WorksheetsRandom 2
Total questions: 30
Worksheet time: 15mins
Which neurotransmitter is primarily involved in detrusor contraction?
GABA
Serotonin
Acetylcholine
Dopamine
Histamine
The most common histologic subtype of RCC is:
Papillary
Chromophobe
Clear cell
Collecting duct
Oncocytoma
What is the most common site for urethral stricture in men?
Penile urethra
Bulbar urethra
Membranous urethra
Prostatic urethra
Navicular fossa
Which of the following is a typical finding in testicular seminoma on ultrasound?
Heterogeneous and cystic
Homogeneous and hypoechoic
Hyperechoic with calcifications
Hypervascular mass
Multiloculated
Which zone of the prostate is the origin of BPH?
Peripheral
Transition
Central
Anterior fibromuscular
Posterior
The gold standard for evaluation of urethral stricture is:
Flexible cystoscopy
Retrograde urethrogram
Uroflowmetry
VCUG
MRI pelvis
The mechanism of stone fragmentation in SWL is primarily:
Chemical lysis
Cavitation and shear stress
Direct ablation
Thermocoagulation
Sonographic disintegration
The afferent limb of the micturition reflex is carried by:
Hypogastric nerve
Pelvic nerve
Pudendal nerve
Ilioinguinal nerve
Genitofemoral nerve
The most common type of pediatric kidney stone is:
Uric acid
Cystine
Calcium-based
Xanthine
Matrix
What is the classic imaging sign of xanthogranulomatous pyelonephritis on CT?
Cortical scarring
Bear paw sign
Nephrogram delay
Calcified mass
Honeycomb kidney
In urethral cancer, HPV is most commonly associated with which histologic type?
Adenocarcinoma
Squamous cell carcinoma
Urothelial carcinoma
Sarcoma
Melanoma
Which class of medication provides the fastest symptomatic relief in male LUTS?
5-alpha reductase inhibitors
Alpha-blockers
PDE-5 inhibitors
Antimuscarinics
Beta-3 agonists
Which test best distinguishes stress from urge incontinence?
Bladder diary
Ultrasound
Urodynamic study
Cystoscopy
VCUG
In testicular cancer, i(12p) chromosomal marker suggests:
Benign behavior
Germ cell origin
Poor prognosis
Teratoma
Sertoli tumor
What is the mechanism of finasteride in BPH treatment?
Blocks alpha-1 receptors
Inhibits testosterone receptors
Inhibits 5-alpha reductase type II
Antagonizes M3 receptors
Inhibits GnRH
Which of the following is NOT part of the IPSS questionnaire?
Nocturia
Incomplete emptying
Pain during urination
Weak stream
Straining
In cystinuria, which urine crystal is characteristic?
Envelope-shaped
Hexagonal
Coffin-lid
Needle-shaped
Diamond-shaped
Which urinary tract tumor is most responsive to immunotherapy?
Papillary RCC
Chromophobe RCC
Clear cell RCC
Collecting duct RCC
Urothelial carcinoma
Which of the following is a primary paraneoplastic syndrome associated with RCC?
Diabetes mellitus
Polycythemia
Nephrotic syndrome
Hypokalemia
Hyperlipidemia
What is the first-line pharmacologic agent for overactive bladder?
Mirabegron
Solifenacin
Finasteride
Tamsulosin
Oxybutynin
The most appropriate initial imaging for suspected ureteral stone is:
KUB
MRI
IVU
Non-contrast CT
Renal ultrasound
Which condition is strongly associated with brushite stones?
Hyperoxaluria
Gout
Hypocitraturia
Primary hyperparathyroidism
Vitamin C overuse
A Bosniak IV cyst contains:
No septa
Enhancing soft tissue components
Simple fluid only
Calcifications without enhancement
Clear solid areas
What is the initial treatment of T2 muscle-invasive bladder cancer?
TURBT only
Radiation alone
Radical cystectomy with neoadjuvant chemotherapy
BCG
Chemotherapy alone
Which Gleason pattern denotes the most poorly differentiated prostate cancer?
Pattern 3
Pattern 2
Pattern 4
Pattern 5
Pattern 1
Management of primary nocturnal enuresis: A 7 years old boy has been brought by parents with long history of nocturnal enuresis. He is perfectly ok during the day. Due to almost daily bedwetting, he is getting upset. The urinalysis and renal tract ultrasonography performed by general practitioner were unremarkable. Which of the following is correct about managing this child?
No treatment is indicated as the condition is likely to resolve spontaneously
Referral to the psychiatrist is necessary as the child suffers from anxiety disorder
Urodynamics are indicated to exclude secondary causes of enuresis
Pharmacotherapy with imipramine is the first step as it has good safety profile
Combination of supportive measures along with desmopressin (DDAVP) is expected to be associated with high cure rates
Correct statement about renal stones in children: Regarding renal stone disease in children, which of the following is correct?
In children, the stones are mostly caused by genetic causes and inborn errors of metabolism
The reported rates of recurrence of kidney stones are lower than rates reported for adults
The highest incidence of renal stones is in children less than 5 years of age
Most stones are composed of uric acid
Children who develop kidney stones are at risk for development of chronic kidney disease and heart disease
Correct statement about SWL in children: Regarding Shockwave Lithotripsy (SWL) in children, which of the following is correct?
Bowel preparation is routinely used
General anesthesia is mandatory in all children
Overall, SWL success rates are inferior compared with adults
Placement of ureteral stent is necessary before SWL to facilitate stone passage
Stone composition is an important predictor of stone fragmentation
Which of the following therapies/maneuvers used for improving penile plaque and curvature in Peyronie's disease have shown comparatively better clinical benefit in published studies?
Shockwave treatment (SWT)
Transdermal electromotive drug administration (EMDA)/iontophoresis
Penile traction
Vacuum devices
Radiation therapy
Process whereby a mature spermatid frees itself from the Sertoli cell and enters the tubular lumen is called:
Spermatogoniogenesis
Spermatogenesis
Spermatocytogenesis
Spermiogenesis
Spermiation
