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CUC Knowledge Assessment

The CUC Knowledge Assesment is comprised of 90 questions equally divided between Core Urology and a self-selected specific content module.

Core Urology (45 Questions)

  • all General Urology URPS Level 2 and Peds Level 2 applicants will take the 45 question Core Urology module.

General Urology CUC applicants required to complete the Knowledge Assessment must select one of the following specialized content modules:

Please Note: For the General Urology CUC Knowledge Assessment approximately 30% of all questions will come from the last 5 years SASP and pertinent AUA Guidelines for the specific content module chosen.

Topics that will be covered on the various modular exams including the core are listed below:

%

Office Based Urology

  1. Urinary Tract Infection: Cystitis, Prostatitis, Pyelonephritis
    • Guidelines
    • Dx (Chemical Analysis) Rx
  2. Dx and Rx of sexually transmitted disease
  3. Microscopic hematuria – Guidelines
  4. Proteinuria – Dx and Evaluation
  5. LUTS – Guidelines
  6. When and how to use PSA screening
  7. Antibiotic prophylaxis – Guidelines
  8. DVT Prophylaxis

%

Postoperative Complications & Trauma

  1. Ureteroscopy complications
  2. ESWL complications
  3. TRUS prostate biopsy complications
  4. Traumatic renal bladder urethral and genital injuries
    • Dx and Triage
  5. Vesicovaginal-ureterovaginal fistula
    • Dx and Triage
  6. Penile fracture: Dx and Triage
  7. Nerve injuries
    • Positional nerve injuries
    • Nerve injuries following surgery
      • Obturator iliolingual femoral etc
  8. Metabolic urgencies and emergencies
    • Hyponatremia
    • Myoglobinuria (positional)
    • Postop Addisonian crisis etc

%

Imaging radiation and patient safety

  • Methods to reduce exposure of physician to radiation
  • How to alter ultrasound techniques for better visibility
  • Patient safety – outpatient concerns
    • Sterilization of scopes etc.
    • Dx and treatment of autonomic dysreflexia
  • Opioid abuse

Oncology & Urinary Diversion

%

Upper tract disease

  • Adrenal Pathology (Dx – Treatment)
    • Benign
    • Malignant
    • Concepts on Chemotherapy
  • Renal Tumors
    • Benign
    • Malignant
    • Concepts on Chemo-Immunotherapy
    • Ablative Rx of renal tumors
    • Observation protocols for renal tumors
    • Genetic Risk Factors
  • Upper Tract Urothelial disease

%

Lower Tract disease

  • Bladder Tumors
    • Benign
    • Malignant
    • Concepts on Chemotherapy
    • Intravesical therapy
  • Prostate Cancer
    • PSA monitoring
    • Malignant
    • Dx and Rx
      • Observation protocols
      • Androgen resistant prostate cancer
    • Concepts on Chemo-Immuno therapy
  • Penile Cancer
    • Dx Rx
    • When to pursue lymphadenectomy
    • Rudimentary concepts on Chemotherapy
  • Testicular Cancer
    • Dx management
    • Rudimentary Concepts on Chemotherapy

%

Urinary diversions

  • Patient selection
  • Postoperative complications (fistulas and strictures)
    • Dx and Management
  • Metabolic complications including vitamin deficiencies

Calculus Disease Laparoscopy Robotics & Upper Tract Obstruction

%

Upper Tract Obstruction

  • UPJ obstruction
    • Dx and management
  • Retroperitoneal Fibrosis
    • Dx management – surgical and medical
  • Ureteral strictures and fistulas post endoscopy
    • Dx and management
  • Complications of long-term indwelling ureteral stents

%

Renal and Ureteral Calculi

  • Dx – including metabolic evaluation
  • Rx
    • All forms SWL, PCN, ureteroscopy, etc.
    • Medical therapy for underlying metabolic abnormalities
  • Recommended follow-up following stone extraction

%

Complications of PCN ECSWL Laparoscopy and Robotics

  1. Ureteral stricture post ureteroscopy Dx and Rx
  2. Ureteral perforation: Dx and Rx
  3. PCN complications
    • Bleed
    • Bowel perforation
    • Urinoma
  4. ECSWL – complications
  5. Robotic complications
    • Diminished blood flow
    • Reduced urine output
    • Air embolism
    • Complications of trocar placement

Erectile Dysfunction Andrology and Infertility

%

Impotence-Andrology-Androgen Deficiency

  1. Androgen deficiency
    • Dx when to treat
  2. ED
    • Dx
    • Medical therapy
    • Concepts on Chemo-Immunotherapy
    • Use and contraindications of medical therapy
    • Use in cardiac patients
    • Injectable therapy use and contraindications
    • ED – Surgical treatment: IPP
      • Who to consider – contraindications for usage
      • Complications of placement and management
      • Long-term complications
  3. Peyronie’s disease
    • Diagnosis
    • Medical therapy
    • Surgical therapy
    • Complications of surgical therapy
  4. Priapism
    • Etiologies
      • High flow vs low flow
      • Sickle cell Rx
      • Medical causes both drugs and malignancy as etiology
    • Treatment

%

Infertility

  • Diagnosis and Rx
    • Obstructive causes
      • Dx and Treatment
      • Findings and significance of findings at time of vaso-vasostomy
      • Association of Cystic fibrosis with vassal anomalies and significance
    • Endocrinologic causes
      • Dx and Treatment

Office Based Urology

%

BPH – urethral obstruction – LUTS (male and female)

  • BPH
    • Dx
    • Medical treatment BPH
    • Surgical Treatment BPH
  • Urethral strictures-stenosis
    • Pelvic Fracture Urethral Injuries
      • Dx
      • Treatment
  • Urethral stricture (Anterior)
    • Dx
    • Treatment
  • LUTS – male and female
    • Dx (UDS when is it necessary?)
    • Behavioral management
    • Pharmacological management
    • Options for refractory UUI/OAB (OnabotulinumtoxinA neuromodulation)
  • Stress Incontinence
    • Behavioral and functional treatment
    • Surgical treatment (bulking agents slings)

%

Sexual dysfunction – ED

  • Androgen deficiency
    • Dx
    • Medical therapy
  • Erectile Dysfunction
    • Use and contraindications of medical therapy
      • Use in cardiac patients
    • Injectable therapy use and contraindications
    • Rx priapism

%

Neoplasia

  • Low grade bladder tumor
    • Dx management Rx including intravesicular therapy
  • Prostate Cancer (Dx- observation protocols antiandrogen therapy)
    • Bx MRI observation protocols antiandrogen therapy

%

Renal and Ureteral Calculi (does not include metabolic evaluation)

  • Dx – Stones
  • Rx
    • All forms SWL PCN ureteroscopy etc
    • Medical therapy for underlying metabolic abnormalities e.g. uric acid calculi
  • Recommended follow-up following stone extraction