Exam (elaborations)
urology practice questions
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practice questions- systems based approach(UROLOGY)
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Urology1) Patients with an organic cause for 5) A 75 year-old man with a history of nocturia
impotence are often characterized by all of has not micturated for the last 10 hours, and
the following EXCEPT: is complaining of severe lower abdominal
a) Diabetes pain. The most likely cause is:
b) Older age a) BPH
c) Intermittent difficulty b) Prostate cancer
d) Nocturnal penile tumescence absent c) Renal failure
e) None of the above d) UTI
e) Prostatitis
2) In the investigation of infertility, a normal
semen analysis MUST contain: 6) A 28 year-old male presents with painless
a) A volume of 0.5-1 mL swelling in the testicle. On examination, it
b) Morphology > 85% normal forms appears to be a rubbery, hard mass. He has
c) WBC < 1 per high power field no palpable abdominal masses. A testicular
d) Motility > 75% ultrasound confirms the diagnosis of
e) Sperm count > 20 million sperm/mL testicular tumour, and an abdominal CT
reveals normal retroperitoneal nodes. Which
statement is correct with respect to this
3) With respect to control of micturition, all of case?
the following are true EXCEPT: a) His overall prognosis is very poor
a) Damage to the cerebral cortex results in b) The testicular mass is likely a secondary
hyperactivity of the detrusor tumour
b) The basal ganglia inhibits bladder over c) A needle aspiration of the tumour is
activity indicated
c) The cerebellum coordinates emptying of d) A transcrotal approach for biopsy is
the bladder contraindicated
d) Damage to the cerebellum results in e) He will likely require chemotherapy
hypotonicity of the detrusor
e) Injury above the brainstem results in
hyperactive bladder only 7) A 34 year-old woman presents with a 3 day
history of increasing fever with chills,
sweats, nausea, and 2 episodes of vomiting.
4) Which of the following drugs will not On examination, she has costovertebral
promote urine retention? angle tenderness and urine reveals gross
a) Sympathomimetics pyuria. Initial management should include:
b) Anticholinergics a) Abdominal ultrasound
c) Cholinergic agonists b) Abdominal CT
d) TCAs c) Empirical treatment with antibiotics;
e) Smooth muscle depressants image only if she fails to respond to
therapy
d) Treat with antibiotics and perform IVP 4-
6 weeks after resolution of illness
e) Immediate DTPA renal scintigraphy
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