ATI RN
Urinary System Test Questions And Answers Questions
Question 1 of 5
LATITUDE prognostic model is most appropriate for
Correct Answer: A
Rationale: LATITUDE trial/model targets metastatic prostate cancer high-risk castration-sensitive (e.g., ADT + abiraterone), not localized or locally advanced alone. Localized uses surgical/radiation models different scope. Locally advanced lacks metastasis LATITUDE unfit. Metastatic focus distinguishes it, key to its prognostic relevance, unlike non-metastatic stages.
Question 2 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 3 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 4 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.
Question 5 of 5
The treatment of choice for male patients with moderate to severe LUTS due to BPH and enlarged prostate is
Correct Answer: B
Rationale: Combining alpha blockers (e.g., tamsulosin) with 5-alpha reductase inhibitors (e.g., finasteride) is optimal for moderate/severe LUTS with enlarged prostate alpha blockers relax, 5-ARIs shrink, addressing obstruction and growth. Alpha blockers alone relieve symptoms insufficient for size. Antimuscarinics target urgency not obstruction. PDE-5 inhibitors aid ED/LUTS less BPH-specific. Dual therapy's synergy distinguishes it, critical for comprehensive BPH management, unlike single or alternative combos.