PAEA Surgery End Of Rotation (EOR) Practice Exam

What type of pain is described as steady and related to acute distention of the capsule?

1. Ureteral pain

2. Vesicle pain

3. Renal pain

4. Prostatic pain

The correct answer is: Renal pain

The type of pain that is described as steady and related to acute distention of the capsule is indeed renal pain. Renal pain typically arises from conditions that cause stretching or distention of the renal capsule, often due to processes like hydronephrosis, renal calculi, or renal trauma. When the kidneys are under stress from distention, the fibrous capsule surrounding them stretches, leading to a consistent, steady ache that can be localized to the flank region or lower back. This type of pain can be distinguished from other types, such as ureteral pain, which is often colicky and characterized by intermittent spasms as stones move through the ureter. Vesicle pain, associated with the bladder, usually correlates with issues such as bladder infections or inflammation, leading to a more acute, urgent pain. Prostatic pain, on the other hand, is typically felt in the perineum, lower abdomen, or back, and is often connected with conditions affecting the prostate gland rather than direct distention of a kidney's capsule.