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Genitourinary Fistula and Urethral Diverticulum

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What is the most common type of genitourinary fistula?

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a. Vesicovaginal

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b. Vesicouterine

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c. Ureterovaginal

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d. Urethrovaginal

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Which of the following is the correct sequence of events in wound healing?

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a. Angiogenesis → fibrosis → remodeling

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b. Angiogenesis → remodeling → fibrosis

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c. Fibrosis → remodeling → angiogenesis

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d. Remodeling → angiogenesis → fibrosis

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How long after tissue injury do most fistulas present?

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a. 3 to 5 days

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b. 1 to 3 weeks

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c. 4 to 6 months

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d. More than 1 year

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Which of the following anatomic communications has NOT been described?

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a. Vesicocervical

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b. Ureterouterine

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c. Urethrouterine

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d. Ureterocervical

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Examples of complicated vesicovaginal fistulas (VVFs) include all of the following EXCEPT:

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a. VVF with concurrent pelvic malignancy

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b. VVF following pelvic radiation therapy

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c. Posthysterectomy high VVF and vaginal length of 9 cm

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d. Posthysterectomy VVF that is distant from the vaginal cuff

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A 27-year-old postpartum woman presents with a fistula measuring 2 cm in diameter. The fistula has moderate-to-severe surrounding fibrosis and is located 5 cm from the external urethral meatus. According to the more comprehensive fistula classification system introduced by Goh (2004), how would you classify this fistula?

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a. Type 1 a i

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b. Type 1 b ii

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c. Type 3 a ii

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d. Type 2 c iii

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