The Life Long Learning Exam for FPM-RS Subspecialty Consists of:
Core Urology (45 Questions)
- all applicants (including FPMRS) with the exception of the Pediatric Urology Subspecialty applicants, will take the core exam - the core is included in Pediatric Urology exam
- Approximately 30% of these questions will be taken from the past 5 years SASP
- Approximately 20% of these questions will be taken from pertinent AUA guidelines and white papers
Subspecialty LLL
- Female Pelvic Medicine –Reconstructive Surgery (80 Questions)
Topics that will be covered on the various modular exams including the core are listed below:
Core Urology - 37% of Exam
- Office Based Urology - 12% of exam
- Urinary Tract Infection: Cystitis, Prostatitis, Pyelonephritis
- Guidelines
- Dx, (Chemical Analysis), Rx
- Dx and Rx of sexually transmitted disease
- Microscopic hematuria -Guidelines
- Proteinuria – Dx and Evaluation
- LUTS -Guidelines
- When and how to use PSA screening
- Antibiotic prophylaxis - Guidelines
- DVT Prophylaxis
- Postoperative Complications & Trauma - 15% of exam
- Ureteroscopy complications
- ESWL complications
- TRUS prostate biopsy complications
- Traumatic Renal, bladder and urethral injuries;
- Dx and Triage
- Vesicovaginal- ureterovaginal fistula
- Dx and Triage
- Penile fracture: Dx and Triage
- Nerve injuries
- Positional nerve injuries
- Nerve injuries following surgery
- obturator, illioinguinal, femoral, etc
- Metabolic urgencies and emergencies
- Hyponatremia
- Myoglobinuria (positional)
- Postop Addisonian crisis, etc
- Imaging, radiation and patient safety - 10% of exam
- 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
Female Pelvic Medicine - 63% of Exam
- Urinary Incontinence, urethral diverticulum, OAB, Painful bladder syndrome - 33% of exam
- Urinary Incontinence
- Evaluation: Hx, PE, UDS questions here
- Stress Incontinence
- Behavioral and functional treatment
- Surgical treatment ( bulking agents, mid urethral and pubovaginalis sling, retropubic coloposuspension)
- Complications of surgery including mesh complications and obstruction
- Urge Urinary Incontinence/OAB
- Behavioral management
- Pharmacological management
- Options for refractory UUI/OAB (OnabotulinumtoxinA, neuromodulation)
- Painful Bladder syndrome including interstitial cystitis
- Diagnosis & managment
- Urethral diverticulum
- Dx & management
- Urethral strictures
- Diagnosis & Management
- Artificial urinary sphincters
- Indications
- Placement and complications
- Pelvic Organ Prolapse, Pelvic Floor Physiology, Fecal Incontinence and Defecation Disorders - 15% of exam
- Pelvic Organ Prolapse
- Evaluation; History and physical, staging, radiologic evaluation
- Nonsurgical treatment
- Surgical treatment
- Pelvic Floor Physiology (No neural questions see below)
- Anatomy
- Normal
- Loss of support related to pelvic prolapse
- Function of urethral sphincter normal and with incontinence
- Influence of hormones on physiology
- Fecal Incontinence and Defecation Disorders
- Evaluation
- Nonsurgical treatment
- Surgical treatment
- Neurourology, Neural supply to bladder, Congenital Anomalies of UG tract affecting FPMS, Female Sexual Dysfunction - 15% of exam
- Neural innervation to bladder
- Normal
- Alterations related to specific disease process
- Neurogenic bladder (includes DM, Parkinson’s, MS, CP,SCI, CVA)
- Evaluation including UDS
- Pharmacotherapy
- Surgical intervention ( Botox for NGB Not OAB , Augments, urinary diversion)
- Indications for urinary augmentation and urinary diversion
- Complications of Bladder augmentations and urinary diversion
- Surgical complications, e.g. rupture of augment, stones, ureteroenteric strictures, stomal and mid loop stenosis
- Metabolic complications
- Congenital female abnormalities that could impact FPMS
- Dx
- Management
- Imperforate or duplicated vagina
- Dx
- Management
- Female sexual Dysfunction
- Dx
- Management