@UrologyQuiz

Quiz7 Follow-up MCQs: (ANSWERS BELOW!) MCQ

1. Ileal conduit is:

A) a continent form of diversion that is reliable and generally not the “default” diversion in almost every centre

B) an incontinent form of diversion that is reliable and not the “default” diversion in almost every centre

C) an incontinent form of diversion that is reliable and the “default” diversion in many centres

D) a continent form of diversion that is reliable and the “default” diversion in many centres

2. Complications after an ileal conduit could be expected in:

A) 30% or more patients

B) fewer than 30% of patients

C) older patients only will experience complications in 30%

D) greater than 70% will experience complications

3. Which of these is NOT an early expected EARLY complication of an ileal conduit?

A) Bowel related (ileus)

B) Intestinal anastomosis related (leak)

C) Enteric fistula

D) Uretero-enteric anastomosis stricture

4. Which of these is NOT a LATE expected complication of an ileal conduit?

A) Intestinal anastomosis stenosis

B) Stoma related (parastomal hernia, stenosis)

C) Abdominal wall related (hernia)

D) Uretero-enteric anastomosis stricture

5. Continent urinary diversion include:

A) Continent catheterizable reservoir

B. Orthotopic neobladder

C. Ureterosigmoidostomy

D) Ileal Conduit

ANSWERS
Q1 Answer C: it is an incontinent form of diversion that is reliable and the “default” diversion in many centres.
Whilst itr is continent in the sense it is contained it is obviously not. Thus A and C incorrect. B) This is
interesting as some centres would argue that an orthotopic bladder substitution/neobladder is the “default”
however this is not the case of being at almost every centre and only in select specialist centres

Q2 Answer A: at least 30% of patients will experience complications B), C) and D) incorrect

Q3 Answer D: Uretero-enteric anastomosis stricture is a long term complication whilst A) Bowel related (ileus);
B) Intestinal anastomosis related (leak); and C) Enteric fistula are short term

Q4 Answer A: A) Intestinal anastomosis stenosis is very rare and late if ever occurring; the rest are recognized
late complications B) Stoma related (parastomal hernia, stenosis); C) Abdominal wall related (hernia); and D)
Uretero-enteric anastomosis stricture

Q5 Answer D: Ileal Conduit is incontinent whilst continent urinary diversions include: A) Continent
catheterizable reservoir; B) Orthotopic neobladder and C) Ureterosigmoidostomy

By @lawrentschuk Editor-in-Chief @UrologyQuiz

Assoc. Professor Nathan Lawrentschuk, University of Melbourne AUSTRALIA