Urology Basic Science 1000+ MCQ with answer for RRB ALP

1. Which type of urinary casts are solidified TammHorsfall mucoproteins secreted from the tubular epithelial cells of individual nephrons?
A. granular
B. hyaline
C. waxy
D. pigment
Answer : B

2. What helps in treating Candida albicans cystitis is:
A. sodium bicarbonate
B. phyto soya
C. ascorbic acid
D. sol palmetto
Answer : A

3. Which part of the prostate is traversed by the ejaculatory duct:
A. central zone
B. peripheral zone
C. transitional zone
D. fibromuscular stroma
Answer : A

4. At what month of intra-uterine life do testes descend into the scrotum with the aid of the intra-abdominal pressure and the gubernacula?
A. sixth
B. seventh
C. eighth
D. ninth
Answer : B

5. At which week of gestation do the primordial germ cells migrate to form the genital ridges?
A. third
B. fourth
C. fifth
D. seventh
Answer : C

6. Which of the following is NOT a sex accessory tissue?
A. the prostate gland
B. seminal vesicles
C. epididymi
D. bulbourethral glands
Answer : C

7. Which artery is NOT a branch of the anterior division of internal iliac artery?
A. superior vesical artery
B. inferior vesical artery
C. superior gluteal artery
D. inferior gluteal artery
Answer : C

8. Which of the following is false regarding Addison`s disease?
A. autoimmune disease in 70% of the cases
B. diagnosed by the rapid ACTH stimulation test
C. characterized by low serum sodium and high potassium
D. may coexist with hyperthyroidism and diabetes mellitus
Answer : D

9. At which condition is alpha-fetoprotein most frequently elevated?
A. infiltrating ductal carcinoma of the breast
B. seminoma
C. hepatocellular carcinoma
D. malignant melanoma
Answer : C

10. Where is Santorini plexus located?
A. at either side of the prostate
B. in the pubo-prostatic space
C. anterior to the seminal vesicles
D. posterior to the vaso-epididymal junction
Answer : B

11. What is false concerning fosfomycin antibiotic?
A. has a limited cross-resistance with most common antibacterial agents
B. causes injection site reactions
C. is active against most uropathogens
D. is effective as a single-dose agent
Answer : B

12. At which type of renal tubular acidosis (RTA), typically, potassium levels increase?
A. type 1
B. type 2
C. type 3
D. type 4
Answer : D

13. What is false about purple urine bag syndrome?
A. occurs due to the interaction between the chemical components of the urine and polyvinyl chloride material in the urine bag
B. it is commonly symptomless
C. more common in female nursing home residents
D. commonly implicated bacteria are K. pneumoniae, P. mirabilis, E. coli
Answer : A

14. What is the most common cause of hematuria in men over 60 yrs.?
A. kidney stones
B. glomerulonephritis
C. BPH
D. bladder cancer
Answer : C

15. Renal blood flow is autoregulated by:
A. sympathetic nervous system
B. parasympathetic nervous system
C. urinary output
D. afferent arteriolar resistance
Answer : D

16. Which class of the following diuretics could cause erectile dysfunction?
A. loop diuretics
B. thiazide diuretics
C. potassium sparing diuretics
D. osmotic diuretics
Answer : B

17. What is the prime effect of antidiuretic hormone on kidneys?
A. increase collecting duct permeability
B. increase medullary blood flow
C. decrease cortical blood flow
D. decrease potassium secretion
Answer : A

18. Which disease is described best by the following manifestations: grand mal epilepsy, mental retardation, hypertension, angiomyolipoma, adenoma sebaceum, bilateral enlarged kidneys, and normal renal function?
A. autosomal dominant polycystic kidney disease
B. von Hippel-Lindau disease
C. tuberous sclerosis
D. Sturge-Webber syndrome
Answer : C

19. Regarding renal ectopia, usually, the adrenals:
A. are cross ectopic
B. are at their normal position
C. travel with the kidneys
D. undergo ischemic atrophy
Answer : B

20. What is the creatinine clearance in ml/min for a 70 kg man aging 50 yrs. with 1.1 mg/dL serum creatinine?
A. 79.54
B. 44.19
C. 84.15
D. 94.25
Answer : A

21. What vessels are located in the prostate neurovascular bundle?
A. Watson plexus
B. capsular arteries and veins
C. inferior vesical and midrectal vessels
D. Santorini plexus
Answer : B

22. Which organ contributs most to the seminal fluid volume?
A. testes
B. prostate
C. seminal vesicles
D. bulbourethral glands
Answer : C

23. Which of the following mediates calcium reabsorption in the distal renal tubules?
A. aldosterone
B. hypocalcemia
C. parathyroid hormone
D. vitamin D
Answer : C

24. To which region does pain, from the left mid ureter, refer to?
A. the loin region
B. the inguinal region
C. the umbilical region
D. the penis or clitoris
Answer : B

25. Which of the following is NOT a cause of hypocitraturia?
A. high protein diet
B. hypokalaemia
C. proximal renal tubular acidosis
D. idiopathic
Answer : C

26. What increases blood volume and pressure in corpora cavernosa during erection is:
A. increase in sympathetic discharge
B. contraction of ischiocavernosa and bulbocavernosa muscles
C. increase arterial flow and closure of emissary veins
D. shunting of blood from the dorsal to the central cavernosal artery
Answer : C

27. All of the following conditions are related to obesity syndrome, EXCEPT:
A. super fertility
B. increase aromatization reaction
C. increase resistance to circulating insulin
D. sleep apnea
Answer : A

28. What is the nerve supply of the adrenal gland?
A. sympathetic to the medulla
B. parasympathetic to the medulla
C. sympathetic to the cortex
D. parasympathetic to the cortex
Answer : A

29. On tracing the IVU dye down, in a dilated ureter, the dilation stops at a level then continues as a normal calibre ureter. What could the pathology be?
A. lower ureteral stricture
B. ureteral valve
C. modified Lich-Gregoire ureteral reimplantation
D. residual dilation of hydroureter
Answer : B

30. What could cause autonomic dysreflexia?
A. full bladder or rectum
B. tooth extraction
C. hypertension medications
D. uncontrolled diabetes mellitus
Answer : A

31. What is the most likely diagnosis of an erectile dysfunction patient with low plasma testosterone and high prolactin levels?
A. pituitary adenoma
B. adrenal adenoma
C. Kallmann syndrome
D. Klinefelter syndrome
Answer : A

32. How many days does spermatogenesis take in the man?
A. 16
B. 32
C. 64
D. 90
Answer : C

33. How can hyperuricosuria cause calcium oxalate calculi?
A. by increasing oxalate absorption
B. by heterogeneous nucleation
C. by inducing hyperoxaluria
D. by reducing urate crystals saturation
Answer : B

34. Which of the following does asymptomatic hematuria workup include?
A. cystoscopy
B. CT urography
C. urine cytology
D. all of the above
Answer : D

35. Which microbe causes red diaper syndrome?
A. Serratia marcescens
B. Streptococcus pyogenes
C. Clostridium difficile
D. Staphylococcus saprophyticus
Answer : A

36. What antibiotic could result in red man syndrome?
A. vancomycin
B. clindamycin
C. streptomycin
D. tobramycin
Answer : A

37. Regarding multicystic kidneys, at what age does the compensatory renal growth end?
A. at birth
B. 2 years
C. at puberty
D. none of the above
Answer : B

38. What is the appropriate intravenous maintenance fluid for a 16 kg girl?
A. 43 ml/hr of normal saline
B. 78 ml/hr of ¼ normal saline
C. 69 ml/hr of ½ normal saline
D. 54 ml/hr of ¼ normal saline
Answer : D

39. The commonest neoplasms that metastasize to kidneys come from:
A. breasts
B. thyroids
C. lungs
D. liver
Answer : C

40. Which statement concerning urine pH is false?
A. influenced by food and medications
B. renal stones form at the extremes of pH range
C. reliable only when measured by 24 hr. urine collection
D. ranges from 4 7
Answer : C

41. Which of the following might cause sterile pyuria?
A. renal tuberculosis
B. urinary tract stones
C. interstitial cystitis
D. all of the above
Answer : D

42. What is the narrowest part of the ureter?
A. uretero-pelvic junction
B. uretero-vesical junction
C. where ureters cross the pelvic brim
D. where ureters cross the common iliac bifurcation
Answer : B

43. What is the nature of the prostate-specific antigen?
A. protease
B. lyase
C. carboxylase
D. hydrolase
Answer : A

44. Which of the following diabetes mellitus treatments causes erectile dysfunction?
A. long-acting insulin
B. metformin
C. sulfonylurea
D. none of the above
Answer : D