ATI RN
Questions About The Urinary System Questions
Question 1 of 5
All of the following are the principles of urinary fistula repair except
Correct Answer: C
Rationale: Fistula repair principles include tension-free, watertight closure, and postoperative drainage ensure healing, prevent leaks. Excision of the tract isn't universal preservation viable in small/simple cases, not always required. Tension-free reduces recurrence, watertight seals urine, drainage avoids pressure. Non-mandatory excision distinguishes it, key to flexible repair strategies, unlike essential surgical tenets.
Question 2 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 3 of 5
A 60 years old male with large (8 cm × 7.5 cm) right renal cell carcinoma requires occasional assistance but able to care for most of one's own needs. The Karnofsky performance Score of this patient is
Correct Answer: C
Rationale: Karnofsky score of 60 fits needs occasional help but manages most needs (e.g., 8 cm RCC, functional). 40 is bedridden too low. 50 requires frequent care overstated. 70 is near-normal underestimates impact. 60 distinguishes it, key to performance status in cancer, unlike severe or mild extremes.
Question 4 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 5 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.