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4

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

Correct Answer :

B. infiltrative distal penile urethral carcinomas


it involves excision of the malignant lesion with 2. (c)m margins, indicated for infiltrative, distal penile urethral cancers.

Related Questions

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4

What is NOT a contraindication to BCG treatment?

A. history of pulmonary TB

B. total incontinence

C. immunosuppression

D. impaired renal function

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4

Evaluation of painless hematuria includes all of the following,
EXCEPT:

A. urine cytology

B. CT urography

C. cystoscopy

D. renal function tests

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4

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

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4

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

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4

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

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4

What is the likelihood that inverted papillomas of the upper urinary tract accompany tumors?

A. never

B. unlikely

C. likely

D. always

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4

The treatment of nonmuscle-invasive bladder cancer begins with:

A. single intravesical chemotherapy

B. TURBT

C. intravesical BCG vaccine

D. multiple bladder biopsies

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4

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

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4

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

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4

Bladder tumors with hydronephrosis are:

A. often of high-grade sarcomas

B. often associated with muscularis propria invasion

C. due to vesical polyps occluding ureteric orifices

D. should be resected but not diathermized

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4

For radical cystectomy, thromboembolism prophylaxis is required:

A. immediately before operation

B. immediately before incision and post-operative for 1 day

C. immediately before incision and post-operative for 15 days

D. immediately before incision and post-operative for 30 days

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4

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

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4

What gene mutation is common in carcinoma-in-situ of urinary bladder?

A. RB

B. cyclin A

C. HRAS

D. CD-44

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4

What percentage of bladder cancers is squamous cell type in origin?

A. 2%

B. 5%

C. 70%

D. 90%

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4

What is (are) the classic presentation(s) of bladder cancers?

A. irritative bladder symptoms

B. obstructive bladder symptoms

C. palpable suprapubic mass on physical examination

D. painless profuse hematuria

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4

What is the most common sarcoma of the bladder?

A. leiomyosarcoma

B. rhabdosarcoma

C. carcinosarcoma

D. neurosarcoma

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4

Once muscle invasion is detected in bladder cancers, what percentage of occult metastasis is expected?

A. 30%

B. 40%

C. 50%

D. 60%

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4

What is false regarding squamous metaplasia of the urinary bladder (non-keratinized) subtype?

A. only in females

B. associated with chronic irritation, polypoid cystitis, and cystitis glandularis

C. no risk for squamous cell carcinoma

D. treated with estrogen, if symptomatic

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4

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

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4

What is the most effective adjuvant intravesical therapy for bladder tumors?

A. cisplatin

B. BCG

C. mitomycin C

D. 5-fluorouracil

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4

What is true regarding inverted papilloma of the bladder?

A. the standard treatment is transurethral resection

B. the prognosis for inverted papilloma is pathetic, with a recurrence rate of approximately 65%

C. the likelihood of synchronous urothelial carcinoma is 26%

D. has been shown to harbor p53 gene mutations

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4

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

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4

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

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4

What is the imaging modality of choice in the evaluation of a suspected urethral cancer?

A. ascending urethrography

B. voiding cystourethrography

C. MRI

D. IVU

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4

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

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4

Regarding ureteral cancers, what is the commonest part of tumor development?

A. upper ureter

B. middle ureter

C. lower ureter

D. comparable

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4

What is false concerning upper tract urothelial tumors?

A. rarely diagnosed at autopsy

B. the peak incidence occurs between ages 70 and 80

C. they occur twice as frequently in men as in women

D. none of the above

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4

Partial cystectomy for bladder tumors can be performed when the following criterion(a) is(are) met:

A. the lesion is solitary and no associated CIS

B. physically, a surgical margin of 2-cm can be obtained

C. the resected area should be far enough from ureteral orifices and the bladder neck

D. all of the following

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4

What is the commonest type of tumors occurring in the female urethra?

A. adenocarcinoma

B. transitional cell carcinoma

C. squamous cell carcinoma

D. comparable

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4

While resecting a large bladder tumor located at the right lateral wall, the surgeon observes a bladder perforation, what should next step be?

A. continue the procedure as perforations at this site do no harm

B. abort the procedure and leave a urethral catheter

C. convert tumor removal to open method and repair the defect

D. perform abdominal exploration and manage accordingly