PAEA Surgery End Of Rotation (EOR) Practice Exam

Ureteral pain typically presents due to what condition?

1. Bladder overdistention

2. Organ rupture

3. Obstruction

4. Fungal infections

The correct answer is: Obstruction

Ureteral pain is commonly associated with obstruction, which can occur due to various reasons such as kidney stones, strictures, or tumors compressing the ureter. When there is obstruction, it leads to increased pressure within the renal collecting system and the ureter, causing a characteristic type of pain. This pain typically presents as flank pain that may radiate to the lower abdomen or groin, known as renal colic. The anatomy of the ureters, which are muscular tubes carrying urine from the kidneys to the bladder, plays a key role in how obstruction results in pain. The muscle contractions aimed at moving urine may become more painful and intense when there is an obstruction, contributing to the discomfort felt during this condition. The other conditions, while they can cause pain, are less characteristic for ureteral pain specifically. Bladder overdistention may cause discomfort, but it is localized to the bladder rather than the ureter. Organ rupture typically involves acute, severe pain and other systemic symptoms related to the affected organ, rather than isolated ureteral pain. Fungal infections are less common and usually associated with systemic illness or localized infections, rarely presenting as ureteral pain specifically. Hence, obstruction stands out as the primary cause of ureteral