Category Archives: MCQ

MCQ of 2 June 2016

 

11

  1. Which of the following may prevent unplanned infectious return following ureteroscopy with laser lithotripsy in patients who are pre-stented?
a single prophylactic gram negative antibiotic coverage with ciprofloxacin.
b longer operative time.
c double prophylactic antibiotic coverage for gram negative and gram positive organism.
d use of access sheath.

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  1. The root causes for all type hospital readmission following radical cystectomy are most frequently associated with the following system:
a GIT.
b CVS.
c GUT.
d Respiratory system.

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  1. Which of the following is not a perceived benefit of holmium laser enucleation of the prostate as compared to TURP?
a improved visualization during resection.
b improved hemostatic action of the laser.
c increased ability to resect larger volume prostates.
d shorter learning curve to attain technical competence.

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  1. Which of the following comorbidities is independently associated with artificial urinary sphincter erosion/ infection?
a radiation therapy exposure.
b age.
c body mass index.
d coronary artery disease.

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  1. Which of the following is true for patients at high cardiovascular risk using Aspirin for cardioprotection who need to undergo Laparoscopic partial nephrectomy?
a Aspirin therapy must be stopped a week before surgery.
b Aspirin dose should be reduced before surgery.
c with an experience surgeon, it is relatively safe not to stop Aspirin before surgery.
d Aspirin should be replaced by heparin before surgery.

 

The source:  Journal of Urology, April 2016

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MCQ First week of March, 2016

11

 

  1. With the respect to urethral trauma, the recently published American Urological Association (AUA) urotrauma guidelines state that:
a endoscopic realignment should be attempt in all patients presented with traumatic urethral disruption injuries regardless of hemodynamic stability.
b patients who undergo successful urethral realignment have negligible rate of urethral stricture disease following catheter removal.
c. placement of a suprapubic catheter and delayed urethral reconstruction remain an acceptable management option for many patients.
d. surgeon should perform sustained attempt at endoscopic realignment in order to ensure urethral continuity is obtained in the acute setting.

 

  1. Which patients had worse chronic kidney disease upstaging-free survival relative to patients on active surveillance in the multivariate model?
a patient undergoing radical nephrectomy.
b patients undergoing partial nephrectomy.
c. patient under going cryoablation.
d. a and b

 

  1. Removal of an asymptomatic stone in a patient with recurrent urinary tract infection is least likely to impact the chance of repeat urinary tract infection if the preoperative culture shows:
a E. coli.
b Proteus.
c. Enterococcus.
d. Klebsiella.

 

  1. Concerning cryosurgery, in order to cause cell death by coagulative necrosis, temperatures at or below what level are advised?
a   0 C
b -20 C
c. -40 C
d. -60 C

 

  1. According to the AUA best practice Statement on antimicrobial prophylaxix for urological surgery, the recommended duration of antibiotics for a patient undergoing percutaneous nephrolithotomy who does not have a history of pyelonephritis or recurrent UTI is:
a 24 hours or less.
b 48 to 72 hours
c. 72 to 96 hours.
d. 1 week.

 

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MCQ of January 2016

11

  1. In a male patient with a dense recurrent, posttraumatic 3 cm proximal bulbar stricture after a failed non transecting anastomotic urethroplasty, the treatment should be:
a. Substitution urethroplasty.
b. direct vision internal urethrotomy.
c. Anastamotic urethroplasty.
d. permanent suprapubic cystostomy.
e. a and c.

 

  1. Nephrocalcinosis is commonly associated with all of the following condition except:
a. primary hyperparathyroidism.
b. idiopathic calcium oxalate stone formers.
c. idiopathic calcium phosphate stone formers.
d.distal (type I) renal tubular acidosis.
e. Medullary sponge kidney disease.

 

  1.    In the Health Professionals Follow up Study, a large ongoing cohort of male health professionals in the United States, the following major lifestyle facter was associated with an increased risk of chronic prostatitis/chronic pelvic pain syndrome:
a. baseline body mass index.
b. waist circumference.
c. cigarette smoking.
d. hypertension.
e. no association were observed.

 

  1. In a patient with chronic scrotal content pain, microsurgical spermatic cord denervation would be a good option in the following scenario:
a. patient with no response to a spermatic cord block test with levobupivacaine.
b. patient with concomitant symptomatic ipsilateral inguinal hernia.
c. patient with idiopathic chronic scrotal content pain with positive response to a spermatic cord block test with levobupivacaine.
d. patient with concomitant ipsilateral grade III varicocele.
e. b and d.

 

  1. Postoperative pain management after Radical cystectomy, Compared with patient treated with a traditional recovery protocol for blader cancer, patients in the enhanced recovery after surgery protocol group received postoperative narcotics:
a. 2 times more per day.
b. 4 times more per day.
c. 2 times less per day.
d. 4 times less per day.
e. the same in both groups.

 

journal of Urology  , volume 194, Number 5 , November 2015

 

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Last week of November, 2015

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Q1: Topomax (topiramate), a drug used for migraine and epilepsy. Causes what specific GU problem?

Q2: There are three oral drugs that can be used specifically to treat prostatic bleeding. What are they?

Q3: What is the treatment for stuttering (intermittent) priapism?

Q4:  Write seven chronic conditions associated with Nocturia?

Q5: What does “Beehive lesion in the bladder” on cystogram or cystoscopy indicate?

Q6: Quackel shunt is used in treatment of what?

Q7: An acute left varicocele suggest what underlying pathology?

Q8: What is the mortality rate associated with urinary retention?

Q9: Is there a clinical significant of the side of bladder that  the colovesical fistule seen on cystoscopy (Left or Right)?

Q10: What is the effect of Tetracycline on Testosterone level, and what is the effect of nitrofurantoin on spermatogenesis.

 

 

 

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Last week of October

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  1. What is the nephrectomy rate in major renal trauma cases, that are surgically explored?
  2. A retrocaval ureter develops due to the persistence of what vien?
  3. Explain the underlying etiology of hypertension in polycystic kidney disease?
  4. The physiologic hydronephrosis in pregnancy affect which side more than the other, and why?
  5. What is the average number of sperms that ultimately reach the fallopian tube?
  6. When is INH therapy useful in Urology?
  7. What is the most common epididymal tumor?
  8. Incomplete dissolution of Chwalla’s membrane will cause what?
  9. What is the differences among detrusor overactivity, overactive bladder, detrusor hyperreflexia, and detrusor instability.
  10. What are the three disorders that associated with Calcification of the vas ?

 

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Second week of October.

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Q1: Painful ejaculation is caused by what problems?

Q2: A patient getting a TURP under spinal anesthesia develops epigastric and or chest pain radiated to the left shoulder. What has probably happened?

Q3: What is Dietl’s crisis?

Q4: Fanconi syndrome is associated with what other disorder that caused renal stone disease?

Q5: What are Fordyce’s spots ?

Q6: what are Tyson’s glands?

Q7: what is Stauffer syndrome?

Q8: What type of renal tumor associated with staghorn stones?

Q9: What is the most common site of ureter TB?

Q10: What is the most common tumor metastatic to kidneys?

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First week of October, 2015.

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Q1: What is the recommended optimal duration of alpha blocker therapy before removing the catheter for a voiding trail after an episode of acute retention?

Q2: Is Mumps orchitis more common in prepubertal or postpubertal boys and what percentage of boys with Mumps will get Mump orchitis?

Q3: What cardiac drug at what dosage can cause a chemical epididymitis, what portion of the epididymid is involve most often and how should it be treated?

Q4: Pyuria is present in what percentage of patient with acute epididymtis?

Q5: What exactly is the function of fructose in the semen and what is the significant of its absence?

Q6: What is the 3 medical diseases that can cause calcification of the vas deferens?

Q7: Which Kidney is affected most often with angiomyolipoma?

Q8: What percentage of patients with renal tuberculosis presented with hematuria?

Q9: What is the Normal volume of the renal pelvis?

Q10: What is the most common benign and malignant tumors of the spermatic cord?

 

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