ATI RN
Questions About The Urinary System Questions
Question 1 of 5
A 67 years old man presented with lower urinary tract symptoms for last 10 months. On evaluation he was diagnosed as a case of carcinoma prostate with serum PSA 8 ng/mL and Gleason score of 3+4=7. PSMA/PET-CT scan was suggestive of uptake in left lobe of prostate and left internal iliac lymph node. As per latest national comprehensive cancer network guidelines, he belongs to which stage of prostate cancer?
Correct Answer: D
Rationale: Stage IVA prostate cancer (NCCN) includes regional lymph node spread (N1) here, left internal iliac node on PSMA-PET, with PSA <20 and Gleason 7 (intermediate). Stage IIA is T1/T2, N0 node-negative. IIIA is T1/T2, high PSA (>20), N0 PSA too low. IIIB is T3/T4, N0 local only. N1 distinguishes IVA, key to metastatic staging, unlike localized or PSA-driven stages.
Question 2 of 5
All of the following statements regarding primary mediastinal nonseminomatous germ cell tumours (NSGCTs) are true, except
Correct Answer: A
Rationale: Primary mediastinal NSGCTs aren't more chemo-sensitive poor response, worse prognosis than testicular NSGCTs false. Poor prognosis true, aggressive. Yolk sac components common correct, marker rise. Klinefelter link accurate, genetic risk. Lower chemo sensitivity distinguishes the error, key to its challenging management, unlike prognosis, histology, or association truths.
Question 3 of 5
Which is not an absolute contraindication for adult renal transplantation?
Correct Answer: B
Rationale: BMI >30<35 isn't absolute relative risk (surgery complications), manageable. Morbid obesity (>35) is absolute high perioperative risk. BMI <20 signals malnutrition poor healing, absolute. Anuria (no urine) reflects ESRD transplant candidate, not barrier. Moderate BMI distinguishes it, critical for candidacy flexibility, unlike severe or extreme limits.
Question 4 of 5
Regarding continuous antibiotic prophylaxis in medical management of antenatally diagnosed hydronephrosis
Correct Answer: C
Rationale: Prophylaxis for hydronephrosis uses half therapeutic dose prevents UTI (e.g., amoxicillin neonates, TMP-SMX >2 months), true. Amoxicillin fits neonates correct. TMP-SMX suits older infants standard. Evening dosing aids compliance accurate. Half-dose distinguishes it, key to prophylaxis strategy, unlike drug or timing options all true.
Question 5 of 5
Which is not a criterion in International Prostate Symptom Score?
Correct Answer: D
Rationale: IPSS assesses LUTS frequency, urgency, incomplete voiding (storage/voiding symptoms) but not dysuria (pain), which is infection/inflammation-related, not BPH-focused. Frequency (how often), urgency (sudden need), and incomplete voiding (residual) quantify obstruction/irritation. Dysuria's exclusion distinguishes IPSS, critical for symptom scoring, unlike pain inclusion.