Manish Sachdeva, MD

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Manish Sachdeva, MD

Urologist
Online Urology consultations. Past:
Medanta-Medicity, Gurgaon, India; All India Insti

01/12/2020

Que. 53. . The following are true regarding the
zonal anatomy of the prostate, EXCEPT:
A. There are four zones (central, transition
zone, peripheral zone, anterior fibromuscular septum).
B. BPH mainly affects the peripheral zone.
C. The peripheral zone comprises 65% of
glandular tissue of the prostate.
D. The transition comprises around 10% of
the glandular tissue.
E. The majority of cancers are located in
the peripheral zone

Answer on my page

01/12/2020

Que 52.
Which of the following is TRUE with
respect to benign prostatic hyperplasia (BPH)?
A. Is a histological process predominantly
characterised by benign prostatic hypertrophy.
B. Always causes lower urinary tract symptoms.
C. May not produce bladder outlet obstruction.
D. Requires the absence of androgens.
E. Is always a progressive disease

Answer on my page

01/12/2020

Que. 51. What percentage of total serum testosterone is unbound in plasma?
A. 2%
B. 12%
C. 32%
D. 42%
E. 8%

Answer on my page

10/11/2020

Why to be a Urologist?
11th November 2020
11 AM EST (Newyork)/ 18:00 PM EET (Bulgaria,Greece..etc)/ 20:00 Dubai/ 21:30 PM IST (Delhi)/ 01:00 AM Japan.

22/10/2020

Kidney stones are mineral deposits in the renal calyces and pelvis that are found free or attached to the renal papillae. Stone formation is highly prevalent, with rates of up to 14.8% and increasing, and a recurrence rate of up to 50% within the first 5 years of the initial stone episode. Obesity, diabetes, hypertension and metabolic syndrome are considered risk factors for stone formation, which, in turn, can lead to hypertension, chronic kidney disease and end-stage renal disease. In uric acid stones unduly acidic urine pH and less commonly hyperuricosuria are the most frequent biochemical diagnosis. Uric acid stones are the only stones which can completely dissolve with medical treatment.

15/10/2020

Que 50.
You are called to the post-natal ward to see a 5-day-old girl who was born 14 days prematurely. The paediatric team had noticed an
erythematous inflamed area between the genitalia and the a**s, with evidence of localized inflammation. The fluid chart has
documented very loose stools, green/brown in color. The baby is otherwise feeding normally. Which one of the following is the most
likely diagnosis?

A. Fistula
B. Hirschsprung's disease
C. Hypospadias
D. Perineal groove
E. Pr*****ed a**s

Answer on my page

15/10/2020

Que 49.
You are a asked to review a patient who presents with widespread urticarial rash with hives. She has been taking amoxicillin for
seven days for a post-operative superficial surgical site infection. Her vital signs are normal. There is no wheeze. There is no per-oral
or peri-orbital oedema. Which one of the following is this reaction most likely to be?

A. A result of direct stimulation of the immune system
B. Be associated with arthralgia and glomerulonephritis
C. IgE mediated
D. Result from a hapten-carrier complex
E. Type 2 hypersensitivity

Answer on my page

15/10/2020

Que 48.
You review a 65-year-old British man who complains of night pain in the legs. Of note he has a scoliosis and suffers with congestive
cardiac failure and chronic kidney disease. Three years previously he had successful hormone-therapy treatment of a low grade
prostatic carcinoma. He has been on hormone replacement therapy since. His radiograph is as shown. Which one of the following is
the most likely diagnosis?

A. Metastatic disease
B. Osteomalacia
C. Osteoporosis
D. Paget's disease
E. Lymphoma

Please note: The image is of a kid. Purpose is to illustrate "Sabre Tibia" deformity.

15/10/2020

Que 47.
A 20-year-old man has undergone recent excision biopsy of an enlarged lymph node situated in the posterior triangle of the right side of his neck. The procedure was performed under general anaesthetic. Histology has shown nodular sclerosing Hodgkin's lymphoma. When seen seven days later for the results of the biopsy the patient complains that he has weakness in the region of his right shoulder and he is unable to shrug his shoulder on that side. Injury to which one of the following nerves is likely to account for the patient's symptoms and signs?

A. Accessory nerve
B. Intermediate supraclavicular nerve
C. Lateral (posterior) supraclavicular nerve
D. Medial supraclavicular nerve
E. Transverse cervical nerve

Answer on my page

02/10/2020

First stage of Sacral neuromodulation (SNM) successfully performed. For more details please contact us.

01/10/2020

Que 46: What is overactive bladder syndrome (OAB): A symptom syndrome of urgency +/- incontinence usually accompanied by urinary frequency and nocturia in the absence of pathological (e.g UTI, Stones, bladder cancer) and metabolic factors (e.g. diabetes)

Steps to manage Overactive Bladder (OAB) 🧐🧐🧐
1. Lifestyle changes (eliminate caffeinated drinks, stop smoking, reduce weight if obese)
2. Bladder re-training and pelvic floor muscle exercises (both are effective in OAB) 🏃‍♀️🏃‍♀️
3. Pharmacotherapy (efficacy 50-75%)
4. Intravesical injection of botulinum toxin A (efficacy 36-89%)
5. Neuromodulation (50% cure)
6. Clam cystoplasty (50%cure)
7. Urinary diversion if all fails in severe cases

👈

28/09/2020

Que 45
Which one of the following is a selective M3 receptor antagonist?
A. Propantheline
B. Tolterodine tartrate
C. Trospium chloride
D. Solifenacin
E. Oxybutynin Chloride

Answer on my page

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