A 43 year old businessman visits his primary care physician complaining of a purulent penile discharge. He had unprotected sex with a woman he met at a conference a week ago. Gram stain of the discharge fails to reveal any organism. Which of the following is the most likely cause of the discharge?

Points of ureteric narrowing where renal calculi may become impacted when they pass from the kidney to the bladder, except

True statements of Ureteropelvic junction obstruction, except

Intrinsic causes of ureteral obstruction, except

Bladder cancer is more common in males and painless hematuria is a common presenting symptom

A 3 year old boy is brought to the pediatrician because his mother noticed an abnormal mass in his scrotum while changing his diapers. Further work up revealed elevated levels of serum alpha-fetoprotein. Which of the following is the most likely diagnosis?

Most common type of germ cell tumor

A 23 year old african-american who is known to have sickle cell anemia presents to the emergency department with a painful erection. The patient claimed that the erection had started 3 hours prior. This condition is referred to as

The most commonly used and effective medical therapy for symptoms relating to benign prostatic hyperplasia is

Adenocarcinoma of the prostate is the most common form of cancer in men

This is the most aggressive variant of prostate cancer

PSA is organ and cancer specific

The most common treatment for clinically localized prostate cancer

A 66 year old nan visits his family physician with complaints of urinary frequency, hesitancy, and dysuria. Digital rectal exam revealed an enlarged prostate with nodular and rubbery consistency. Serum PSA is increased. Which if the following is most closely related to the pathogenesis of the disorder described

A 32 yr old man noticed an increased feeling of heaviness in his scrotum for the past 10 months. On PE, the left testis is 3x the size of the right testis and is firm on palpation. UTZ shows 6cm solid mass within the body of the left testis. There is elevated serum alpha fetoprotein. Which cellular components is most likely present in the mass

All of the following causes hemorrhagic cystitis, except?

A 45 year old patient with an end stage renal disease came in for routine check up. He complains of pain and tenderness in the lower abdomen. Upon PE, you noted that his indwelling catheter is still patent with free flowing urine. What is the most likely cause of his symptom?

Lesion of the urinary bladder in which brunn nests grow downward into the lamina propria where epithelial cells in the nests undergo metaplasia and take on a cuboidal or columnar appearance

Distinct precursor lesions to invasive urothelial carcinoma, except

Most aggressive testicular carcinoma

A 23 year old previously healthy man suddenly developed severe pain in the scrotum. The pain continues unabated for 6 hours and was brought to the emergency room. On PE, he is afebrile. There is tenderness on the slightly enlarged tight testis. Gross appearance of right testis is shown. Which of the ff is the likely cause?

High grade muscle invasive urothelial tumors, except

Less than 10% of low grade urothelial cancers invade, but 80% of high grade urothelial cancers are invasive.

Dominant and sometimes only clinical manifestation of bladder cancer

Fibrous bands around the corpus cavernosum of the penis causing penile curvature and pain during intercourse.

A 42 year old, sexually active, male came in due to a solitary, thickened, gray-white, opaque plaque involving shaft of his penis. As well as multiple shiny red, velvety plaques on his glans penis. What is the most likely diagnosis?

True of penile cancer, except

An 18 year old man came in for routine health examination. On PE, you noted that there is no left testis palpable in the scrotum. The patient has no other illnesses and has normal sexual function. Which of the following complications will most likely occur?

Inflammation due to gonorrhea and tuberculosis is more common in

Stage of testicular tumor when after orchiectomy, there is persistent elevation of HCG or AFP concentration even if lymph nodes are of normal size by imaging studies

Most common form of testicular neoplasm in mean older than age 60.

In the prostate, most hyperplasia arise in the transitional zone while most carcinomas arise in the peripheral zone

Most common for

of prostatitis

Urinary obstruction is the major clinical problem seen in benign prostatic hyperplasia. This is due to?

Products that may delay or prevent prostate cancer, except

A 70 year old, previously healthy man came in for routine PE. On palpation, there was a nodule in his normal sized prostate. Lab studies show a serum PSA level of 17ng/mL. A routine urinalysis showed no abnormalities. Which histologic findings is most likely to be found in a subsequent biopsy specimen of his prostate?

A 30 year old man has noticed bilateral breast enlargement over the past 6 months. On PE, breasts are enlarged without masses. Right testis is firm and larger than this left testis. Serum estrogen is High. UTZ shows a circumscribed 2cm mass in the body of the right testis. A right orchiectomy is performed. The mass is grossly uniform, with brown cut surface. Microscopic appearance is shown in the picture. Most likely diagnosis?