephens orgidopeksie. c) Die urodinamiese bevindings in blaasuitgang-obstruksie in manlike pasinte. d) Die diagnose van sarkodose van die urogenitale traktus.

(25) (25) (25) (25) [100]

a) b) c) d)

Discuss renal tubular acidosis. (20) Discuss the management of urethral carcinoma in a female. (20) Discuss what you would expect to find clinically and on special investigations in a true hermaphrodite. (30) Discuss the management of urological anomalies in prune belly syndrome. (30) [100] Bespreek renale tubulre asidose. (20) Bespreek die hantering van uretrakarsinoom in n vrou. (20) Bespreek wat u sou verwag om klinies en met spesiale ondersoeke in n ware hermafrodiet te vind. (30) Bespreek die hantering van urologiese anomalie in die pruimbuiksindroom. (30) [100] Define metabolic syndrome; and discuss the pathophysiology and treatment of this condition. (25) Discuss the different neuromodulation techniques and their mechanism of action.(25) Discuss the etiology and management of chronic scrotal pain. (25) Discuss the management of intractable gross haematuria. (25) [100] Definieer metaboliese sindroom en bespreek die patofisiologie en behandeling van hierdie toestand. (25) Bespreek die verskillende neuromodulasie-tegnieke en hul meganisme van werking. (25) Bespreek die etiologie en hantering van chroniese skrotale pyn. (25) Bespreek die hantering van aanhoudende erge hematurie. (25) [100]

a) b) c) d)

a) b) c) d)

a) b) c) d)