Pediatric Urology Quiz (30)

The most common type of hypospadias is:

• Glanular

• Penoscrotal

• Midshaft

• Coronal

• Perineal

Which is the most appropriate imaging to assess renal function in duplex system?

• DTPA

• IVU

• DMSA

• Ultrasound

• VCUG

Which of the following is a contraindication to circumcision in a newborn?

• Term baby

• Physiologic phimosis

• Family history of bleeding disorder

• Small penis

• Full foreskin coverage

A key difference in preputial development in children is:

• Foreskin is fully retractable at birth

• Phimosis is always pathological

• Adhesions resolve with time

• Circumcision is required for all

• Foreskin must retract by 3 months

A testicular mass in an 8-year-old with precocious puberty and elevated AFP is most likely:

• Yolk sac tumor

• Teratoma

• Seminoma

• Embryonal carcinoma

• Sertoli cell tumor

The most common cause of neonatal acute scrotum is:

• Testicular torsion

• Torsion of appendix testis

• Hydrocele

• Epididymitis

• Inguinal hernia

An asymptomatic 2-year-old with unilateral palpable kidney and hypertension likely has:

• Renal artery stenosis

• Wilms tumor

• Neuroblastoma

• Renal cyst

• Renal vein thrombosis

A urethral catheter placed with resistance and blood at meatus in a boy suggests:

• Normal insertion

• Posterior urethral valve

• Urethral trauma

• Vesicoureteral reflux

• Ureterocele

Which is TRUE about posterior urethral valve?

• Occurs in both sexes

• Often presents in adolescence

• Causes bladder underactivity

• Associated with renal dysplasia

• Always symptomatic at birth

Initial management for suspected Wilms tumor includes:

• CT chest and abdomen

• Cystoscopy

• Biopsy

• Immediate nephrectomy

• Bone marrow biopsy