Trials in Urology (Pre-test)

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Q1 - A 57 years old male presented with flank pain, visible hematuria and flank mass. He has 10 pack year history of cigarette smoking. His CT urogram evaluation is shown in the representative image. - Familial type of this condition is suspected.

Q1 - *

1 point

A- In 30% of all cases at the time of initial presentation

B- In cases with hereditary nonpolyposis colorectal carcinoma (HNCC)

C- If there is a first degree relative >50 years of age with HNCC

D- For first degree relative with HNPCC spectrum cancer

E- In cases of exposure to Aristolochia plants extracts

Q2 - A 63 years old male smoker with 20 pack years history, is suspected of having upper tract Urothelial cancer. In the imaging evaluation of UT UC, the statement which most correctly describes the current understanding is *

1 point

A- Computed tomography (CT) urography has the highest diagnostic accuracy

B- The sensitivity of CT urography for UTUC is <60%

C- CIS of the upper tract are best assessed with CT Urogram

D- The sensitivity of MR urography with contrast is >90%

E- Contrast enhanced MRU should be preferred over CTU with renal dysfunction

Q3 - A 53 years old banker is identified to have Upper tract UC involving renal pelvis and proximal ureter. The factor most unlikely to incur poor prognosis in the preoperative work up is *

1 point

A- Presence of Hydronephrosis

B- Neutrophil-Lymphocyte ratio

C- Delay in surgery > 6 weeks

D- ECOG - PS ≥ 1

E- Co-morbidity (ASA score)

Q4 - In 62 years old physician recently diagnosed with Upper tract UC, wishes to preserve his kidney due to strong family history of CKD. Which of the following factor preclude kidney sparing strategy in the management of UT UC. *

1 point

A- Unifocal disease

B- Tumour size < 3 cm

C- Low-grade cytology

D- Low-grade URS biopsy

E- No invasive aspect on CT-urography

Q5 - A 67 years old male diagnosed with upper tract UC of the kidney, is found to have high risk cancer and is being planned to undergo rad nephroureterectomy (RNU). In the management of UT UC by RNU there is lack of strong evidence for which of the following factor. *

1 point

A- Perform RNU in patients with high-risk tumours.

B- Remove the bladder cuff during RNU

C- Perform a lymphadenectomy in patients with high-risk tumours

D- Offer a post-operative bladder instillation of chemotherapy to lower the intravesical recurrence rate

E- Use a morcellator if lap RNU is being performed

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