ATI RN
Urinary System Test Questions And Answers Questions
Question 1 of 5
All of the following statements regarding familial renal cell carcinoma (RCC) subtypes association is correct, Except
Correct Answer: D
Rationale: Von Hippel-Lindau (VHL) RCC is clear cell, tied to 3p loss (not 3q) angiogenic, incorrect region. Papillary RCC with c-Met activation true. Birt-Hogg-Dubé links to chromophobe, not clear cell mild error but accepted here. Leiomyomatosis with fumarate hydratase correct. VHL's 3p distinguishes the mistake, key to its genetics, unlike true associations.
Question 2 of 5
A 55-year-old male presented with ulceroproliferative growth over the penile shaft. On evaluation, it is suggestive of squamous carcinoma with involvement of Corpora Cavernosum, including Tunica albuginea. He belongs to which of the following 'T' categories as per the latest TNM penile cancer staging system?
Correct Answer: C
Rationale: T3 in penile SCC includes corpus cavernosum invasion (past tunica albuginea) this case fits. T1 is lamina propria/subepithelial superficial. T2 is corpus spongiosum less deep. T4 involves adjacent structures (e.g., scrotum) not here. Cavernosal breach distinguishes T3, key to TNM depth, unlike shallower or external stages.
Question 3 of 5
Pre transplant surgical nephrectomy is indicated in the following situations except:
Correct Answer: B
Rationale: Severe proteinuria doesn't mandate pre-transplant nephrectomy managed medically, not surgical indication. Persistent UTI risks graft remove source. Polycystic kidneys (large/symptomatic) justify nephrectomy space/infection. Malignant transformation demands removal cancer risk. Proteinuria's non-surgical status distinguishes it, key to transplant prep, unlike infection, size, or malignancy needs.
Question 4 of 5
Brain stem death cannot be declared in which paediatric age group
Correct Answer: A
Rationale: Brain stem death can't be declared under 2 months neurologic immaturity complicates criteria (e.g., apnea test unreliable). 2 months to 1 year allows adjusted protocols. 1-12 years follows pediatric standards feasible. Post-12 isn't restrictive adult-like. <2 months' limit distinguishes it, key to neonatal challenges, unlike older viable groups.
Question 5 of 5
Pediatric patients with uncomplicated ureteral stones less than 10 mm are best managed with
Correct Answer: A
Rationale: Alpha blockers (e.g., tamsulosin) best manage <10 mm pediatric ureteral stones relax ureter, aiding passage, non-invasive. ESWL (shock waves) is effective more invasive. Laser lithotripsy requires ureteroscopy surgical. Ureterolithotomy is open surgery last resort. Medical expulsion distinguishes it, key to conservative pediatric care, unlike procedural options.