Urology

Question 1

Which region of the prostate is most responsible for symptoms of benign prostate hyperplasia?

Answer 1

transition zone

Question 2

Which of the following substances composes most renal stones?

Answer 2

Calcium oxalate

Question 3

Which of the following medications is contraindicated in patients who take sildenafil?

Answer 3

Nitrates

Question 4

An adult patient presents with blunt renal trauma and gross hematuria and is hemodynamically stable. Which of the following is immediately required?

Answer 4

CT scan

Question 5

Which of the following statements is characteristic of testicular torsion?

Answer 5

Associated with ipsilateral loss of cremasteric reflex

Question 6

A previously healthy 12-year-old boy is brought to the emergency department by his mother because of a 4-hour history of acute right testicular pain. The patient denies a
history of trauma and he has never experienced this type of dull, achy visceral pain
before. He has tried some nonsteroidal anti-inflammatory drugs that his mother gave him with marginal relief. A urinalysis is negative. His temperature is normal. His right testicle is tender to palpation and larger as compared to the other side. There is probable blue dot sign with normal lie to the testicle. The cremasteric reflex is not observed. What is the most appropriate next step?

Answer 6

Get an immediate ultrasound of the testicles

Question 7

What is the mainstay of therapy for stage D prostate cancer?

Answer 7

androgen ablation therapy

Question 8

What disorder must be considered in patients who have irritative bladder symptoms such as frequency, hesitancy, dysuria, and irritability in the absence of urinary tract infections?

Answer 8

bladder cancer

Question 9

Which of the following is characterized by leakage of urine that occurs while coughing?

Answer 9

Stress incontinence

Question 10

Which of the following is a serum marker for seminoma?

Answer 10

beta-HCG

Question 11

Which of the following treatments is the best management for obstructive pyelonephritis secondary to an obstructing urethral stone?

Answer 11

IV antibiotics and emergency stent placement

Question 12

Which of the following substances compose infection stones?

Answer 12

magnesium ammonium phosphate

Question 13

Which of the following produces fructose?

Answer 13

seminal vesicles

Question 14

Which of the following is true concerning an MRI of the prostate?

Answer 14

It would be a poor screening test to pick up disease in patient

Question 15

Management of patient who believes God alone will cure his disease

Answer 15

Discuss his religious beliefs and point out the benefits chemotherapy will offer him

Question 16

Urge to urinate but only a few drops of fresh blood appear at meatus management

Answer 16

obtain a retrograde urethrogram

Question 17

Unable to provide urine sample-next step in management

Answer 17

place a Foley catheter

Question 18

most appropriate next step in management of transitional cell carcinoma of bladder

Answer 18

resect the lesion through the cystoscope

Question 19

Gleason grade 7 carcinoma-next step in management

Answer 19

order a bone scan

Question 20

life expectancy of patients diagnosed with prostate cancer who elect surgical intervention

Answer 20

8 yrs

Question 21

10 year survival in prostate cancer

Answer 21

possible but less than 50/50 chance

Question 22

blue dot sign with normal lie to testicle

Answer 22

prepare patient for immediate surgery for exploration

Question 23

hernia

Answer 23

may become strangulated

Question 24

no transillumination and elevated beta HCG and AFP

Answer 24

radical orchiectomy first line of treatment