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4

When should a 70 yrs. man with 40 ml prostate volume, and total PSA of 2.0 ng/ml, go for a prostate biopsy?

A. if PSA reading had exceeded 2.7 ng/ml over 12 months

B. if free PSA reading was less than 0.4 ng/ml

C. if total PSA reading was greater than 8 ng/ml

D. any of the above

Correct Answer :

D. any of the above


the listed scenarios discussed PSA velocity, ratio, and density respectively.

Related Questions

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4

Which of the following lab results indicates prerenal failure?

A. serum BUN : creatinine > 20

B. urine [Na] < 30 mEq/L

C. Na excretion fraction < 1

D. all of the above

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4

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

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4

Which group(s) of lymph nodes drain(s) the glans penis?

A. internal and external iliac

B. superficial inguinal

C. deep inguinal

D. superficial and deep inguinal

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4

Which agent is most likely to cause hemorrhagic cystitis?

A. cisplatin

B. ifosfamide

C. phosphomycin

D. amphotericin B

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4

Which of the following explains infertility in liver cirrhosis male patients?

A. decrease plasma estradiol levels

B. increase plasma testosterone-estradiol-binding globulin levels

C. suppression of suprarenal androgens

D. exaggerated pituitary response to feedback hormones

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4

At which week of gestation do the primordial germ cells migrate to form the genital ridges?

A. third

B. fourth

C. fifth

D. seventh

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4

What is false concerning PSA molecule?

A. the free form of PSA exists in small proportions in the body, and found mainly in BPH and in the ejaculate

B. α1- anti chymotrypsin binds to 3 epitopes of the PSA molecule to form a complexed PSA

C. α2- macroglobulin binds to 5 epitopes of the PSA molecule to form a complexed PSA

D. the purified PSA molecule has a molecular weight of 90 kDa

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4

Which statement is false concerning the gubernaculua?

A. degenerate after birth

B. called the caudal genital ligaments

C. help guide the testes down through the inguinal canals

D. represent undifferentiated mesenchyme

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4

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

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4

What is the best method to evaluate calcium levels in the urine?

A. from early morning urine sample

B. comparing urine and serum calcium at a given time

C. performing 24 urine collection

D. from a mid-stream urine sample

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4

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

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4

By which of the following structures, do the fused lower poles of hoarseshoe kidneys get trapped during embryologic ascent?

A. inferior mesenteric artery

B. superior mesenteric artery

C. celiac artery

D. common iliac artery

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4

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

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4

What nerve provides the major neural supply to the striated urinary sphincter and levator ani muscle?

A. somatic innervations

B. sympathetic fibers from T11 - L2

C. the pudendal nerve

D. the obturator nerve

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4

What do the specialized cells, at the juxtaglomerular apparatus, produce?

A. erythropoietin

B. renin

C. angiotensin I

D. angiotensinogen

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4

How many renal papillae are there in a typical kidney?

A. 4 to 6

B. 7 to 9

C. 10 to 12

D. 13 to 14

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4

Which of the following is NOT a side effect of hydrochlorothiazide?

A. hypercholesterolemia

B. hyperuricemia

C. hypoglycemia

D. hypercalcemia

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4

Which statement is NOT related to Klinefelter syndrome?

A. sterility is the rule

B. has a considerable short life span

C. treatment requires testicular microdissection and sperm extraction

D. 47 XXY karyotype

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4

Which of the following does NOT increase PSA value?

A. trauma to the prostate

B. digital rectal examination

C. urinary retention

D. prostatitis

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4

Where is the centre of reflex erection located at?

A. the brain cortex

B. the sacral cord

C. the lumbar cord

D. the hypothalamus

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4

Which of the prostate medications could result in retrograde ejaculation?

A. tamsulosin

B. doxazosin

C. dutasteride

D. alfuzosin

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4

When should a 70 yrs. man with 40 ml prostate volume, and total PSA of 2.0 ng/ml, go for a prostate biopsy?

A. if PSA reading had exceeded 2.7 ng/ml over 12 months

B. if free PSA reading was less than 0.4 ng/ml

C. if total PSA reading was greater than 8 ng/ml

D. any of the above

What is the correct answer?

4

What could render red urine workup, false positive for hematuria?

A. dehydration

B. myoglobinuria

C. high doses of vitamin C

D. all of the above

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4

What is the nature of the prostate-specific antigen?

A. protease

B. lyase

C. carboxylase

D. hydrolase

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4

Adult size of bladder capacity is achieved at what age?

A. 5 6 yrs.

B. 7 8 yrs.

C. 9 10 yrs.

D. 11 12 yrs.

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4

What is false concerning coagulase splitting bacteria (Griess) test?

A. it is a reduction reaction that converts nitrate to nitrite

B. nitrazine reagent papers are used to elicit the reaction

C. it is false negative in diluted urine, on taking vitamin C, and in gram +ve bacteria

D. the reaction takes 4 minutes to complete

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4

What causes Cushing`s disease is:

A. bilateral adrenal hyperplasia

B. pituitary over secretion of ACTH

C. exogenous administration of glucocorticoids

D. immune-mediated disease

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4

What is the best initial therapy for hyponatremic dehydration?

A. administration of hypertonic saline

B. administration of crystalloid

C. administration of normal saline

D. administration of ringer lactate

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4

Between which 2 fascial planes does the prostatic neurovascular bundle travel?

A. prostatic fascia and levator fascia

B. prostate capsule and prostatic fascia

C. Denonvilliers fascia and prostate capsule

D. Denonvilliers fascia and endopelvic fascia

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4

What is the earliest clinical sign of puberty in boys?

A. hoarseness of voice

B. enlargement of testes

C. appearance of axillary hair

D. change in body odor