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Urology – KFP public report review 2016-2024 topics in exam

Causes of Male Infertility

  • Key Areas:
    • Interpretation of semen analysis
  • Improvement Areas:
    • Detailed history to refine diagnosis
    • Specific counseling on fertility outcomes

Painless Macroscopic Haematuria

  • Key Areas:
    • Differential diagnoses based on smoking history, occupational chemical exposure, and urine microscopy/culture results
    • Appropriate investigations for haematuria
  • Common Errors:
    • Providing unrelated diagnoses (e.g., ‘renal abscess’, ‘ovarian cancer’) or non-specific answers

Urge Incontinence

  • Key Areas:
    • Identifying exacerbating factors
    • Confirming diagnosis
    • Key non-pharmacological management strategies
  • Improvements Needed:
    • Avoiding irrelevant pharmacological options
    • Providing specific referrals

Urinary Incontinence in an Older Female

  • Key Topics Discussed: Differential diagnoses, examination findings, and non-pharmacological management
  • Candidate Performance: Non-specific differential diagnoses and irrelevant examination findings
  • Improvement Areas: Focus on specific, relevant differential diagnoses and examination findings related to urinary incontinence

Swollen Scrotum

  • Medical Heading:
    • Urology, with a focus on differential diagnosis and assessment of a swollen scrotum
  • Candidates Did Well On:
    • Identifying likely diagnoses
  • Improvement Areas:
    • Providing focused and concise examination details relevant to diagnosing the cause of scrotal swelling

Increasing Urinary Frequency in an Elderly Man

  • Key Topics Discussed:
    • History taking to establish symptom severity
    • Examination findings
    • Pharmacological options
  • Candidate Performance:
    • Inappropriate gender-specific diagnoses
    • Lack of targeted history and management
  • Improvement Areas:
    • Accurate history taking specific to urinary symptoms in men
    • Knowledge of appropriate pharmacological treatments

Groin and Knee Pain Evaluation

  • Key Topics Discussed:
    • Radiological feature identification on X-ray
    • Non-pharmacological advice
  • Candidate Performance:
    • Non-congruence with evidence-based guidelines in non-pharmacological management advice
  • Improvement Areas:
    • Align non-pharmacological advice with current evidence-based guidelines
    • Accurately interpret radiological findings

Chronic Urinary Frequency in an Elderly Woman

  • Key Topics Discussed:
    • Differential diagnoses
    • Pharmacological management
    • Lifestyle modifications
  • Candidate Performance:
    • Responses lacked specificity and relevance to elderly care
  • Improvement Areas:
    • Provide age-appropriate differential diagnoses
    • Evidence-based pharmacological management
    • Practical lifestyle advice

Pediatric Immunization and Genital Abnormalities

  • Key Topics Discussed:
    • Addressing parental concerns about immunization
    • Management of abnormal scrotal findings
  • Candidate Performance:
    • Failure to address specific immunization concerns
    • Manage genital abnormalities
  • Improvement Areas:
    • Provide clear, evidence-based information on immunization
    • Knowledge on managing scrotal abnormalities

Urinary Incontinence in an Older Female

  • Key Topics Discussed:
    • Differential diagnoses
    • Examination findings
    • Non-pharmacological management options
  • Candidate Performance:
    • Lack of specificity in differential diagnoses
    • Providing more answers than required
  • Improvement Areas:
    • Focus on providing concise, specific answers
    • Adhering to the requirements of the question

Acute Chest Pain and Erectile Dysfunction

  • Key Topics:
    • Management of acute chest pain
    • Follow-up care for erectile dysfunction
  • Candidate Performance:
    • Errors in ECG interpretation
    • Failure to identify appropriate management steps for erectile dysfunction
  • Improvement Areas:
    • Accurate ECG reading skills
    • Understanding of initial investigations
    • Management options for erectile dysfunction

Urge Incontinence Management

  • Key Topics:
    • Management strategies for urge incontinence in elderly women
  • Candidate Performance:
    • Incorrect drug class examples and management plans
  • Improvement Areas:
    • Precise classification and examples of medications for urge incontinence
    • Avoiding recommendations irrelevant to gender

Penile Rash and Hepatitis

  • Key Topics:
    • Diagnosis of penile rash
    • Interpretation of hepatitis screen results
    • Non-pharmacological management
  • Candidate Performance:
    • Misidentification of lesions
    • Incorrect interpretation of hepatitis screening results
  • Improvement Areas:
    • Accurate diagnosis and understanding of sexually transmitted infections and their management
    • Interpretation of laboratory results

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