GENITO URINARY SURGERY
GENITO URINARY SURGERY MCQs
1:-The mean age of a child with vaginal rhabdomyosarcoma is
A:-younger than 2 years
B:-2-4 years
C:-4-8 years
D:-8-12 years
Ans: A
2:-Hydrocele formation after varicocele ligation is least likely after
A:-retroperitoneal ligation
B:-subinguinal ligation
C:-microscopic inguinal ligation
D:-transvenous embolisation
Ans: D
3:-All of the following are true regarding Pollakiuria EXCEPT
A:-it may be associated with a history of recent death or life threatening event in the family
B:-it is always associated with urinary tract infection or polyuria
C:-affected child may have very high day time frequency, even as high as 50 times per day
D:-Absence of nocturnal frequency differentiates it from Overactive Bladder (OAB)
Ans: B
4:-Which of the following disease has the highest chance of developing Renal Cell Carcinoma (RCC) ?
A:-Von Hippel-Lindau desease
B:-Acquired renal cystic desease
C:-Tuferous sclerosis
D:-ADPKD
Ans: A
5:-The test with highest sensitivity to detect Urinary Tract Infection (UTI) is
A:-Leukocyte esterase
B:-Urinary nitrite
C:-Urinary nitrate
D:-Serum procalcitonin
Ans: A
6:-Antibiotic prophylaxis for a major operation is best
A:-Administered 1 hr. before surgery incision
B:-Administered the night before surgery
C:-Administered following incision
D:-Administered immediately ofter completing surgery
Ans: A
7:-Technetium 99 m (99m Te) Dimercapto Succinic Acid (DMSA) is taken up by which renal cell ` `
A:-Glomerulus
B:-Proximal tubule
C:-Distal tubule
D:-Collecting tubule
Ans: B
8:-The fetal kidney develops from
A:-Paraxial mesoderm
B:-Intermediate mesoderm
C:-Lateral mesoderm
D:-Neural tube
Ans: B
9:-Regarding sipuleucel T vaccine, all the following are true, EXCEPT
A:-It is a treatment option for patients with minimally or asymptomatic prostate cancer
B:-Sipuleucel-T causes marked symptomatic relief in patients with bone pains
C:-The drug was approved based onthe survival benefit compared to place bo
D:-Sipuleucel-T will not cause any meaningful PSA decline
Ans: B
10:-The non steroidal antiandrogen associated with interstitial pneumonetis and delayed adaption to darkness after exposure to bright illumination
A:-Bicalutamide
B:-Nilutamide
C:-Flutamide
D:-Cyproterone acetate
Ans: B
11:-The most common malignant tumor associated with bladder diverticula is
A:-Urothelial carcinoma
B:-Adeno carcinoma
C:-Squamous cell carcinoma
D:-Sarcoma
Ans: A
12:-Which of the biomarkers has the greatest specificity for the presence of prostate cancer in patients with elivated PSA ?
A:-PCA 3
B:-TMPRSS 2 : ERG
C:-F-PSA
D:-4 Kscore
Ans: B
13:-A fourtyeight years old women who had abdominal hysterotomy 2 months back presents for evaluation of clear vaginal discharge since surgery. Following oval intake of pyridium, her pads continue to have clear watery discharge. The most likely diagnosis is
A:-Vesico vaginal fistula
B:-Uretero vaginal fistula
C:-Peritoneo vaginal fistula
D:-Vesico uterine fistula
Ans: C
14:-The key elements of abdominal sacrocolpopexy do NOT include
A:-use of permanent monofilamentmesh
B:-Secure fixation to the sacral promontory
C:-Secure fixation to the vaginal cuff
D:-Use of a biologic graft
Ans: D
15:-The consistent advantage of laperoscopic/robotic prostatectomy over open prostatectomy is
A:-Less bleeding
B:-Less urinary incontinence
C:-Preservation of erectle function
D:-Less post operative pain
Ans: A
16:-The test with highest positive predictive value in prostate cancer is
A:-Digital Rectal Examination (DRE)
B:-PSA
C:-Transrectal Ultrasonography (TRUS)
D:-Human Glandular Kallikrein (hKz)
Ans: B
17:-Significant probability of disease recurrence and risk of secondary graft dysfunction can occur in all the following EXCEPT
A:-Chronic glomerulonephritis
B:-Focal segmental glomerulosclerosis
C:-Haemolytic uremic syndrome
D:-Primary oxalosis
Ans: A
18:-Foley Y-V pyloplasty is useful in
A:-anterior crossing vessel
B:-high ureteral insertion
C:-redundant renal pelvis
D:-small intra renal pelvis
Ans: B
19:-A patient with serum creatinine 2.5 mg/dL requires renal angiography. The best way to protect renal function is
A:-saline diuresis
B:-pre-study mannitol
C:-furosemide before study
D:-dopamine throughout the study
Ans: A
20:-The most common bacteria causing xantho-granulomatous pylonephritis is
A:-E. Coli
B:-Proteus mirabilus
C:-Pseudomonas
D:-Klebsiella
Ans: B
A:-younger than 2 years
B:-2-4 years
C:-4-8 years
D:-8-12 years
Ans: A
2:-Hydrocele formation after varicocele ligation is least likely after
A:-retroperitoneal ligation
B:-subinguinal ligation
C:-microscopic inguinal ligation
D:-transvenous embolisation
Ans: D
3:-All of the following are true regarding Pollakiuria EXCEPT
A:-it may be associated with a history of recent death or life threatening event in the family
B:-it is always associated with urinary tract infection or polyuria
C:-affected child may have very high day time frequency, even as high as 50 times per day
D:-Absence of nocturnal frequency differentiates it from Overactive Bladder (OAB)
Ans: B
4:-Which of the following disease has the highest chance of developing Renal Cell Carcinoma (RCC) ?
A:-Von Hippel-Lindau desease
B:-Acquired renal cystic desease
C:-Tuferous sclerosis
D:-ADPKD
Ans: A
5:-The test with highest sensitivity to detect Urinary Tract Infection (UTI) is
A:-Leukocyte esterase
B:-Urinary nitrite
C:-Urinary nitrate
D:-Serum procalcitonin
Ans: A
6:-Antibiotic prophylaxis for a major operation is best
A:-Administered 1 hr. before surgery incision
B:-Administered the night before surgery
C:-Administered following incision
D:-Administered immediately ofter completing surgery
Ans: A
7:-Technetium 99 m (99m Te) Dimercapto Succinic Acid (DMSA) is taken up by which renal cell ` `
A:-Glomerulus
B:-Proximal tubule
C:-Distal tubule
D:-Collecting tubule
Ans: B
8:-The fetal kidney develops from
A:-Paraxial mesoderm
B:-Intermediate mesoderm
C:-Lateral mesoderm
D:-Neural tube
Ans: B
9:-Regarding sipuleucel T vaccine, all the following are true, EXCEPT
A:-It is a treatment option for patients with minimally or asymptomatic prostate cancer
B:-Sipuleucel-T causes marked symptomatic relief in patients with bone pains
C:-The drug was approved based onthe survival benefit compared to place bo
D:-Sipuleucel-T will not cause any meaningful PSA decline
Ans: B
10:-The non steroidal antiandrogen associated with interstitial pneumonetis and delayed adaption to darkness after exposure to bright illumination
A:-Bicalutamide
B:-Nilutamide
C:-Flutamide
D:-Cyproterone acetate
Ans: B
11:-The most common malignant tumor associated with bladder diverticula is
A:-Urothelial carcinoma
B:-Adeno carcinoma
C:-Squamous cell carcinoma
D:-Sarcoma
Ans: A
12:-Which of the biomarkers has the greatest specificity for the presence of prostate cancer in patients with elivated PSA ?
A:-PCA 3
B:-TMPRSS 2 : ERG
C:-F-PSA
D:-4 Kscore
Ans: B
13:-A fourtyeight years old women who had abdominal hysterotomy 2 months back presents for evaluation of clear vaginal discharge since surgery. Following oval intake of pyridium, her pads continue to have clear watery discharge. The most likely diagnosis is
A:-Vesico vaginal fistula
B:-Uretero vaginal fistula
C:-Peritoneo vaginal fistula
D:-Vesico uterine fistula
Ans: C
14:-The key elements of abdominal sacrocolpopexy do NOT include
A:-use of permanent monofilamentmesh
B:-Secure fixation to the sacral promontory
C:-Secure fixation to the vaginal cuff
D:-Use of a biologic graft
Ans: D
15:-The consistent advantage of laperoscopic/robotic prostatectomy over open prostatectomy is
A:-Less bleeding
B:-Less urinary incontinence
C:-Preservation of erectle function
D:-Less post operative pain
Ans: A
16:-The test with highest positive predictive value in prostate cancer is
A:-Digital Rectal Examination (DRE)
B:-PSA
C:-Transrectal Ultrasonography (TRUS)
D:-Human Glandular Kallikrein (hKz)
Ans: B
17:-Significant probability of disease recurrence and risk of secondary graft dysfunction can occur in all the following EXCEPT
A:-Chronic glomerulonephritis
B:-Focal segmental glomerulosclerosis
C:-Haemolytic uremic syndrome
D:-Primary oxalosis
Ans: A
18:-Foley Y-V pyloplasty is useful in
A:-anterior crossing vessel
B:-high ureteral insertion
C:-redundant renal pelvis
D:-small intra renal pelvis
Ans: B
19:-A patient with serum creatinine 2.5 mg/dL requires renal angiography. The best way to protect renal function is
A:-saline diuresis
B:-pre-study mannitol
C:-furosemide before study
D:-dopamine throughout the study
Ans: A
20:-The most common bacteria causing xantho-granulomatous pylonephritis is
A:-E. Coli
B:-Proteus mirabilus
C:-Pseudomonas
D:-Klebsiella
Ans: B
21:-Cause of congenital pelvi-urteric function obstruction include
A:-Presence of an a peristalitic segment of ureter similar to that found in primary obstructive mega ureter
B:-True ureteral stricture at PUJ, that is congenital
C:-Kinks or valves produced by unfolding of ureteral mucosa and musculature
D:-All of the above
Ans: D
22:-Which of the following is typically associated with organic E. D. in contrast with psychogenic E.D. ?
A:-Sudden loss of erections
B:-Gradual decline in erectile ability
C:-Situational erectile difficulty
D:-Erection responses on awakening
Ans: B
23:-The structure not located in retro peritoneum is
A:-Asending color
B:-Adrenal
C:-Transverse color
D:-Second part of duodenum
Ans: C
24:-All the following are true regarding Germ Cell Tumor (GCT) EXCEPT
A:-It occures bilaterally approximately 15% of the time
B:-Cryptorchidisism is associated with increased risk for GCT
C:-Intratubular Germ Cell Neoplasia (ITGCN) is associated with high risk for GCT
D:-GCT incidence may be high when there is a family history of Testicular cancer
Ans: A
25:-For minimising the gap between healthy urethral margins before anastamosis in pelvic fracture urethral injuries, all the following procedures are useful, EXCEPT
A:-Excesion of Bucks Facia from corpus spongiosum
B:-Mobilising the corpus spongiosum off the corpora cavernosa up to the corona of the glans
C:-Dissection of intracrural space down to the pubis
D:-Periosteal elevations infra pubectomy
Ans: B
26:-Regarding Bladder Pain Syndrome (BPS)/Interstitial Cystitis all the statements are true EXCEPT
A:-A childhood presentation is extremely rare. The average age of onset is 40 years
B:-Patients with BPS have a 10 fold higher incidence of childhood voiding problems than do patients without the syndrome
C:-Bladder compliance in patients with interstitial cystitis is always abnormal
D:-Urine Anti Proliferative Factor (APF) appears to have the highest sensitivity and specificity among the markers studied
Ans: C
27:-Cancer occuring in urinary intestinal diversion is most likely to occure in
A:-Uretero sigmoidostomies
B:-Ileal conduits
C:-Colon conduits
D:-Sigmoid conduits
Ans: A
28:-Which of the following is NOT a contra indication for Testosterone supplementation therapy ?
A:-Cogestive heart failure
B:-Polycythemia
C:-Breast Cancer
D:-Angina pectoris
Ans: D
29:-Health related quality of life is best assesed by
A:-Patient themselves
B:-Sponses or immediate family members
C:-Specialist caring for the patient
D:-Specially trained examiners
Ans: A
30:-Transuretero-ureterostomy is contraindicated in
A:-Retroperitoneal fibrosis
B:-Urothelial malignancy
C:-Nephrolithiasis
D:-All of the above
Ans: D
31:-Hyper calciuria in sarcoidosis is
A:-Absorptive hypercalciuria
B:-Renal hypercalciuria
C:-Recorptive hypercalciuria
D:-None of the above
Ans: A
32:-Most sigfnificant complication of PCNL is
A:-Incomplete stone removal
B:-Extravesation of irrigation fluid
C:-Urinary tract infection
D:-Hemorrage
Ans: D
33:-A characteristic finding in angiomyolipoma is
A:-Positive staining for vimentin
B:-Unique cytokeratin expression pattern
C:-Positive staining for Human Melanoma Black-45 (HMB-45)
D:-Occasional aneuploidy
Ans: C
34:-Most common cancer after kidney transplantation
A:-Skin
B:-Cervix
C:-Kaposi sarcoma
D:-Thyroid
Ans: A
35:-The ideal site of meision in endo pyelotomy is
A:-Anterior
B:-Posterior
C:-Medial
D:-Lateral
Ans: D
36:-The nerve likely to be injured is Psoas hitch is
A:-Obturator nerve
B:-Ilio hypogastric nerve
C:-Genitofemoral nerve
D:-Lio inguinal nerve
Ans: C
37:-Indication for radiologic imaging in urologic trauma include all EXCEPT
A:-All penetrating trauma
B:-High impact rapid deceleration trauma
C:-Adult patients with microscopic hematuria without shock
D:-All pediatric patients with microscopic hematuria
Ans: C
38:-The stone most unlikely to be fragmented with ESWL
A:-Calcium oxalate dehydrate
B:-Calcium oxalate monohydrate
C:-Struvite
D:-Uric acid
Ans: B
39:-The most appropriate treatment for patients with renal tubular acidosis include
A:-Thiazides
B:-Sodium alkali
C:-Potassium alkali
D:-Aceto hydroxamic acid
Ans: C
40:-The preferred site of puncture in to the collecting system for PCNL is
A:-Upper pole calyx
B:-Posterior lower pole calyx
C:-Anterior lower pole calyx
D:-Upper pole infendibulum
Ans: B
41:-The siglemost important prognostic factor for RCC is
A:-Tumor stage
B:-Tumor grade
C:-Tumor size
D:-Histologic subtype
Ans: A
42:-Struvite stones (infection stones) can be produced by all the organisms EXCEPT
A:-Proteus
B:-Klebsiella
C:-E-Coli
D:-Staphylococcus
Ans: C
43:-Para neoplastia syndromes in RCC include all the following EXCEPT
A:-Hypertension
B:-Polycythemia
C:-Hepatic dysfunction
D:-Hypothyroidism
Ans: D
44:-Most accurate examination to document the presence of bladder stone is
A:-Ultrasonography
B:-Excretory urography
C:-Computed tomography
D:-Cystoscopy
Ans: D
45:-Which among the following has best prognosis among renal tumors ?
A:-Sarcoma
B:-Carcinoid
C:-Small cell
D:-Adult Wilms tomor
Ans: B
46:-The best treatment option for a 9 year old female with right 2 cm renal pelvicstone and cystinuria is
A:-Extracorporeal Shock Wave Lithotripsy (ESWL)
B:-Ureteroscopy with laser Lithotripsy and stone basketing
C:-PCNL
D:-Anatrophic nephrolithotomy
Ans: C
47:-Which of the following statements is true regarding children with non-neurogenic neurogenic bladder ?
A:-Constriction of urinary sphincter occures during voiding in a voluntary form of detrusor sphincter dyssyenergia
B:-Gradual bladder de-compensation and myogenic failure result from incomplete emptying
C:-Gradual bladder de-commpensation and myogenic failure result from increasing amounts of residual urine
D:-All of the above
Ans: D
48:-The estimated prevalence of vesico ureteric reflux in children with Urinary Tract Infection (UTI) is
A:-3%
B:-5%
C:-10%
D:-30%
Ans: D
49:-The most useful study for the detection of phychonephritis and cortical renal scarring is
A:-DTPA scan
B:-DMSA scan
C:-MAG-3 scan
D:-CT urogram
Ans: B
50:-Which of the following is NOT considered a urachal anomaly ?
A:-Patent urachus
B:-Urachal cyst
C:-Urethral-urachus fistual
D:-Umbulical urachal sinus
Ans: C
51:-Most common intra abdominal injury associated with laperoscopic surgery is
A:-Bowel injury
B:-Liver injury
C:-Vascular injury
D:-Bladder injury
Ans: C
52:-Accessory pudental artery usually arise from
A:-Obturator artery
B:-External liac artery
C:-Superior vesical artery
D:-Femoral artery
Ans: A
53:-The mycobacteria which does not cause tuberculosis (TB)
A:-Mycobacterium bovis
B:-Mycobacterium microti
C:-Mycobacterium africanum
D:-Mucobacterium avium intracellulare
Ans: D
54:-The effect of testosteron includes all the following EXCEPT
A:-enhances sexual interest
B:-increase frequency of sexual act
C:-increases frequency of noct.erections
D:-enhances fantasy induced or visually stimulated erections
Ans: D
55:-The gold standard in measuring renal function in children with myelodisplasia is
A:-Serum creationine
B:-GFR as estimated by the Modification of Diet in Renal Risease (MDRD) equation
C:-Serum cystatin
D:-Nuclear renography
Ans: D
56:-Pre-ureteral venacava occurs due to the persistance of
A:-subcardinal vein
B:-supracardinal vein
C:-posterior cardinal vein
D:-inferior vitelline vein
Ans: A
57:-Regarding ask-upmark kidney, all are ture EXCEPT
A:-it is always associated with renal artery intimal disease
B:-hypertension and its sequelae like encephalopathy, retinopathy etc are commonest mainfestations
C:-segmental vascular anomalies have been cited as the possible cause of hypertension
D:-disease is primarily seen in young women and girls
Ans: A
58:-Hypercalcimia in Renal Cell Carcinoma(RCC) can be due to all the following EXCEPT
A:-osteolytic metastalic involvement of the bone
B:-production of parathyroid hormone like peptide by tumor
C:-excessive tubular re-absorption of calcium
D:-action of tumor derived 1,25-dihydroxyvitamine `D_(3)` and prostaglandins
Ans: C
59:-Drugs used for intravesical instillation in carcinoma urinary bladder include all the following EXcept
A:-Bacille Clamette-Guerin (BCG)
B:-Cisplatin
C:-Mitomycin-C
D:-Thiotepa
Ans: B
60:-Bacteriuria without pyuria is indicative of
A:-Infection
B:-Colonisation
C:-Tuberculosis
D:-Stones
Ans: B
A:-Presence of an a peristalitic segment of ureter similar to that found in primary obstructive mega ureter
B:-True ureteral stricture at PUJ, that is congenital
C:-Kinks or valves produced by unfolding of ureteral mucosa and musculature
D:-All of the above
Ans: D
22:-Which of the following is typically associated with organic E. D. in contrast with psychogenic E.D. ?
A:-Sudden loss of erections
B:-Gradual decline in erectile ability
C:-Situational erectile difficulty
D:-Erection responses on awakening
Ans: B
23:-The structure not located in retro peritoneum is
A:-Asending color
B:-Adrenal
C:-Transverse color
D:-Second part of duodenum
Ans: C
24:-All the following are true regarding Germ Cell Tumor (GCT) EXCEPT
A:-It occures bilaterally approximately 15% of the time
B:-Cryptorchidisism is associated with increased risk for GCT
C:-Intratubular Germ Cell Neoplasia (ITGCN) is associated with high risk for GCT
D:-GCT incidence may be high when there is a family history of Testicular cancer
Ans: A
25:-For minimising the gap between healthy urethral margins before anastamosis in pelvic fracture urethral injuries, all the following procedures are useful, EXCEPT
A:-Excesion of Bucks Facia from corpus spongiosum
B:-Mobilising the corpus spongiosum off the corpora cavernosa up to the corona of the glans
C:-Dissection of intracrural space down to the pubis
D:-Periosteal elevations infra pubectomy
Ans: B
26:-Regarding Bladder Pain Syndrome (BPS)/Interstitial Cystitis all the statements are true EXCEPT
A:-A childhood presentation is extremely rare. The average age of onset is 40 years
B:-Patients with BPS have a 10 fold higher incidence of childhood voiding problems than do patients without the syndrome
C:-Bladder compliance in patients with interstitial cystitis is always abnormal
D:-Urine Anti Proliferative Factor (APF) appears to have the highest sensitivity and specificity among the markers studied
Ans: C
27:-Cancer occuring in urinary intestinal diversion is most likely to occure in
A:-Uretero sigmoidostomies
B:-Ileal conduits
C:-Colon conduits
D:-Sigmoid conduits
Ans: A
28:-Which of the following is NOT a contra indication for Testosterone supplementation therapy ?
A:-Cogestive heart failure
B:-Polycythemia
C:-Breast Cancer
D:-Angina pectoris
Ans: D
29:-Health related quality of life is best assesed by
A:-Patient themselves
B:-Sponses or immediate family members
C:-Specialist caring for the patient
D:-Specially trained examiners
Ans: A
30:-Transuretero-ureterostomy is contraindicated in
A:-Retroperitoneal fibrosis
B:-Urothelial malignancy
C:-Nephrolithiasis
D:-All of the above
Ans: D
31:-Hyper calciuria in sarcoidosis is
A:-Absorptive hypercalciuria
B:-Renal hypercalciuria
C:-Recorptive hypercalciuria
D:-None of the above
Ans: A
32:-Most sigfnificant complication of PCNL is
A:-Incomplete stone removal
B:-Extravesation of irrigation fluid
C:-Urinary tract infection
D:-Hemorrage
Ans: D
33:-A characteristic finding in angiomyolipoma is
A:-Positive staining for vimentin
B:-Unique cytokeratin expression pattern
C:-Positive staining for Human Melanoma Black-45 (HMB-45)
D:-Occasional aneuploidy
Ans: C
34:-Most common cancer after kidney transplantation
A:-Skin
B:-Cervix
C:-Kaposi sarcoma
D:-Thyroid
Ans: A
35:-The ideal site of meision in endo pyelotomy is
A:-Anterior
B:-Posterior
C:-Medial
D:-Lateral
Ans: D
36:-The nerve likely to be injured is Psoas hitch is
A:-Obturator nerve
B:-Ilio hypogastric nerve
C:-Genitofemoral nerve
D:-Lio inguinal nerve
Ans: C
37:-Indication for radiologic imaging in urologic trauma include all EXCEPT
A:-All penetrating trauma
B:-High impact rapid deceleration trauma
C:-Adult patients with microscopic hematuria without shock
D:-All pediatric patients with microscopic hematuria
Ans: C
38:-The stone most unlikely to be fragmented with ESWL
A:-Calcium oxalate dehydrate
B:-Calcium oxalate monohydrate
C:-Struvite
D:-Uric acid
Ans: B
39:-The most appropriate treatment for patients with renal tubular acidosis include
A:-Thiazides
B:-Sodium alkali
C:-Potassium alkali
D:-Aceto hydroxamic acid
Ans: C
40:-The preferred site of puncture in to the collecting system for PCNL is
A:-Upper pole calyx
B:-Posterior lower pole calyx
C:-Anterior lower pole calyx
D:-Upper pole infendibulum
Ans: B
41:-The siglemost important prognostic factor for RCC is
A:-Tumor stage
B:-Tumor grade
C:-Tumor size
D:-Histologic subtype
Ans: A
42:-Struvite stones (infection stones) can be produced by all the organisms EXCEPT
A:-Proteus
B:-Klebsiella
C:-E-Coli
D:-Staphylococcus
Ans: C
43:-Para neoplastia syndromes in RCC include all the following EXCEPT
A:-Hypertension
B:-Polycythemia
C:-Hepatic dysfunction
D:-Hypothyroidism
Ans: D
44:-Most accurate examination to document the presence of bladder stone is
A:-Ultrasonography
B:-Excretory urography
C:-Computed tomography
D:-Cystoscopy
Ans: D
45:-Which among the following has best prognosis among renal tumors ?
A:-Sarcoma
B:-Carcinoid
C:-Small cell
D:-Adult Wilms tomor
Ans: B
46:-The best treatment option for a 9 year old female with right 2 cm renal pelvicstone and cystinuria is
A:-Extracorporeal Shock Wave Lithotripsy (ESWL)
B:-Ureteroscopy with laser Lithotripsy and stone basketing
C:-PCNL
D:-Anatrophic nephrolithotomy
Ans: C
47:-Which of the following statements is true regarding children with non-neurogenic neurogenic bladder ?
A:-Constriction of urinary sphincter occures during voiding in a voluntary form of detrusor sphincter dyssyenergia
B:-Gradual bladder de-compensation and myogenic failure result from incomplete emptying
C:-Gradual bladder de-commpensation and myogenic failure result from increasing amounts of residual urine
D:-All of the above
Ans: D
48:-The estimated prevalence of vesico ureteric reflux in children with Urinary Tract Infection (UTI) is
A:-3%
B:-5%
C:-10%
D:-30%
Ans: D
49:-The most useful study for the detection of phychonephritis and cortical renal scarring is
A:-DTPA scan
B:-DMSA scan
C:-MAG-3 scan
D:-CT urogram
Ans: B
50:-Which of the following is NOT considered a urachal anomaly ?
A:-Patent urachus
B:-Urachal cyst
C:-Urethral-urachus fistual
D:-Umbulical urachal sinus
Ans: C
51:-Most common intra abdominal injury associated with laperoscopic surgery is
A:-Bowel injury
B:-Liver injury
C:-Vascular injury
D:-Bladder injury
Ans: C
52:-Accessory pudental artery usually arise from
A:-Obturator artery
B:-External liac artery
C:-Superior vesical artery
D:-Femoral artery
Ans: A
53:-The mycobacteria which does not cause tuberculosis (TB)
A:-Mycobacterium bovis
B:-Mycobacterium microti
C:-Mycobacterium africanum
D:-Mucobacterium avium intracellulare
Ans: D
54:-The effect of testosteron includes all the following EXCEPT
A:-enhances sexual interest
B:-increase frequency of sexual act
C:-increases frequency of noct.erections
D:-enhances fantasy induced or visually stimulated erections
Ans: D
55:-The gold standard in measuring renal function in children with myelodisplasia is
A:-Serum creationine
B:-GFR as estimated by the Modification of Diet in Renal Risease (MDRD) equation
C:-Serum cystatin
D:-Nuclear renography
Ans: D
56:-Pre-ureteral venacava occurs due to the persistance of
A:-subcardinal vein
B:-supracardinal vein
C:-posterior cardinal vein
D:-inferior vitelline vein
Ans: A
57:-Regarding ask-upmark kidney, all are ture EXCEPT
A:-it is always associated with renal artery intimal disease
B:-hypertension and its sequelae like encephalopathy, retinopathy etc are commonest mainfestations
C:-segmental vascular anomalies have been cited as the possible cause of hypertension
D:-disease is primarily seen in young women and girls
Ans: A
58:-Hypercalcimia in Renal Cell Carcinoma(RCC) can be due to all the following EXCEPT
A:-osteolytic metastalic involvement of the bone
B:-production of parathyroid hormone like peptide by tumor
C:-excessive tubular re-absorption of calcium
D:-action of tumor derived 1,25-dihydroxyvitamine `D_(3)` and prostaglandins
Ans: C
59:-Drugs used for intravesical instillation in carcinoma urinary bladder include all the following EXcept
A:-Bacille Clamette-Guerin (BCG)
B:-Cisplatin
C:-Mitomycin-C
D:-Thiotepa
Ans: B
60:-Bacteriuria without pyuria is indicative of
A:-Infection
B:-Colonisation
C:-Tuberculosis
D:-Stones
Ans: B
61:-Blood volume in children is estimated as
A:-55 ml/kg
B:-25 to 50 ml/kg
C:-70-80 ml/kg
D:-65-70 ml/kg
Ans: C
62:-Which of the following groups of antibiotics include the best choice for treating an infected renal cyst in a patient with ADPKD ?
A:-Trimethoprim-sulphamethoxazole, chloromphenicol, fluroquinolones
B:-Cephalosporins, trimethoprim-sulpha methoxazole doxycycline
C:-Gentamycin, cephalosporins, vancomycin
D:-Doxycycline, amoxicillin, gentamicin
Ans: A
63:-Which of the following is confirmatory in the diagnosis of tuberous sclerosis ?
A:-Renal angio myolipoma and multiple renal cysts
B:-Hamartomatous rectal polyp and facial adenoma sebaceum
C:-Renal angiomyolipoma and cardiac rhabdomyoma
D:-Mitral valve prolapse, renal angiolipoma and gingival fibromas
Ans: C
64:-The most common type of retroperitoneal soft tissue sarcoma is
A:-Liposarcoma
B:-Leiomyosarcoma
C:-Malignant fibrous histiocytoma
D:-Adrenal myelolipoma
Ans: A
65:-A 24 Fresh (Fr) Foley balloon catheter
A:-Measures 24 cm long
B:-Measures 8 mm in outer diameter
C:-Measures 8 mm in inner diameter
D:-Can hold 24 ml of fluid in the balloon
Ans: B
66:-Regarding pre-operative renal artery embolisation all are true EXCEPT
A:-It can cause shrinkage of arterialised Vena-caval tumor thrombus enabling easy removal
B:-It prevents micrometastasis during surgery
C:-It facilitates dissetion due to development of tissue plane odema
D:-It causes fever, flank pans and nausea us upto 75% of patients
Ans: B
67:-The most consistent segmental branch which supplies nearly 25% of the renal unit is
A:-Apical (Superior) segemental artery
B:-Anterior superior segmental artery
C:-Posterior segmental artery
D:-Basilar segmental artery
Ans: C
68:-Which of the following statement is true regarding Vitamin D metabolism ?
A:-Vitamin D increases renal excretion of calcium
B:-Dermally synthesised cholicalciferol must be hydroxylated by both liver and kidney for maximal potency
C:-Vitamin D activity is mediated through membrane bound Vitamin D receptors
D:-Dermally synthesised cholecalciferol is the most potent form of Vitamin D
Ans: B
69:-Regarding major pelvic urologic surgery all are true EXCEPT
A:-Warfarin may be stopped 5 days before the surgery
B:-Aspirin and clopidogrel should be discontinued 7 days before surgery
C:-Fresh Frozen plasma is not useful in immediate reversal of warfarin and replacement of specific clotting factors
D:-Hypothermia results in increased blood loss and increased wound infection
Ans: C
70:-Which of the following statement about cytokine therapy for metastatic Renal Cell Carcinoma (RCC) is true ?
A:-Lymphokine-Activated Killer (LAK) cells augment the efficacy of both interferon α(IFNα) and IL-2
B:-The complete response with interferon α monotherapy is 10%
C:-The combination of IL-2 and interferone leads to higher overall response rates than either agent alone
D:-All the above statement are true
Ans: C
71:-The most common histology in penile carcinoma is
A:-Squamous cell carcinoma
B:-Melanoma
C:-Verrucous carcinoma
D:-Adeno carcinoma
Ans: A
72:-Cause of enteric hyper oxaluria is
A:-Excessive oxalate intake
B:-Reduced excretion of oxalate
C:-Fat malabsorption
D:-Increased dietary fat
Ans: C
73:-The only segment of urethra that does not have transitional epithelium is
A:-Prostatic urethra
B:-Fossa navicularis
C:-Bulbar urethra
D:-Membraneous urethra
Ans: B
74:-An advantage of supine versus prone position for percutaneous renal surgery is
A:-Improved pulmonary mechanics
B:-Easier entry in to upper pole calyx
C:-Easier entry in to posterior calyx
D:-Reduced pressure in the collecting system
Ans: D
75:-Transplant between two siblings who are Histocompatability Leukocyte Antigen (HLA) identical (perfect class I and II match) can be rejected this may be due to
A:-Direct antigen presentation
B:-Indirect antigen presentation
C:-Difference is complement proteins
D:-Differences in numbers of circulating platelets
Ans: B
76:-The normal baseline or resting ureteral pressure is
A:-0-5 cm `H_(2)O`
B:-5-10 cm `H_(2)O`
C:-10-15 cm `H_(2)O`
D:-15-20 cm `H_(2)O`
Ans: A
77:-The feature associated with worst survival in children with wilms tumor is
A:-diffuse tumor spill
B:-diffuse anaplasia
C:-incomplete tumor resection
D:-lung metastasis
Ans: B
78:-The radiographic study most useful to detect renal injury is
A:-Intravenous Pyelogram (IUP)
B:-Magnetic Resonance Imaging (MRI) of abdomen
C:-Focused Assessment with Sonagraphy for trauma (FAST) ultrasound
D:-Triphasic abdominal Computed Tomography (CT)
Ans: D
79:-Adolescent urology is defined as the care of patients
A:-From 10-19 years old
B:-From puberty until death
C:-From puberty to 25 years old
D:-From 14-25 years old for males and from 12 to 21 years for female
Ans: B
80:-Which of the following is true regarding Mullerian Inhibiting Substance (MIS) ?
A:-it is secreted by the fetal leydig cells
B:-it acts systemically to produce Mullerian regression
C:-it functions normally in patients with hernia uteri inguinal
D:-it is secreted at 7-8 weeks of gestation representing the initial endocrine function of the fetal testis
Ans: D
A:-55 ml/kg
B:-25 to 50 ml/kg
C:-70-80 ml/kg
D:-65-70 ml/kg
Ans: C
62:-Which of the following groups of antibiotics include the best choice for treating an infected renal cyst in a patient with ADPKD ?
A:-Trimethoprim-sulphamethoxazole, chloromphenicol, fluroquinolones
B:-Cephalosporins, trimethoprim-sulpha methoxazole doxycycline
C:-Gentamycin, cephalosporins, vancomycin
D:-Doxycycline, amoxicillin, gentamicin
Ans: A
63:-Which of the following is confirmatory in the diagnosis of tuberous sclerosis ?
A:-Renal angio myolipoma and multiple renal cysts
B:-Hamartomatous rectal polyp and facial adenoma sebaceum
C:-Renal angiomyolipoma and cardiac rhabdomyoma
D:-Mitral valve prolapse, renal angiolipoma and gingival fibromas
Ans: C
64:-The most common type of retroperitoneal soft tissue sarcoma is
A:-Liposarcoma
B:-Leiomyosarcoma
C:-Malignant fibrous histiocytoma
D:-Adrenal myelolipoma
Ans: A
65:-A 24 Fresh (Fr) Foley balloon catheter
A:-Measures 24 cm long
B:-Measures 8 mm in outer diameter
C:-Measures 8 mm in inner diameter
D:-Can hold 24 ml of fluid in the balloon
Ans: B
66:-Regarding pre-operative renal artery embolisation all are true EXCEPT
A:-It can cause shrinkage of arterialised Vena-caval tumor thrombus enabling easy removal
B:-It prevents micrometastasis during surgery
C:-It facilitates dissetion due to development of tissue plane odema
D:-It causes fever, flank pans and nausea us upto 75% of patients
Ans: B
67:-The most consistent segmental branch which supplies nearly 25% of the renal unit is
A:-Apical (Superior) segemental artery
B:-Anterior superior segmental artery
C:-Posterior segmental artery
D:-Basilar segmental artery
Ans: C
68:-Which of the following statement is true regarding Vitamin D metabolism ?
A:-Vitamin D increases renal excretion of calcium
B:-Dermally synthesised cholicalciferol must be hydroxylated by both liver and kidney for maximal potency
C:-Vitamin D activity is mediated through membrane bound Vitamin D receptors
D:-Dermally synthesised cholecalciferol is the most potent form of Vitamin D
Ans: B
69:-Regarding major pelvic urologic surgery all are true EXCEPT
A:-Warfarin may be stopped 5 days before the surgery
B:-Aspirin and clopidogrel should be discontinued 7 days before surgery
C:-Fresh Frozen plasma is not useful in immediate reversal of warfarin and replacement of specific clotting factors
D:-Hypothermia results in increased blood loss and increased wound infection
Ans: C
70:-Which of the following statement about cytokine therapy for metastatic Renal Cell Carcinoma (RCC) is true ?
A:-Lymphokine-Activated Killer (LAK) cells augment the efficacy of both interferon α(IFNα) and IL-2
B:-The complete response with interferon α monotherapy is 10%
C:-The combination of IL-2 and interferone leads to higher overall response rates than either agent alone
D:-All the above statement are true
Ans: C
71:-The most common histology in penile carcinoma is
A:-Squamous cell carcinoma
B:-Melanoma
C:-Verrucous carcinoma
D:-Adeno carcinoma
Ans: A
72:-Cause of enteric hyper oxaluria is
A:-Excessive oxalate intake
B:-Reduced excretion of oxalate
C:-Fat malabsorption
D:-Increased dietary fat
Ans: C
73:-The only segment of urethra that does not have transitional epithelium is
A:-Prostatic urethra
B:-Fossa navicularis
C:-Bulbar urethra
D:-Membraneous urethra
Ans: B
74:-An advantage of supine versus prone position for percutaneous renal surgery is
A:-Improved pulmonary mechanics
B:-Easier entry in to upper pole calyx
C:-Easier entry in to posterior calyx
D:-Reduced pressure in the collecting system
Ans: D
75:-Transplant between two siblings who are Histocompatability Leukocyte Antigen (HLA) identical (perfect class I and II match) can be rejected this may be due to
A:-Direct antigen presentation
B:-Indirect antigen presentation
C:-Difference is complement proteins
D:-Differences in numbers of circulating platelets
Ans: B
76:-The normal baseline or resting ureteral pressure is
A:-0-5 cm `H_(2)O`
B:-5-10 cm `H_(2)O`
C:-10-15 cm `H_(2)O`
D:-15-20 cm `H_(2)O`
Ans: A
77:-The feature associated with worst survival in children with wilms tumor is
A:-diffuse tumor spill
B:-diffuse anaplasia
C:-incomplete tumor resection
D:-lung metastasis
Ans: B
78:-The radiographic study most useful to detect renal injury is
A:-Intravenous Pyelogram (IUP)
B:-Magnetic Resonance Imaging (MRI) of abdomen
C:-Focused Assessment with Sonagraphy for trauma (FAST) ultrasound
D:-Triphasic abdominal Computed Tomography (CT)
Ans: D
79:-Adolescent urology is defined as the care of patients
A:-From 10-19 years old
B:-From puberty until death
C:-From puberty to 25 years old
D:-From 14-25 years old for males and from 12 to 21 years for female
Ans: B
80:-Which of the following is true regarding Mullerian Inhibiting Substance (MIS) ?
A:-it is secreted by the fetal leydig cells
B:-it acts systemically to produce Mullerian regression
C:-it functions normally in patients with hernia uteri inguinal
D:-it is secreted at 7-8 weeks of gestation representing the initial endocrine function of the fetal testis
Ans: D
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