Match List – I and List – II and select the correct answer from the code given below:

List – I
A. Obstruction in urinary tract
B. Treatment for Renal Stones
C. Stress incontinence
D. One type of urinary diversion

List – II

1. Laser Lithotripsy
2. Ileal Conduit
3. Hydronephrosis
4. Kegal exercise

1. A

   A-1, B-3, C-4, D-2

2. B

   A-2, B-4, C-1, D-3

3. C

   A-4, B-1, C-3, D-2

4. D

   A-3, B-1, C-4, D-2

Appeared in: UPPSC 2017

Explanation

• Obstruction in the urinary tract (A) leads to a backup of urine, causing the kidney to swell, a condition known as Hydronephrosis (3).
• Laser Lithotripsy (1) is a modern treatment modality specifically used to break down Renal Stones (B) into smaller pieces for easier passage.
• Stress incontinence (C), the leakage of urine during physical exertion, is managed by strengthening the pelvic floor muscles through Kegel exercises (4).
• An Ileal Conduit (2) is a common surgical procedure for urinary diversion (D), creating a new channel for urine to leave the body after a cystectomy (bladder removal).

Why Other Options Were Wrong

• Option A: This option incorrectly matches 'Obstruction in urinary tract' with 'Laser Lithotripsy' and 'Treatment for Renal Stones' with 'Hydronephrosis'. Lithotripsy is a treatment for stones, not a direct match for obstruction itself. Hydronephrosis is a consequence of obstruction, not a treatment for stones.
• Option B: This option contains multiple incorrect pairings. For example, it matches 'Obstruction' with 'Ileal Conduit' and 'Renal Stones' with 'Kegel exercise'. These pairings have no logical or clinical relationship.
• Option C: This option incorrectly matches 'Obstruction in urinary tract' with 'Kegel exercise' and 'Stress incontinence' with 'Hydronephrosis'. Kegel exercises are for incontinence, not obstruction, and hydronephrosis is a result of obstruction, not related to stress incontinence.

Related Visual

Clinical Relevance

• Nursing practice connection: Knowing Matching urinary system pathologies and procedures with their corresponding definitions, causes, or treatments helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
• Nurses play a crucial role in educating patients on performing Kegel exercises correctly to manage stress incontinence, which can significantly improve quality of life.
• Post-procedure nursing care for a patient undergoing lithotripsy involves straining all urine to collect stone fragments for analysis and managing pain.
• For patients with an ileal conduit, stoma care and patient education are vital nursing responsibilities to prevent skin breakdown, infection, and ensure proper appliance management.

How to Approach the Question

• First, read both lists carefully to understand the terms and concepts presented.
• Analyze the first item in List I, 'Obstruction in urinary tract,' and scan List II for the most logical consequence or related term. An obstruction causes urine backup, leading to kidney swelling, which is 'Hydronephrosis' (3).
• Repeat this process for each item in List I. 'Treatment for Renal Stones' is 'Laser Lithotripsy' (1). 'Stress incontinence' is managed with 'Kegel exercise' (4). 'Urinary diversion' is a procedure like an 'Ileal Conduit' (2).
• Once you have established the pairs (A-3, B-1, C-4, D-2), look for the option that matches this combination.
• Verify that the selected option (D) correctly lists all the pairs you identified.
• Eliminate the other options by identifying their incorrect pairings.

Concept Tested & Keywords

• Concept Tested: Matching urinary system pathologies and procedures with their corresponding definitions, causes, or treatments.
• Stem keywords: Obstruction in urinary tract, Renal Stones, Stress incontinence, urinary diversion, Hydronephrosis, Laser Lithotripsy, Kegal exercise, Ileal Conduit
• Lead-in keywords: Match List – I and List – II

Question ID

QpjNN0Z7oZ4oggADqbH3eA

Copy ID

Reference Book

E6 Anatomy Workbook BDChaurasia V2 10e p. 69-71

E6 Nursing Fundamentals Taylor p. 597-599