MCQ 1st week of June, 2015

11

 

  1. A 5 year old female African American presents to the emergency department with blood spotting her underwear. Physical exam reveals an erythematous, tender, ulcerated 1 cm mass at the urethral meatus. This most likely represents:
a. urethral prolapse
b. sexual abuse.
c. urethral carcinoma.
d. . urethral diverticulum
e. urethral wart.

 

  1. A 3 year old child is referred for urethrocutaneous fistula that developed following repair of proximal hypospadias. Physical exam reveals a pinpoint coronal fistula and meatal stenosis. Successful repair of this fistula would always require:
a. use of laser tissue welding.
b. meataomy.
c. supravesical urinary diversion.
d. postoperative urethral catheterization.
e. skin graft.

 

  1. When assigning gender in cases of intersex disorders, the most impotant variable is:                                                                                                                                                                                                                 
a. karyotype .
b. hormones levels.
c. external genitalia.
d. parental wishes.
e. presence of palpable gonads.

 

  1. A true statement regarding circumcision in male neonates is: 
a. circumcision prevent penile cancer.
b. circumcision increase the incidence of UTI.
c. circumcision increase the incidence of HIV infection and other STD.
d. circumcision reduce the incidence of febrile UTI during the first few months of life.
e. circumcision is best performed in the operating room with patient under general anesthesia by pediatric urologist.

 

  1. A 3 year old girl develops her first febrile urinary tract infection; the workup reveals grade III/ IV right ureteral reflux. Her parents elect to follow conservative therapy with daily antibiotics. Parents should also be informed that:     
a. there is no chance for spontaneous resolution.
b. Conservative therapy is warranted, and resolution is likely after puberty.
c. there is high risk of anesthesia at this age.
d. long term prophylactic antibiotics are dangerous in children.
e. surgical therapy offers the best chance of preservation of renal function.

 

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1 Comment

Filed under MCQ

One response to “MCQ 1st week of June, 2015

  1. samir

    1-e
    2-b
    3-c
    4-e
    5-e

    Like

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