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Surgeries for Pelvic Floor Disorders

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Mandatory components of a rigid cystoscope include all of the following EXCEPT:

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a. Bridge

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b. Camera

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c. Sheath

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d. Endoscope and light source

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Which rigid endoscope most easily permits visualization of the urethra?

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a. 0-degree lens

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b. 30-degree lens

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c. 70-degree lens

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d. 120-degree lens

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As shown in this image of multiple bladder stones, which rigid endoscope most easily permits visualization of the lateral, anterior, and posterior bladder walls during diagnostic cystoscopy?

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a. 0-degree lens

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b. 30-degree lens

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c. 70-degree lens

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d. 120-degree lens

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You have just completed a bilateral uterosacral ligament suspension for your 58-year-old patient with apical prolapse. During cystoscopy, the left ureteral orifice repeatedly is seen to briskly efflux urine, as shown here, but the right orifice does not. You have waited 20 minutes. What is the most appropriate next step?

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Used with permission from Dr. Mayra Thompson.

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a. Request an intravenous fluid bolus

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b. Request an intravenous 10-mg dose of furosemide

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c. Proceed to procedure completion because peristalsis was observed

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d. Attempt passage of a ureteral stent or catheter on the right

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Regarding the passage of a ureteral stent to exclude ureteral obstruction, which of the following statements is correct?

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a. Use a 10F to 12F open-ended stent

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b. Select a 70-degree cystoscope, which is best suited for passage of the ureteral stent

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c. Consider an Albarrán bridge, which may ease deflection of a stent into the ureteral orifice

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