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Self-Assessment Questions

Urology

Urologic Oncology: Review Questions

Larry A. Tetsoti, MD, and Stanley Zaslau, MD

Dr. Tetsoti is Chief Resident in Urology, and Dr. Zaslau is an Assistant Attending Urologist, Division of Urology, Maimonides Medical Center, Brooklyn, NY.


Choose the single best answer for each question.

1. A 52-year-old man who has smoked 1 pack of cigarettes daily for the past 30 years visits his physician because of a 6-month history of intermittent right flank pain. Physical examination reveals no palpable abdominal mass or flank ecchymosis. Ultrasonography of the right upper quadrant reveals a 4-cm by 3-cm renal mass in the right upper pole. Right radical nephrectomy is performed, and pathologic examination of the excised kidney reveals clear cell carcinoma. From which of the following renal structures did stem cells of the tumor most likely arise?
  1. Collecting duct
  2. Distal convoluted tubule
  3. Glomerulus
  4. Loop of Henle
  5. Proximal convoluted tubule
Click here to compare your answer.


2. A 30-year-old man sees his primary care physician for advice regarding prostate cancer screening. He states that his father was recently diagnosed with prostate cancer at age 69 years. His father also has a history of non­insulin-dependent diabetes mellitus and hypertension. At what age should this patient be advised to obtain prostate-specific antigen screening?

  1. 30 years
  2. 40 years
  3. 50 years
  4. 60 years
Click here to compare your answer.


3. Which of the following is the most common type of bladder cancer worldwide?

  1. Adenocarcinoma
  2. Small cell carcinoma
  3. Squamous cell carcinoma
  4. Transitional cell carcinoma
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  4. A 43-year-old woman undergoes abdominal ultrasonography, which reveals a 4-cm solid renal mass. Which of the following findings is LEAST common on initial presentation of patients with renal cell carcinoma?
  1. Abdominal mass
  2. Flank pain
  3. Gross hematuria
  4. Hypertension
Click here to compare your answer.


5. A 25-year-old man visits his primary care physician because of a 1-month history of pain and swelling in his right testicle. The patient has no history of cryptorchidism or recent trauma. Physical examination reveals a normal left testis and a tense right hydrocele that precludes examination of the right testicle. Which of the following is the most appropriate next step in the treatment of this patient?

  1. Antibiotic therapy for epididymoorchitis
  2. Needle aspiration of the right hydrocele
  3. Scrotal ultrasonography
  4. Surgical repair of right hydrocele
Click here to compare your answer.


6. A 60-year-old man with diabetes mellitus is seen by his physician because of a 3-month history of an erythematous, pruritic lesion on his glans penis. Fungal balanitis is suspected, and he is treated with daily cleansing and topical application of nystatin ointment. After 1 month of treatment, his lesion still persists without change. Which of the following is the most appropriate next step in the treatment of this patient?

  1. Biopsy of the penile lesion
  2. Laser fulguration of the lesion
  3. Radiation therapy
  4. Topical antibiotic therapy
  5. Topical chemotherapy with 5-fluorouracil
Click here to compare your answer.
 

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