ATI RN
Questions About The Urinary System Questions
Question 1 of 5
The 'Cobble Stoned' or 'Beaded Necklace' appearance seen in plain radiograph of KUB is see in
Correct Answer: A
Rationale: Emphysematous cystitis shows a 'cobble stoned' or 'beaded necklace' X-ray appearance gas bubbles in bladder wall from infection (e.g., E. coli). Papillary necrosis lacks gas sloughed papillae. Pelvic lipomatosis shows fat, not gas radiolucent. Malacoplakia has plaques, not gas pattern chronic inflammation. Gas-driven cobble stoning distinguishes emphysematous cystitis, key to its radiographic diagnosis, unlike necrosis, fat, or plaque conditions.
Question 2 of 5
In multipara MRI which one of the following statement is INCORRECT?
Correct Answer: D
Rationale: DCE MRI assesses vascularity (contrast uptake), not clear anatomic images T2 does anatomy incorrect. T1 detects hemorrhage (bright) true. T2 shows prostate zones (anatomic) accurate. DWI measures water diffusion (cancer detection) correct. DCE's functional focus distinguishes the error, key to multiparametric MRI's role, unlike true imaging modes.
Question 3 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 4 of 5
The most common urodynamic findings in patients with Parkinson disease with lower urinary tract dysfunction is
Correct Answer: C
Rationale: Parkinson's LUT dysfunction commonly shows detrusor overactivity (DO) basal ganglia loss causes uninhibited contractions, urgency. Sphincter dyssynergia is spinal (e.g., MS) not Parkinson's. Bradykinesia affects voluntary sphincter less urodynamic. Impaired contractility is late DO predominates. Overactivity distinguishes it, key to Parkinson's bladder issues, unlike spinal or contractile findings.
Question 5 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.