‫الفايل المجمع لكل األسئلة‪:‬‬

‫*اختبارات االند لدفعتنا (‪)2022‬‬

‫*اختبارات السنوات السابقة‬
‫*االختبار التجريبي‬

‫‪2022‬‬
2022
 Round 2 Group C exam 20/5/2021

1. A female patient 65 years old has a total painless hematuria CT with contrast
was done and revealed a bladder mass the next step is:
a. MRI
b. Cystoscopy& biopsy
c. Radical cystectomy
d. Chemotherapy

2 .A 9 year old child complains of a sudden severe pain in his right testicle.
Doppler ultrasound was done and revealed no vascular flow in the affected
testis, the next step is:
a. Medical treatment
b. Surgical exploration
c. Hot fomentation
d. None of the above

3 .A 35 year old female is subjected to motor vehicle accident and complain

now of hematuria, suprapubic ecchymosis. An ascending cystogram is and
showed extravasation of the contrast into the peritoneal cavity. The appropriate
management of her condition:
a- Urinary catheterization
b- Surgical exploration
c- Intraperitoneal drain only
d- None of the above

4.A 27 y male presented to ER unit with sever left flank colicky pain that
radiates to the left testicle and a single vomiting episode. The patient gave
history of stone passage last year. The most appropriate next step is:
a. Alpha blockers
b. Non-contrast spiral CT
c. Analgesics, antispasmodics and IV fluids
d. PCNL
5. .A 60 y old man presented in out pt. clinic complaining of obstructive urinary
symptoms. on DRE, you felt asymmetric lobes of prostate and his serum PSA is
70 ng/ml.
the most appropriate next step is:
A. prostatectomy
B. CT abdomen and pelvis
C. Bone scan
D. TRUS biopsy from the prostate
E. None of the above

6 .During a routine pre-employment assessment, US for a 50 Y old male shows

an irregular hyperdense left renal mass, the patient has no other complaint and
an excellent performance status. The most appropriate next step is:
a- Surgical exploration.
b- Reassurance and follow up
c- CT abdomen and pelvis with contrast
d- None of the above

7 .Best surgical management for 3 cm radio opaque renal pelvis stone is:
a. Dissolution therapy
b. ureteroscopy
c. ESWL
d. PCNL
8. A patient presented after a motor vehicle accident, the patient's BP is
120/78mmHg, pulse 88 beats/m, Resp. 2IC/M. after catheterization patient's
urine is clear with no hematuria, CT abd, and pelvis with contrast shows 1.5 cm
right lower pole renal laceration and no other intra-abdominal organ injuries
nor collections. The most appropriate management is:
a- immediate surgical exploration.
b- Discharge the patient.
e- Observation
d- CT angiography

9. The most important diagnostic modality in diagnosis of urethral injury is

a. CT
b. Ascending urethrogram
c. Ascending cystogram
d. US

10. Management of localized renal cell carcinoma is:

a. Watchful waiting.
The treatment of RCC is always surgical
b. Radical nephrectomy
c. Radical nephroureterctomy.
d. Radiotherapy and chemotherapy.

11- Medical treatment of BPH includes which of the following:

a. Alpha blockers
b. 5 alpha reductase inhibitors
.c. Phyto therapy
d. All of the above
12 -The standard treatment of metastatic cancer prostate 1s.
a. Radical prostatectomy
b. TURP
e. Hormonal therapy
d. Radiotherapy

13-Adult type of Polycystic kidney is:

a. Autosomal dominant
b. May be asymptomatic till third or fourth decade of life
c. Can present with hypertension
d. Any of the above

14 -The most common histopathological type of bladder cancer is:

a. Adenocarcinoma
b. Squamous cell carcinoma
c. Transitional cell carcinoma
d. Adenoma

15. All of the following are radio opaque stones except:

А. Са охаlate
B. Ca phosphate
E. Uric acid
D. Triple phosphate

16. A 60 years old male patient with BPH and chronic retention with elevated
renal functions. The most appropriate initial therapeutic modality is:
A. TURP
B. Open prostatectomy
C. Alpha blockers
D. Insertion of indwelling catheter
17. The most common site of origin of cancer prostate is:
A. Transition zone
B. Central zone
C. Anterior fibromuscular zone
D. Peripheral zone

18. Renal trauma grade......... means cortical tear more than one cm that doesn't
reach the pelvi-calycael system:
А. I
В.II
С.III
D. IV
E. V

19. In obstructive anuria the following findings are present except:

A-high serum creatinine
B-full bladder
C- Flank pain
D- No urine output

20- Normal serum PSA level is:

a- 0 to 4 mg/dl
b- 0 to 4 ng/dl
C- more than 4 ng/ml
d- 0 to 4 ng/ml

21. To maximize fertility potential, orchidopexy for cryptorchidism should be

done before:
A. Age 15 years.
B. Age 12 years.
C. Marriage.
D. Age 2 years.
22. A 50-year-old man presents with dysuria, cloudy urine and a tender
swollen right testis. What is the most likely diagnosis?
A Orchitis
B Torsion of.epididymal appendage
C Testicular torsion
D Testicular tumour

23. A 22-year-old man presents with a day history of right testicular pain. On
examination there is significant tenderness on the epididymis but not the testis.
He has a history of unprotected intercourse and chlamydia. What is the most
likely diagnosis?
A Orchitis
B Epididymitis
C Torsion of epididymal appendage
D Testicular torsion
E Testicular tumour

24. A 71-year-old man presents with a 6-month history of visible haematuria

and bothersome LUTS. He denies dysuria. He is a heavy smoker. What is
the most likely diagnosis?
A kidney stone
B Urothelial bladder cancer
C Prostate cancer
D Renal cancer

25. All cases of renal trauma must be explored

A: true
B: false
26. Iatrogenic causes are the most common causes of ureteric injury:
A. True
B false
27. Diagnostic laparoscopy is the gold standerd for diagnosis of intra abdominal
testis
A .true
b.false
28. Undescended testes are usually bilateral
a. true
b. false
29. The incidence of bladder Schistosomiasis is increasing nowadays in Egypt
a.true
b. false

30. What is the treatment of choice for a complete staghorn calculus with
minimal dilatation of the collecting system?
a. Percutaneous nephrolithotomy (PCNL)
b. Shockwave lithotripsy
c. Irrigation of the kidney with citrate solution
d. Simple nephrectomy
Good Luck
 Round 7&8 B

1) The most common pathological type of UB carcinoma is:

A) TCC
b)Squamous cell carcinoma
C)Adenocarcinoma
D)Rhabdomyosarcoma

2) most common zone of BPH?

A)central
B)peripheral
C)Transition zone

3) A 55 year old woman has a 8cm renal mass and loin pain. Standard
treatment?
- Partial nephrectomy
- Radical nephrectomy
- Immunotherapy

4) Sudden strong desire to voiding that cannot be inhibited ?

A)urgency
B)hesitancy

5) Renal colic all except :

A)never associated with nausea
B)ipsilateral radiating pain
C)colicky pain
D)analgesics and antispasmodics

6) PUJO all ex:

A- atresia
B-antenatally diagnosed
C- Pyeloplasty is the procedure of choice
D- hydroureteronephrosis
7) Horseshoe kidney all except:
A) malrotation of kidney
B) Hypoplasia

8) Case: falling astride ,blood at meatus

-diagnosis?
A)urethra
B)ureter
C)bladder
-best investigation?
A)cystography
B)ascending urethrogram
-treatment?
Suprapubic catheter

9) male patient diagnosed as bladder cancer, what to do next?

a) Cystoscopy and biopsy.
b) Cystoscopy

10) Female patient complains of urine passage when coughing or sneezing,

diagnosis?
a) Overflow incontinence
b) stress incontinence

11) 3-year old boy with non-palpable testes. Management?

- Laparoscopy

12) T2 cancer in bladder ?

radical extraction
 End Exam R7&8A
1) The most common pathological type of UB carcinoma is:
A) TCC
B) Squamous cell carcinoma
C)Adenocarcinoma
D)Rhabdomyosarcoma

2) most common zone of BPH?

A)central
B)peripheral
C)Transition zone

3) Horseshoe kidney all except:

A)malrotation of kidney
B) Hypoplasia

4) male patient diagnosed as bladder cancer, what to do next?

a) Cystoscopy and biopsy.
b) Cystoscopy

5) T2 cancer in bladder ?
radical extraction

6) Boy with undescended testis complaining of sudden onset of scrotal

pain and Doppler show no blood flow, treatment?
A) Emergency exploration
B) Conservative

7) A pregnant women U/S show severe oligohydramnios, the baby has

bilateral hydroureteronephrosis, what to do after birth to the baby?
a-posterior urethral valve
8. Cryptochidism 1.5 years old has a unilateral nonpalpable testis first
step
1) diagonstic laprosocpe

9. A case of urethral injury (history of trauma and bleeding per

urethra) first measure is
1) suprapubic catheter
2) order ascending urethrogram

10. Diagnosis of stone

1) Non contrast ct

11- Bladder Tumor to masculosa propria the LEAST staging?

a)T1
b)T2***
c)T3

12. Male patient has a 3cm ureteric stone so the first step to be done is
:
Ureterolithotomy (surgical treatment)

13. after trauma , a male patient has normal vital signs with no
hematuria + > 1.5 cm renal laceration the first step to be done is:
Observation

14- Best modality for split renal function and obstruction:

Radioisotopes scan (DTPA)

15- ) most common Caused UTI ?

E.COLI

16-all risk factoes erectile dysfunction except:

A-Smoking
b-Stress
c-Dm
d-Obstructed vas
17- for gradeing od prostate carcinoma
Gleason score
18- carcinoma caused by hormonal disorder
prostate carcinoma

19- treatment for metastatic prostate carcinoma

hormonal treatment

20 –‫ جيه منه سؤال‬65‫جدول المقارنة ص‬

21- Angiomyolipomas Symptomatic presentation ?

retroperitoneal hemorrhage‫سؤال من برة الكتاب‬
 ROUND 7&8C

1) Pt with fever and flank pain on U/S there is lt hydronephrosis and turbid
urine and ureteric 1.5 cm stone best thing done :
A. emergency ureterolithotomy
B. emergency PCN
C. broad spectrum antibiotics

2) A case of urethral injury (history of trauma and bleeding per meatus) first
measure is:
A. suprapubic catheter
B. order ascending urethrogram

3) True about testicular torsion:

A. Surgical exploration always detected

B. Can be treated conservatively
C. CT the best diagnosis
D. Cremasteric reflex present

4) All of the following stones are radio-opaque except:

A. Uric acid
5) Most common type of kidney carcinoma?

Clear cell

6) Anemia occur in all of the following except:

A. Hematuri
B. Renal failure
C. Paraneoplastic syndrome of TCC
7) Complications of BPH, all are true except:

A. Acute urine retention

B. Hematuri
C. chronic urine retention

8) Young boy with non-palpable testes, managed by:

Laparoscopy

9) Most appropriate treatment for 1.5cm low grade Ta papillary bladder

tumor:
TRUBT+ follow up.

10) The best age for surgical correction of hypospadias is:

A) 6-18 days
B) 6-18 weeks
C)6-18 months
D)6-18 years

11) Adult polycystic kidney disease is:

A. Autosomal dominant
B. May remain asymptomatic until the forties
C. All of the above

12) Case of a female with bladder tear, no clot, what to do?

Wide catheter.

13) A patient with anuria, what to do?

DJ stent.
14) Simple renal cyst, all are true exept:

Cyst fulled by urine.

15) The most common pathological type of UB carcinoma is:
A) TCC
B) Squamous cell carcinoma
C)Adenocarcinoma
D)Rhabdomyosarcoma

16) A 60 year old male patient presented to the ER complaining of anuria.

His serum creatinine is 4 mg/dl. An urgent CT revealed a 1cm left ureteric
stone obstructing a solitary left kidney. The next step is.. ..
A)Urgent ESWL
B)Urgent Lt DJ insertion
C)Good hydration and alpha blockers

17) A 60 year old woman has a 4.5cm renal mass and loin pain. Standard
treatment?
A)Partial nephrectomy
B)Radical nephrectomy
C)Immunotherapy

18) All are causes of urine retention except:

a) Posterior urethral valve
b) benign prostatic hyperplasia
c) urethral stone
d) bilateral ureteric obstruction

19) All the following are contraindications of ESWL except...

A)Calcium oxalate stones
B)Pregnancy
C)Uncorrected bleeding disorder
D)Active UTI

20) All the following are radio-opaque stones except..

A) Calcium oxalate stones
B) Calcium phosphate stones
C) Cysteine stones
D)Uric acid stones
21) Hypospadias management:
1)surgical

22) All the following true about RCC except :

A. spread Unilateral
B. spread Multifocal

23) All the following true about PUJO except :

A. Ultrasound will show increased anteroposterior diameter of the renal
pelvis
B. MRU will show hydrocalices and hydropelvis with normal caliber ureter
below the pelvis.
C. DTPA isotope scan to assess differential renal function and diagnose
obstruction.
D. Can't remember the answer
 New questions round-4 2021

1-Bed side assessment to differentiate between acute urine retention and

anuria :
a-History taking
b-Urine catheterization

2-All are causes of false hematuria except:

a-Rifampicin
b-Plant
c-Bladder cauliflower mass
d-Hemoglobinuria

3-Decrease in time intervals between micturition: Frequency

New questions round-1&2B 2021

1-all of the following may cause urinary retention except:

a-PUV
b- urethral stricture
c-bilateral ureteric stone
-answer: c

2- Urge incontinence may be treated by:

a-cholinomimetic drugs
b-alpha adrenergic blockers
c-anticholinergic drugs
d-sympatholytic drugs
answer: c

Scanned by CamScanner
3-38 year old male patient presenting with radiolucent 1cm renal stone,
he had therapy which resulted in complete dissolution of the stone, the
chemical composition of the stone is most probably:
a-Ca oxalate
b-Ca phosphate
c-uric acid
d- triple phosphate
answer: c

4-Definitive Rx of erectile dysfunction all true except? Antipsychotic

drugs

5-all can cause oligoathospermia except:

a-chronic smoking
b-chemotherapy
c-varices
d-cystitis
answer: a

6-Concerning anuria which is false

a-Ureteric catheter is usually indicated.
b-Bladder is always full
answer:b

Scanned by CamScanner
 Round 8 C

End of round test …31 december 2020

1. The most appropriate diagnostic modality for evaluation

of stones is
а. MRI
b. U/S
C. Non contrast CT
d. IVU

2. All of the following are contraindications for ESWL

except
a. Active UTI
b. Calcium oxalate stones
C. Pregnancy
d. Uncorrected coagulopathy

3. All of the following are radiopaque stones except

a. Cysteine stones
b. Uric acid
С. Calcium oxalate
d. Caicium phosphate

4. The most appropriate treatment of a 3 cm rt renal pelvic

stone is
a. Nephrectomy
b. Pyelolithotomy
c. PCNL
d. ESWL

5. A 60 y old male presented to ER with anuria, serum

createnine is 4, plain ct showed a 1 cm It lower third
ureteric stone obstructing a solitary functioning kidney the
next step is
a. Good hydration and alpha blockers
b. Urgent ureterolithotomy
C. Urgent ESWL
d. Urgent ureteroscopy and stone fragmentation and
extraction

6. Regarding testicular torsion

a. Surgical exploration is always indicated
b. Cremasteric reflex is present
C. Can be managed conservatively
d. Diagnosed by palin CT

7. A 35 y old male patient presented to ER after being hit

by motor cycle with heamaturia and abdominal pain,
cystogram demonstrated leaked contrast between bowel
loops the most appropríate next step is
a. Follow up
b. Fixing a urethral cath
C. Insertion of suprapubic catheter
d. Surgical exploration

8. A 20 year old male patient presented to ER with

bleeding per urethra after a direct hit to the perineum
during sports, the next step is
a. Fixing a urethral catheter
b. Insertion of suprapubic catheter
c. Requesting an ascending urethrogram
d. Requesting an IVU

9. After falling over the stairs, a 12 y old female presented

to ER with contusion to the RT flank and heamaturia, CT

2
showed a 1 cm renal parenchymal tear and no
extravasation, the next step is
a. DJ insertion
b. Exploration and nephrectomy
c. Follow up
d. Renal artery embolization

10. Medical treatment of urolithiasis include all of the

following except
a. Analgesics and antispasmodics
b. Diuresis by increasing fluid intake
c. Alpha blockers for lower urinary tract stones
d. acidification of urine by potassium citrate

11. all of the following are manifestations of complete

urethral injury except
a. hematuria
b. inability to void with full bladder
c. butterfly hematoma involving scrotum and perineum
d. DRE may show a displaced prostate

12. A 55 year old diabetic female presented to ER with rt

flank pain and fever, ultrasound showed rt
hydronephrosis, sc 2.5, the next most appropriate step will
be
a. Urgent hemodialisis
b. PCN
c. Antibiotics and follow up
d. Assurance and follow up

13. Undescended testicles

a. Are palpable in 80% of cases
b. Are usually managed conservative

3
c. Are usually bilateral
d. Are managed before 2 years of age

14. Anemia may be the presentation of urologic diseases

due to all the following except
a. Hematuria
b. Renal failure
c. Paraneoplastic syndrome in TCC
d. Erythropoietin deficiency

15. Ureteric pain is usually colicy in nature and can radiate

to all the following sites except
a. The epigastrium and suprapubic region
b. Around the umbilicus
c. The contralateral testicle
d. The tip of penis or vulva

16. Renal masses are characterized by all of the

following except
a. Occupies the lumbar region
b. The renal angel and full and dull
c. The mass moves with respiration
d. You cannot insinuate your hand below the costal margin

17. All are true regarding simple renal cysts except

a. It is usually unilateral and single, rarely bilateral and
multiple
b. It is usually small, but rarely reaches big size
c. It appears bulging from the kidney surface
d. It is covered by a very delicate epithelial wall and is
filled with urine

18. All are true about PUJ0 except

4
a. Can present as prenatal hydronephrosis
b. Ultrasound will show increased antroposterior diameter
of the pelvis
c. MRU will show hydrocalices, hydropelvis and dilated
ureter
d. DTPA helps assess differential renal function and grade
of obstruction

19. VCUG in cases of posterior urethral valve shows all the

following except
a. The urethra proximal to the valve is dilated
b. The bladder is huge
c. Dilated bulbar urethra
d. Bilateral reflux and HUN may be present

20. All of the following can cause stone formation except

a. Hypercitraturia
b. Hyperphosphaturia
c. Hyperoxaluria
d. Hyperuricosuria

21. The most common presentation of RCC is

a. Renal colic
b. Hematuria
c. Asymptomatic
d. Renal biopsy

22. The most common pathological type of kidney cancer

is
a. Squamous cell carcinoma
b Clear cell carcinoma
C. Transitional cell carcinoma
d. Rhabdomyosarcoma

5
23. The most appropriate treatment for 1,5 cm low grade
Ta papillary bladder tumor is
a. Radical cystectomy
b. TURBT + follow up
C. BCG
d. Intravesical Adriamycin

24. The most appropriate treatment modality for

asymptomatic 60 years old male patient with incidentally
discovered LT upper polar 3,5 cm renal mass
a. LT upper partial nephrectomy
b. Radical nephrectomy
c. Neoadjevant chemotherapy then radical nephrectomy
d. Radical nephrectomy and radiotherapy

25. Regarding prostate cancer all of the following are true

except
a. It is the most common cancer in male
b. Arises most commonly from the peripheral zone of the
prostate
c. Chemotherapy is the treatment of choice in metatstatic
disease
d. Radical prostatectomy is curative in T1NOMO

26. Best age for hypospadias repair is

a. 6-18 days
b. 6-18 weeks
c. 6-18 months
d. 6-18 years

27. The best diagnostic modality for a non palpable testicle

in a 1.5 y old male child is

6
a. MRI
b. CTU
c. Diagnostic laparoscopy
d. Diagnostic laparotomy

28. Complications of BPH include all of the following

except
a. Acute urine retention
b. Chronic urine retention
C. Bladder stones
d. Malignant transformation

29. Regarding renal cell carcinaomas all of the following

are true except
a. Big tumors bulge from the kidney surface
b. Most sporadic RCCS are unilateral
c. Most sporadic RCCS are multifocal
d. Cross section shows a heterogeneous appearance

30. The most appropriate treatment for 1.5 cm low grade

Ta papillary bladder tumor is
a. Radical cystectomy
b. TURBT+follow up
c. ВCG
d. Intravesical adriamycin

7
2022
1) 60 yeas patient discovered accidently as having left polar RCC 4.5
cm with no symptoms the best treatmentis
a) Radical nephrectomy
b) Partial nephrectomy
c) Radiotherapy

2) Treatment of kidney trauma grade 3 is:

a) Surgical exploration
b) conservative treatment

3) Patient with Anuria for 3 days, what todo?

a) Bilateral DJ stent
b) diuretics
c) nephrectomy

4) Emergency treatment for severe renalcolic?

a) Anticholinergic
b) Norepinephrine shot
c) NSAIDS

5) A 65 years male patient diagnosed as bladder cancer, what to do

next?
a) Cystoscopy and biopsy.
b) Cystoscopy

6) Which of the following is an indicationfoe ESWL?

a) Bladder stone 3 cm
b) Lower third ureter stone 2 cm
c) kidney stone 3 mm
d) kidney stone 1 cm
7) A patient with severe renal colic pain, investigation showed free
KUB and CT show a stone. What is the typeof stone?
a) Calcium stone
b) oxalate stone
c) Uric acid stone

8) Patient with routine investigation showed a renal mass, the next

step is:
a) CT without contrast
b) CT with contrast
c) IVU

9) A 60 years male patient after doing digital rectal examination the

physician noted asymmetrical rigid prostate with PSA 3.5 ng/ml the
first step to be done is:
a) Trans rectal US guided biopsy
b) prostatectomy
c) repeat the PSA

10) Female patient complains of urine passage when coughing or

sneezing, diagnosis?
a) Overflow incontinence
b) stress incontinence

11) Boy with undescended testis complaining of sudden onset of

scrotal pain and Doppler show no blood flow, treatment?
A) Emergency exploration
B) Conservative

12) A pregnant women U/S show severe oligohydramnios, the baby

has bilateral hydroureteronephrosis, what to do after birth to the
baby? (case posterior urethral valve)
a) IVU
b) KUB
c) VCUG
d) all of the above

13) All are causes of urine retention except:

a) Posterior urethral valve
b) benign prostatic hyperplasia
c) urethral stone
d) bilateral ureteric obstruction

14) Struvite stone is usually associated with:

a) Hyperoxaluria
b) Recurrent UTI
c) family history
d) Hyperuricemia

ROUND 5A

1. 60 ys pt discovered accidently as having lt polar RCC 4.5 cm with no

symptoms the best treatment is
1) radical nephrectomy
2) partial nephrectomy
3) radiotherapy

2. Pt with fever and flank pain on U/S there is lt hydronephrosis and

turbid urine and ureteric 1.5 cm stone best thing done
1) emergency ureterolithotomy
2) emergency PCN
3) broad spectrum antibiotics

3. According to stress incontinence all true except

1) more common in males
2) increases on coughing
4. Stone which is radiolucent
1) uric acid
2) calcium

5. Cryptochidism 1.5 years old has a unilateral nonpalpable testis first

step
1) diagonstic laprosocpe

6. A case of obstructive anuria first measure is

1) double j stent

7. Most common type of bladder tumor is

1) T.C.C
2) SCC

8. A case of urethral injury (history of trauma and bleeding per

urethra) first measure is
1) suprapubic catheter
2) order ascending urethrogram

9. A case of bladder trauma (pain &ecchymosis over suprapubic area

after hx of trauma) ascending cystourethrogram done and show
contrast between bowel loops /type of injury
1) Extraperitoneal rupture
2) intraperitoneal rupture 2

10. Staging of RCC by

1) contrast CT
2) non-contrast ct

11. Contraindication of ESWL all except

1) calcium oxalate stones

12. True about testicular torsion

1) Surgical exploration always detected
2) Can be treated conservatively
3) CT the best diagnosis
4) Cremasteric reflex present
13. False about BPH???

14. Diagnosis of stone

1) Non contrast ct

15. 16 years old boy with undescended testicle treated by

1) Orchiectomy

16. In prostatic cancer all are true except:

1) In metastasis we use chemotherapy

17. All the following needs staged repair except:

1) perineal hypospadias
2) penile and scrotal hypospadias
3) hypospadias with severe ventral curve
4) coronal hypospadias

ROUND 5B
1.Emergency treatment for severe renal colic?
- Anticholinergic
- NSAIDS
- Diuretics
- Norepinephrine shot

2.A boy fell and has a 1.5cm laceration of the kidney with no extravasation.
The grade is?
- Grade III

3.A 3-year old boy with non-palpable testes. Management?

- Laparoscopy

4.A patient with a 4mm ureteric stone that doesn't cause much back pressure
on the kidney. Treatment of choice?
- Medical
- ESWL
- PCNL
5.A 26 year old woman has a 8cm renal mass and loin pain. Standard
treatment?
- Partial nephrectomy
- Radical nephrectomy
- Immunotherapy

6. Adult polycystic kidney disease is:

- Autosomal dominant
- May remain asymptomatic until the forties
- All of the above

7. Calculous anuria presents with all the following except:

- Normal urea & creatinine
- Bladder is always empty

8. Indications of surgery in BPH all except:

- Bilateral hydronephrosis
- Recurrent UTI
- Stone formation
- Urge incontinence

9.A woman presents with suprapubic ecchymosis and intraperitoneal

extravasation of urine. Management?
- Surgical exploration

10.A man with T1 Bladder cancer. Best diagnostic method:

- Cystoscopy and biopsy

11. Trauma patient with bleeding per urethra. Best investigation:

- Ascending urethrogram

12. Most diagnostic test for a stone:

- CT without contrast

13. Prostate cancer arises from:

- Peripheral zone
 ROUND 6C
1- Anuria treatment ?
a)Nephrectomy
b)Catheter
c)none of the above (NOT SURE)***

2- Renal stone 3cm Treatment?

a) ESWL
b) Hydration
c)PCNL***

3-Stone + Pus + Fever ?

a)PCN****
b)PCLN

4- Patient with sever colicky pain with history pf stone passing?

a) CT with contrast
b) analgesia and hydration****

5- Case itraperitoneal rapture treatment?

Surgical

6- Renal trauma laceration 1.5cm n hematuria no urine leakage, Grade?

3

7- Bladder Tumor to masculosa propria the LEAST staging?

a)T1
b)T2***
c)T3

8- Patient with routine investigation showing renal mass the next step is?
CT with contrast

ROUND 7A

1. Male patient upper ureter has a stone in the with hydronephrosis

so the first step to be done is :
PCN
2. Male patient has a 3cm ureteric stone so the first step to be done is :
surgical Rx (ureterolithotomy)

3. A Bladder biopsy is done & revealed a bladder tumor just

invading muscle .. the staging is :
T2

4. The most diagnostic modality for urethral injuries is :

Ascending urethrogram

5. 60 y male after doing digital rectal examination the physician

notes Asymmetry of the prostate So the first step to be done :
trans rectal us guided biopsy

6.A worker during doing his pre• employment examination a

hyperechoic mass in the lower pole of the kidney is discovered in
the US , so the first step to be done is :
CT with contrast

7.A female after a road traffic accident has a suprapubic ecchymosis +

intraperitoneal extravasation so the first step to be done is:
Exploration

8. after trauma , a male patient has normal vital signs with no

hematuria + > 1.5 cm renal laceration the first step to be done is:
Observation

9.A male came to the emergency has severe left flank colic pain .. the
first step to be done is :
Analgesic& antispasmodics

10. 1 day male baby with elevated serum creatinine , most probably he
has:
Posterior urethral valve

11.A baby presented with acute onsent of scrotal pain and after doing
doppler US there is no
vascularization so the next step is?
Surgical exploration
12. Female has total painful hematuria and then she is diagnosed
with bladder cancer the first step to be done?
Cystoscop + Biopsy
ROUND 8A
1- Normal PSA is?
0-4 ng/ml

2- site of BPH?
Transition zone

3- Cortical laceration more than 1 cm without urine extravasation?

grade 3

4- T1 bladder cancer .?
a) Non muscle invasive bladder cancer
b) BCG has a role in treatment
c) treated with transurethral resection
d) all of the above **

5- The most common histological type of bladder

cancer?
TCC

ROUND 8C

1. All the following are treatments of RCC EXCEPT?

A) Partial Nephrectomy
B) Radical Nephrectomy
C) BCG
D) A+B

2. 60yd male patient with history of grade 3 hydronephrosis for

3months complaining of 39fever, colic pain and imaging showing 1.5cm
pelvic stone, what is the best emergency management for this case?
A) Analgesics
B) PCN
3. Treatment for BPH?
A) Alpha blockers
B) 5-alpha reductase inhibitors
C) Phytotherapy
d) All of the above

4. Most common cause of obstruction in child?

PUV

5. Female patient complains of urine passage when coughing or

sneezing, diagnosis?
A) Overflow bladder
B) Stress incontinence

6. Man complains of colic pain since 3months, CT shows grade 3

hydronephrosis and upper third 1.5cm ureteric stone.
Treatment?
A) ESWL
B) PCNL
C) Nephrectomy

7. Diagnosis of prostatic cancer?

A) Trus Biopsy
B) DrE
C) PSA
d) All of the above

8. Renal trauma with a laceration more than 1cm not reaching

the pelvicalyceal system is grade?
A) Grade 1
B) Grade 2
C) Grade 3

9. Next step after CT with contrast showing UB tumor?

A) Cystoscopy
B) Cystoscopy + Biopsy
10. 3cm renal stone treatment?
A) PCNL
B) ESWL
C) Nephrectomy

11. Boy with undescended testis complaining of sudden onset of

scrotal pain and doppler show no blood flow, treatment?
A) Emergency exploration

12. 1cm Lower 1/3 ureteric stone treatment?

A) ESWL
B) Ureteroscope
C) PCNL

Pervious year Rounds:

1- Remove prostate in all of the following except:

enlargement with no complication

2- Child received chemotherapy for wilm’s tumor next step:

nephrectomy

3- Female with minor bladder tear and no clot, management:

wide catheter

4- Gun shot wound in thorax and blood in urine, inv :

CT with contrast

5- 5mm stone in ureter the patient is stable, what’s the next step:
A) assure pt
b) water only
c) symptomatic treatment and alpha blocker **

6- Partial nephrectomy in all of the following except a)solitary kidney

b) tumor in both kidneys
c) renal impairment
d) solitary tumor > 9cm **

7- Old pt with large prostate and obstruction of urine how to measure urine:
uroflowmetry
8- 1.1cm stone lower part ureter, treatment:
ureteroscope

9- Best modality for split renal function and obstruction:

Radioisotopes scan (DTPA)

10- Urethral trauma with bleeding ba3d keda 2al eno 3amal 7aga, choose
next step:
suprapubic catheter

11- Young child 2month present with his mother with hypospadias, best
management:
surgical repair

12- Young child in ascending cystogram was diagnosed as PUV, best

management:
Diagnostic cystoscopy and valve ablation

13- 50 yrs pt treated from superficial bladder cancer, he presented with

hematuria since 2 months on IVU there was filling defect in the bladder, best
next step:
a) BCG injection
b) cystoscopy and biopsy **

14- Pt present gross hematuria since 2 months, IVU shows normal lt

kidney and hydronephrosis in RT kidney, the bladder of this pt showed mild
thickened wall best next inv:
spiral CT without contrast (to role out stones as cause of HN)

15- Mother present with her child, she noticed that his rt testis was not
palpable, LT testis is in position, US showed normal LT testis, RT testis was
found in the inguinal canal, best next step:
examination under anesthesia and laparoscopic evaluation

16- PT present with renal colics and RT lower calyx stone of 2.5 cm with
hydronephrosis best tt:
1) ESWL
2) PCNL **
3) Pyelolithotomy
17- Pt has colicky pain + pyonephrosis + fever first step in management>>
A- antibiotic
B- PCN ***

18- Horse shoe management? assurance

19- hypospadias management? Surgical "before schoole age"

20- Most common cause of bilateral hydronephrosis? PUV

21- UB Tumor 11cm no metastasis (management???)

22- Solitary kidney 3cm tumor management?

Partial nephrectomy

23- 3cm kidney stone? PCNL

24- BPH with urine retention ? catheter then TURP

25- Falling astride, rapture urethra, investigation?

Ascending urethrogram

26- Severe urethral stricture? Suprapubic catheter

27- Renal colic ? anticholinergic

28- Undescended testes ? Laparoscopy

29- Kidney injury with extravasation grade ? 4

30- Radiolucent stone? (‫ كان طالب‬investigation)

 ROUND 3&4-B

1) Neurogenic bladder occurs in the following except:

Spinal cord injury
prostatic abscess
Myelomeningocele
DM

2) Case of baby with bilat hydroureteronephrosis (post urethral reflux) , all

the following will be found on Intra utero US except:
Full bladder
Posterior urethral dilatation
Polyhydraminos
Key hole

3) Pt with PSA >150, adenocarcinoma of the prostate with metastasis ,Rx is

Radiotherapy
Radical prostatectomy
LHRH agonists

4) A bladder biopsy is done and revealed a tumor just invading the muscle,
the Rx is
Radical cystectomy followed by urine diversion
Resection

5) A 6 cm Staghorn stone is managed by

PCNL
ESWL

6) Indications of surgery in BPH all except:

Bilateral hydronephrosis
Recurrent UTI
Stone formation
Urge incontinence

7) Uroflowmetry showing obstruction

<20
<10
<30
8) A patient with severe renal colic pain, investigation showed free KUB and
CT show a stone. Which is the following can't be that stone?
Xanthine
Hypothanxine
Uric acid
Ca oxalate

9) All are true about RCC except:

more in males
6th-7th decade
30% metastasis
radio & chemo sensitive

10) Kidney laceration >2cm without urine extravasation is considered

grade:
III
II
IV

11) Adult polycystic kidney disease is:

autosomal recessive
Autosomal dominant

12) pt with bladder mass, next step:

Cystoscopy, biopsy

13) best modality for RCC Dx:

CT

*Revise the following answers from the book*

14) Mention 3 points about hypospadias as a congenital anomaly:

Incomplete prepuce
Area between tip
meatus is devoid of normal urethra
Chordee in severe cases

16) Mention 3 points about the C/P of bladder rupture.

Acute abdomen
Total hematuria
16) What is the definition of acute urine retention?
Sudden painful inability to micturate in presence of full bladder.

17) Stress incontinence definition?

Involuntary loss of urine with increased intra-abdominal pressure.

ROUND 5A-13/1/2020
UROSURGERY

1- The most appropriate investigation for staging of RCC is............

A)Contrast enhanced CT
B)MRI
C) US
D) Renal biopsy

2- The most common pathological type of UB carcinoma is..........

A) TCC
B) Squamous cell carcinoma
C)Adenocarcinoma
D)Rhabdomyosarcoma

3- The most appropriate treatment for 1.5 cm low grade Ta papillary

bladder tumor is.......
A)TRUBT + follow up
B)BCG
C) Intravesical adriamycin
D)Radical cystectomy

4- The most appropriate treatment modality for T1a renal mass

is.........
A)Partial nephrectomy
B)Radical nephrectomy
C) Simple nephrectomy
D) Immunotherapy

2
UROSURGERY

5- A solid renal mass 5 cm infiltrating the perinephric fat is taged

as........
A)T1
B)T2
C)T3
D)T4

6- A 55 year old male patient presented with LUTS,

DRE: hard nodule in the right lobe of prostate
PSA: 15
The next step to confirm the diagnosis of prostate carcinoma
is..............
A) TURP
B) Trans rectal US guided biopsy of the prostate
C)Stamey test
D)CT abdomen and pelvis with contrast

7- A 60 year old male patient with uncontrolled DM presented with

renal impairment, bilateral hydroureteronephrosis, large prostate
and continuous urine dribbling; the clinical diagnosis is.............
A)Acute urine retention
B)Overactive bladder
C)Chronic urine retention with overflow incontinence
D)Diabetic nephropathy

3
UROSURGERY

8- All the following are contraindications of ESWL except...........

A)Calcium oxalate stones
B)Pregnancy
C)Uncorrected bleeding disorder
D)Active UTI

9- All the following are radio-opaque stones except.......

A) Calcium oxalate stones
B) Calcium phosphate stones
C) Cysteine stones
D)Uric acid stones

10- The most appropriate treatment modality for a 3.5 cm radio

opaque stone in the right renal pelvic is........
A) PCNL
B) Flexible URS
C)ESWL
D)Dissolution therapy

11- A 60 year old male patient presented to the ER complaining of

anuria. His serum creatinine is 4 mg/dl. An urgent CT revealed a 1cm
left ureteric stone obstructing a solitary left kidney. The next step
is.................
A)Urgent ESWL
B)Urgent Lt DJ insertion
C) Good hydration and alpha blockers

4
UROSURGERY

D) Urgent Lt ureterolithotomy
12- The best age for surgical correction of hypospadias is........
A) 6-18 days
B) 6-18 weeks
C)6-18 months
D)6-18 years

13- The best diagnostic modality for a non-palpable right testis in a

1.5 years old male child is.................
A) MRI
B) Contrast CT
C)Diagnostic laparoscopy
D)Diagnostic laparotomy

14- Regarding posterior urethral valves.......

A)Emergent endoscopic fulguration is recommended
B)Follow up is the appropriate treatment in most of cases
C)Ascending urethrogram is the best diagnostic modality
D)Usually causes unilateral hydronephrosis

15- Regarding testicular torsion..............

A)Surgical exploration is always indicated
B)CT scan is the diagnostic modality of choice
C)Can be managed conservatively
D)Cremastric reflex is usually present

5
UROSURGERY

16- A 25 year old male patient complaining of abdominal pain and

hematuria after a RTA, cystogram revealed contrast in between
bowel loops, the most appropriate next step is............
A) Surgical exploration
B) Insertion of a suprapubic catheter
C)Insertion of a urethral catheter
D)Follow up

17- Regarding stress incontinence, all of the following are true

except......
A) More common in males
B) Urine leakage occur with coughing and sneezing
C) Stress test is positive
D) Is due to urethral hyper-mobility or weakness of the intrinsic
urethral sphincter.

6
 Previous Exam
1-A3 cm radio-opaque stone in the kidney may be treated by EXCEPT
a-PCNL.
b-Pyelolithotomy
c-ESWL
d-Nephrolithotomy

2-The following manifestations are among the paraneoplastic syndrome in

RCC EXCEPT:
a-Hypertension
b-Hypocalcemia
c-Hepatic dysfunction
d-Erythrocytosis

3-The most common cause of congenital obstructive uropathy is

a-Vesicoureteric reflux
b-Posterior urethral valve
c-Ureterocele
d-Pelviureteric junction obstruction
e-None of the above

4-Treatment of symptomatic urolithiasis in pregnancy may include all

EXCEPT
a- Insertion of a ureteral stent,
b-Percutaneous nephrostomy
c-Stent insertion and ESWL
d-Ureteroscopy and holmium laser lithotripsy.

5-The most common complication associated with ESWL:

a- Hemorrhage
b-Sepsis
c-Stein Strasse
d-Renal loss

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6-A radiolucent stone in the renal pelvis can be diagnosed by all af the
following EXCEPT:
a-Ultrasound
b-IVP
c-CT scan
d-KUB

7-Risk factors for development of Bladder Ca Include all the following

except:
a-Tobacco smoking
b-Industrial carcinogens: e.g. aniline dyes.
c-Chronic irritation e.g. Infection, stones
d-Excessive fat consumption

8-Ureteric tumor in the upper ureter is treated by

a-Ureterectomy
b- Nephroureterectomy excision of cuff of the bladder
c- Chemotherapy
d-BCG

9-Diagnosis of testicular torsion is confirmed by:

a-Semen analysis
b-Tumor marker
c-Doppler ultrasound
d-CT scan

10-Which of the following is a sign of Cancer prostate on digital rectal

examination:
a-Hard nodule.
b-Asymmetry
c-Extra prostatic extension
d-All of the above.

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11-Grading of renal trauma is done by:
a-IVU
b-CT scan with contrast
c-Ultrasound
d-Isotope scan

12-The most appropriate therapeutic modality of 1cm upper ureteric stone

is:
a-Ureteroscopy.
b-Open ureterolithotomy.
c-ESWL.
d-Medical treatment.

13-Markers of testicular tumors Includes all of the following EXCEPT:

a-Alpha fetoprotein
b-Human chorionic gonadotrophins (HCG)
c-Carcino- embryonic antigen
d-Serum prostatic specific antigen (PSA)

14-The best diagnostic study for posterior urethral valve is :

a-Plain KUB
b-IVU
c-Voiding cystourethrogram
d-Abdominal ultrasound

15-Acute retention of urine is differentiated from anuria by:

a-Clinical examination
b-Abdominal ultrasound
c-Catheterization of the bladder
d-All of the above

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16-The fused lower pole of the horseshoe kidney is trapped by which of the
following:
a-Inferior mesenteric artery
b-Superior mesenteric artery
c-Common iliac artery

17-the following are types of hypospadias EXCEPT:

a-Sub coronal
b-Penopubic
c-Penoscrotal
d-Perineal

18-The most common site of origin of prostatic carcinoma is:

a-Transitional zone
b-Central zone
c-Anterior fibromuscular zone
d-Peripheral zone

19-Carcinoma of the prostate Is definitely diagnosed by:

a-Serum PSA
b-DRE
c-IVU
d-Transrectal ultrasound guided biopsy.(TRUS biopsy)

20-A critically Ill patient with infected hydronephrosis due to an impacted

proximal ureteric stone is best treated by:
a-Ureterolithotomy
b-ESWL
c-Ante-grade PCNL
d-PCN

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2022
 Experimental Exam (VIP)

1-Anterior urethra in the male includes:

a-Prostatic urethra
b-Penile urethra
c-Membranous urethra
d-Bladder neck

2-Psoas line is directed:

a-Downwards & laterally
b-Downwards & medially
c-Upwards & laterally
d-Upwards & medially

3-All of the following are considered obstructive symptoms EXCEPT:

a-Urgency
b-Weak stream
c-Retention
d-Hesitancy

4-All of the following are considered risk factors for the development of
urothelial tumors of the urinary tract EXCEPT:
a-Chronic irritation.
b-Diabetes mellitus
c-Smoking
d-Balkan's nephropathy

5-Gleason's grading system is used for grading of:

a-Carcinoma of the prostate
b-RCC
c- Penile carcinoma
d-Bladder carcinoma

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6-The best diagnostic modality for diagnosing urethral rupture is:
a-Ascending urethrogram
b-Presence of gross hematuria
c-Trial of catheter insertion
d-Voiding cystourethrogram

7-38-year-old male presented with a radiolucent i cm kidney stone on

dissolution therapy, which resulted in complete dissolution of the stone.
The
chemical composition of the stone is most probably:
a-Ca oxalate
b- Ca phosphate
c-Triple phosphate
d-Uric acid

8-All of the following stones are radio-opaque EXCEPT

a-calcium oxalate dihydrate stones
b-Cysteine stones
c-Uric acid stones
d-Calcium oxalate monohydrate stones

9-The best diagnostic modality for diagnosing posterior urethral valve in

boys is:
a- Voiding cystourethrogram
b- Ultrasound of the perineum
c-Retrograde urethrogram
d-Catheter insertion

10-The best diagnostic modality for the diagnosis of ureteric trauma is:
a-U/S abdomen & pelvis
b-CT abdomen & pelvis with delayed films
c-Retrograde urethrogram
d-Plain KUB

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