泌尿外科选择题(英语).doc

泌尿外科选择题(英语).doc

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Urology-1

1.An84yearoldmanpresentstoyourofficecomplainingofafivedayhistoryofpassingterminalbrightredbloodyurine.Hereportsmarkedurgencyandfrequencybutisotherwisewellandafebrile.Inretrospect,heremembers

beingquiteillwithaninfectionintherecentpast.Analysisofavoidedspecimenshows3smoothandroundedRBCs/hpf.WhichofthefollowingisNOTincludedinyourdifferentialdiagnosis?

a）benignprostatichpertrophy（BPH）

b）post-streptococcalglomerulonephritis

c）astonelodgedatthevesico-uretericjunction

d）asuperficialbladdertumour

e）acoliformpositiveUTI

2.Ofthefollowingconditions,whichisnotconsideredaurologicalemergency?

a）paraphimosis

b）priapism

c）orchitis

d）testiculartorsion

e）autonomicdysreflexia

3.AnormalsemenanalysisincludesallofthefollowingEXCEPT:

a）pHbetween7.5-8.1

b）aspermcount>20millionsperm/ml

c）WBC<10/hpf

d）motility>50%

e）>60%normalmorphologicalforms

4.Amotherbringshertoilet-trained,5yearolddaughtertoseeyouwitha3dayhistoryofdysuria,increasedfrequency,andurgencyincontinence.Herpastmedicalhistoryissignificantforabag-specimenpositiveUTIcharaterizedbyhighfeverandvomitingat2yearsofage.Atthetime,shewaslosttofollowup.Whichofthefollowingwouldbeappropriateforyourinitialmanagementofthispatient?

a）voidingcystourethrogram（VCUG）

b）amidstreamurinespecimen

c）nuclearcystogram

d）DMSArenalscan

e）abdominalultrasound

5.A55yearoldmanreluctantlyadmitstodifficultyinmaintaininganerectionsufficientforsexualintercourseforthepasttwoyears.Hereportsbeinghealthy,however,hehasnotseenaphysicianin10years.Whichofthefollowingwouldnotsuggestapotentialcauseforhiserectiledysfunction?

a）elevatedbloodpressure

b）galactorhea

c）acanthosisnigracans

d）varicocele

e）eruptivexanthoma

6.A50yearoldmanpresentswitha2monthhistoryofirritativevoidingsymptomsandafever.Heinitiallysawhisfamilydoctorwhotreatedhimforcystitiswithciprofloxacinfor5days.Henowpresentstoyoubecausehissymptomshavereturnedsoonafterhefinishedhiscourseofantibiotics.AllofthefollowingarelikelyTRUEexcept:

a）heneverhadaUTI

b）hemighthavecomplainedofdiscomfortwhenridingabicycle

c）hemighthavealsoexperiencedbackpain

d）thispatientdoesnotneedtobeinvestigated

e）hecouldofhadprostatitisandshouldhavebeentreatedatleast3weeks

7.WhichofthefollowingisNOTacommonplaceforimpactionofakidneystone?

a）Ureteralpelvicjunction

b）Pelvicbrim

c）Ureteralvesicaljunction

d）Vesicourethraljunction

8.Urinarycontinenceinwomenismaintainedby____?

a）internalsphincter

b）middlecircularlayerofthebladderneck

c）externalsphincter

d）lowerbladderpressure

9.Prostatecanceroccursmostcommonlyinwhichzoneoftheprostate?

a）centralzone

b）urethralzone

c）transitionalzone

d）perioheralzone

10.kidneyfunctioninapreoperativepatientisbestmeasuredby____?

a）serumblood,urea,nitrogen,andcreatinine

b）creatinineclearance

c）renalultrasound

d）computedtomographyscan

11.whichofthefollowingstudiesisNOTusefulinevaluatingapatientwithbenignprostatichypertrophy（BPH）?

a）internationalprostatesymptomscorequestionnaire

b）cystoscopy

c）pre-voidultrasound

d）pressure-flowstudy

12.transurethralresectionsyndromeafterendoscopicresectionoftheprostateoccursbecauseof__?

a）airembolismduringtheprocedure

b）bloodlossfrompostoperativeirrigation

c）absorptionofirrigant

d）relaxationoftheurethralsphincterfromspinalanesthesia

13.whichofthefollowingcanoccurasaparaneoplasticmanifestationofrenalcellcarcinoma?

a）hepaticdysfunction

b）hypocalcemia

c）thrombocytopenia

d）pulmonaryedema

14.Appropriatetreatmentforasuperficialbladdercanceris___?

a）endoscopicresectionandfulguration

b）full-thicknessresectionwitha1-cmmargin

c）full-thicknessresectionwitha3-commargin（subtotalcystectomy）

d）totalcysterctomy

15.Initialtherapyformetastaticprostatecanceris___?

a）totalprostatectomy（sphincter-preserving）

b）radicalprostatectomy

c）chemotherapy

d）bilateralorchiectomy

16.whichofthefollowingisanabsoluteindicationforsurgicaltreatmentofarenalinjury?

a）majorurinaryextravasation

b）vascularinjury

c）expandingperirenalhematoma

d）20%devitalizedrenalparenchyma

AnswerstoQ1-16

1.b2.c3.a4.a5.d6.d7.d8.c9.d10.b11.c12.c13.a14.a15.d16.c

Urology-2

Questions1and2

1.A62-year-oldAfricanAmericanmaleattorneypresentstoaprostate-screeningclinicduring

NationalAwarenessWeek.Oncarefulquestioning,hehasnotedslighturgency,frequency

nocturia,andadecreaseintheforceofmicturition.Heisref