ATI RN
Urinary System Multiple Choice Questions Questions
Question 1 of 5
In Emphysematous Pyelonephritis, the classic triad of symptoms include
Correct Answer: B
Rationale: Emphysematous pyelonephritis (gas-forming kidney infection) presents with fever, vomiting, and flank pain sepsis signs in diabetics. Loin mass isn't typical abscess rare. Haematuria occurs, but not triad-defining less consistent. Flank pain with mass/haematuria omits systemic fever/vomiting misses infection scope. Fever-vomiting-flank pain distinguishes this acute triad, key to its life-threatening nature, unlike mass or bleeding-focused errors.
Question 2 of 5
During the development of male urogenital organs, which one is derived from the mesodermal (Wolffian) mesonephric duct
Correct Answer: C
Rationale: Seminal vesicles arise from the Wolffian (mesonephric) duct in males mesodermal, androgen-driven. Prostate develops from urogenital sinus endodermal. Urachus is allantois-derived fetal remnant. Urethra forms from urogenital sinus mixed origin. Wolffian-derived seminal vesicles distinguish them, critical for male reproductive anatomy, unlike sinus or remnant structures.
Question 3 of 5
Intraoperative consultation is called by a gynaecologist for possible urinary tract injury during a difficult transabdominal hysterectomy. During inspection clear fluid is noted in the pelvis with ureteral transection on left side. What is the next step?
Correct Answer: A
Rationale: Ureteroureterostomy with DJ stent repairs ureteral transection excises damaged ends, anastomoses, and stents for healing, addressing clear fluid (urine). Observation risks leak/fistula unacceptable. Stent alone won't fix complete cut temporary. Cutaneous ureterostomy is last resort avoidable here. Immediate repair distinguishes it, critical for restoring continuity, unlike passive or palliative options.
Question 4 of 5
What is the commonest form of urinary incontinence in woman aged 40 year?
Correct Answer: A
Rationale: Stress incontinence is commonest at 40 pelvic floor weakening (e.g., childbirth) leaks with pressure (cough). Urgency (overactivity) rises later age-related. Mixed combines both less frequent alone. Continuous suggests fistula rare. Stress's prevalence distinguishes it, critical for midlife women, unlike urgency, combined, or structural causes.
Question 5 of 5
HIVEC' is a newer technique used in the treatment of
Correct Answer: B
Rationale: HIVEC (Hyperthermic Intra-VEsical Chemotherapy) delivers heated chemo (e.g., mitomycin) to bladder targets non-muscle-invasive cancer. Renal cell uses systemic therapy wrong site. Prostate employs radiation/surgery not intravesical. Penile cancer is surgical topical rare. Bladder-specific HIVEC distinguishes it, critical for enhancing chemo efficacy, unlike systemic or external treatments.