1000+ Urothelial tumors of the upper & lower urinary tracts Multiple Choice Question Answer [Solved]
Thursday 9th of March 2023
1. On diagnosing bladder cancers, what advantage does urine cytology has over tumor markers?
A. high specificity
B. high sensitivity
C. high reliability
D. strong validity
Answer : A
2. What is false concerning carcinoma-in-situ (CIS) of urinary tract?
A. frequently found in association with high-grade or extensive TCC
B. has a rate of progression to muscle invasion of 10-25%
C. significant areas of CIS are easily missed by routine cystoscopy
D. treatment begins with TURBT
Answer : B
3. Which of the following cystoscopic descriptions of bladder tumors is false?
A. nodular or sessile lesions usually invade muscle
B. papillary bladder tumors are typical of low stage and grade
C. carcinoma in situ appears as a flat, velvety patch
D. sarcomas commonly invade bladder base and ureteral orifices causing obstructions
Answer : D
4. The treatment of nonmuscle-invasive bladder cancer begins with:
A. single intravesical chemotherapy
B. TURBT
C. intravesical BCG vaccine
D. multiple bladder biopsies
Answer : B
5. What is the commonest type of tumors occurring in the penile urethra?
A. adenocarcinoma
B. transitional cell carcinoma
C. squamous cell carcinoma
D. basal cell carcinoma
Answer : C
6. Common benign urethral tumors include all of the following,
EXCEPT:
A. leiomyoma
B. hemangioma
C. fibroepithelial polyp
D. lymphangioma
Answer : D
7. Concerning upper tract urothelial tumors, what is the single most important predictor of outcome?
A. tumor stage
B. tumor grade
C. lymphovascular invasion
D. lymph node spread
Answer : A
8. Partial penectomy for urethral cancer is indicated in:
A. infiltrative proximal penile urethral carcinomas
B. infiltrative distal penile urethral carcinomas
C. recurrent proximal penile urethral carcinoma after laser resection
D. T3/N2/M0 at bulbar urethra
Answer : B
9. Bladder cancer patients who once failed BCG vaccine, should:
A. undergo cystectomy
B. try mitomycin c
C. take a second course of BCG
D. take a second course of BCG + quinolones
Answer : C
10. Carcinoma-in-situ of the prostatic urethra mostly occurs at the:
A. mid prostate to the verumontanum at the 5 and 7 oclock positions
B. lateral margins of the prostate at the 10 and 2 oclock positions
C. entire area distal to the urethral crest
D. area between ejaculatory duct openings and prostatic utricle
Answer : A
11. Which of the following is a risk factor for developing upper urinary tract tumors?
A. obesity
B. consuming artificial sweeteners
C. asbestosis
D. analgesic abuse
Answer : D
12. What is the commonest manifestation of upper tract urothelial carcinomas?
A. obstructive uropathy
B. painless hematuria
C. pain radiating to the groin
D. locally advanced tumor
Answer : B
13. What is the likelihood that inverted papillomas of the upper urinary tract accompany tumors?
A. never
B. unlikely
C. likely
D. always
Answer : B
14. The treatment of muscle-invasive bladder cancer in men includes all of the following, EXCEPT:
A. radical cysto-prostatectomy
B. anterior pelvic exenteration
C. bilateral pelvic lymphadenectomy
D. creation of a urinary diversion
Answer : B
15. While deeply resecting a large bladder tumor, the surgeon noted loss of bladder distension, what should next step be?
A. increase the irrigation fluid and pursue the procedure
B. abort the procedure and leave a urethral catheter
C. perform cystogram and manage accordingly
D. perform abdominal exploration and manage accordingly
Answer : C
16. What is NOT a contraindication to BCG treatment?
A. history of pulmonary TB
B. total incontinence
C. immunosuppression
D. impaired renal function
Answer : D
17. Immediately following transurethral resection of bladder tumors, intravesical installation of which material(s) is(are) contraindicated?
A. epirubicin
B. mitomycin c
C. BCG
D. none of the above
Answer : C
18. Regarding bladder neoplasia, squamous metaplasia differs from squamous dysplasia as the latter is/has:
A. well-differentiated tumor with broad-based invasive font
B. marked atypia distributed on wide areas of superficial urothelium
C. atypia is present
D. no atypia but marked degenerative epithelial changes
Answer : C
19. Which of the following statements concerning lymphatic drainage of the male urethra is true?
A. the anterior urethra drains into the inguinal and pelvic nodes
B. the posterior urethra drains into the pelvic nodes
C. the proximal two-thirds drain into the external and internal iliac nodes
D. the distal one-third drains into the obturator nodes
Answer : B
div class="panel-body">20. Which of the following does NOT predispose to bladder cancer?
A. working with organic chemicals and dyes
B. abuse of pain-control medications especially phenacetin
C. exposure to arsenic and aromatic amines
D. schistosomiasis
Answer : B
40. The treatment of T2/Nx/M0 prostatic urethral cancer is:
A. en bloc resection involving total penectomy, cystoprostatectomy, resection of the pubic rami and urogenital diaphragm, with pelvic lymphadenectomy. In addition, creating a urinary diversion.
B. total penectomy involving removal of the penis, urethra, and penile root
C. partial penectomy involving excision of the malignant lesion with 2-cm margins
D. transurethral resection or fulguration
Answer : A