Home
Current Affairs January 2024

What is the correct answer?

4

Which factor is closely related to the return to urinary continence function after radical retropubic prostatectomy?

A. pathologic tumor stage

B. performing nerve-sparing surgery

C. patient`s age

D. performing internal sphincter micro-dissection

Correct Answer :

C. patient`s age


self-explanatory.

Related Questions

What is the correct answer?

4

Regarding radical prostatectomy, the commonest site of positive surgical margins is the:

A. apex

B. posterior

C. postero-lateral

D. anterior

What is the correct answer?

4

Genetically, increased risk of prostate cancer has been found in men with:

A. variants in the 8q24 region on chromosome 8, in sporadic cases

B. alterations on chromosome 1, chromosome 17, and the X chromosome, in some familial cases

C. the human prostate cancer gene is on the X chromosome

D. all are true

What is the correct answer?

4

In which of the following situations prostate biopsy is most indicated?

A. normal DRE, abnormal PSA

B. abnormal DRE, abnormal PSA

C. abnormal DRE, normal PSA

D. hyperechoic areas on TRUS

What is the correct answer?

4

Which factor is closely related to the return to urinary continence function after radical retropubic prostatectomy?

A. pathologic tumor stage

B. performing nerve-sparing surgery

C. patient`s age

D. performing internal sphincter micro-dissection

What is the correct answer?

4

Regarding chemotherapy for prostate cancers, nonsteroidal antiandrogens will result in:

A. elevated LH, elevated testosterone, elevated estrogen

B. elevated LH, elevated testosterone, declined estrogen

C. declined LH, declined testosterone, elevated estrogen

D. declined LH, elevated testosterone, declined estrogen

What is the correct answer?

4

During retropubic radical prostatectomy, what complication could be encountered on dividing the dorsal vein complex anteriorly?

A. incontinence

B. retrograde ejaculation

C. impotence

D. anejaculation

What is the correct answer?

4

Fill the blanks: on treating prostate cancer patients, the median time from PSA failure to the development of metastatic disease after radical prostatectomy is approximately (…) yrs. and from the time of metastases to death is approximately (…) yrs..

A. 4, 2 respectively

B. 8, 5 respectively

C. 6, 3 respectively

D. 7, 4 respectively

What is the correct answer?

4

What is the likelihood that patients with positive surgical margins after radical prostatectomy will be cured for prostate cancer?

A. never

B. unlikely

C. likely

D. always

What is the correct answer?

4

What are the clinical parameters of tissue ablation achieved by cryotherapy for cancer cells destruction?

A. the number of freezing cycles

B. the lowest temperature achieved

C. the existence of regional heat sinks

D. all of the above

What is the correct answer?

4

Prostate-specific membrane antigen has been detected in:

A. the prostate gland only

B. the central nervous system, intestine, and the prostate

C. malignant ovarian cysts, skeletal muscles, and the prostate

D. thyroid glands, adrenals, and the prostate

What is the correct answer?

4

Regarding treating prostate cancer patients, watchful waiting is a reasonable option for:

A. patients who have a life expectancy ≤ 10 yrs. and/or well to moderately differentiated cancer

B. ≥ 70 yrs. of age

C. PSA < 10 ng/mL, ratio < 0.22

D. patients with good performance status

What is the correct answer?

4

What is true surrounding PSA?

A. black individuals produce more PSA than whites

B. ejaculation can lead to a false decrease in PSA

C. pro-PSA is the serum proactive form of PSA molecule

D. prostate cancer cells make more PSA than normal prostate tissues do

What is the correct answer?

4

Partin tables are probability tables for the determination of pathologic stages of prostatic cancers based on:

A. preoperative clinical stage, PSA level, and Gleason sum

B. seminal vesicle invasion, lymph node metastases, and Gleason sum

C. positive surgical margins, capsular penetration, and PSA level

D. PSA level, perineural invasion, vascular metastasis, and Gleason sum

What is the correct answer?

4

What fraction of men with a PSA value between 4 and 10 ng/mL has an organ-confined prostate cancer?

A.

B. ¼

C. ½

D.

What is the correct answer?

4

What is the likelihood that prostate cells die in a single freeze cycle of cryotherapy when tissue temperature reaches colder than - 400 C?

A. never

B. unlikely

C. likely

D. always

What is the correct answer?

4

What is false regarding the histology of prostatic cancers?

A. benign glands are different from malignant glands, as they contain basal cells

B. adenosis in the transitional zone carries 15% increase in cancer risk

C. the prostate has no discrete histologic capsule

D. intraductal carcinoma is morphologically worse than high-grade PIN and is typically associated with high-grade carcinoma

What is the correct answer?

4

In which of the following cases PSA testing is NOT indicated:

A. 72 yrs. man newly diagnosed BPH with normal DRE

B. 2 weeks post TURP for obstructing cancerous prostate

C. screening for prostate cancer in 75 yrs. old Caucasian man

D. 43 yrs. man with obstructive LUTS, who had a first-degree relative diagnosed with prostate cancer before age 65

What is the correct answer?

4

What pathologic findings after radical prostatectomy are predictive for occult metastases?

A. seminal vesicle invasion and lymph node metastases

B. positive surgical margins and seminal vesicle involvement

C. capsular penetration and lymph node metastases

D. rectal and bladder neck involvement

What is the correct answer?

4

What is the first-line chemotherapeutic agent for metastatic castration-resistant prostate cancer?

A. bisphosphonate

B. docetaxel

C. sipuleucel-T

D. enzalutamide

What is the correct answer?

4

What is false concerning the interpretation of Gleason scoring system?

A. a low score means the cancer tissue is similar to normal prostate tissue

B. it indicates how likely the tumor will spread

C. the more cellular atypia observed the higher scoring will be

D. it relies only on the glandular architectural pattern

What is the correct answer?

4

Solid lesions in the seminal vesicles are most likely to be a result of:

A. imperfect prostate biopsies

B. immature teratoma

C. schistosomiasis

D. liposarcoma

What is the correct answer?

4

What if false concerning the prostate cancer marker PCA3?

A. entails a genetic analysis of cells in the voided urine

B. urine sample is collected after a firm massage of the prostate

C. helps screen patients who are at intermediate risk of cancer

D. helps avoid the inconvenience of prostate biopsy

What is the correct answer?

4

All of the following modalities are used as salvage therapies after failing radiation therapy for prostate cancer treatment, EXCEPT:

A. cryotherapy

B. chemotherapy

C. brachytherapy

D. radical prostatectomy

What is the correct answer?

4

Ectopic expression of PSA occurs in all of the following, EXCEPT:

A. thyroid gland

B. breast tissue

C. adrenal glands

D. renal carcinomas

What is the correct answer?

4

What is false regarding the diagnosis of prostate cancer?

A. most cases are identified by screening asymptomatic men

B. physical examination alone cannot reliably differentiate benign prostatic conditions from cancer

C. most diagnosed cases have normal DRE and PSA values

D. prostate biopsy establishes the diagnosis

What is the correct answer?

4

What class of prostate cancer medications causes an initial increase in LH, FSH levels and consequently a rise in testosterone level for few weeks?

A. GnRH agonists

B. antiandrogens

C. antimicrotubular

D. bisphosphonates

What is the correct answer?

4

Regarding treating prostate cancer patients, watchful waiting strategy involves:

A. periodic PSA testing

B. periodic TRUS

C. all of the above

D. none of the above

What is the correct answer?

4

BPH patients on finasteride longer than 6 months are expected to have:

A. decreased t-PSA but increased f-PSA

B. decreased t-PSA but unaltered f-PSA

C. decreased t-PSA and decreased f-PSA

D. any of the above

What is the correct answer?

4

What is the commonest complication of high-intensity focused ultrasound on treating localized prostate cancer?

A. temporary incontinence

B. vasculogenic impotence

C. urinary retention

D. hyper-reflexive detrusor

What is the correct answer?

4

Which of the following tests has the highest positive predictive value for prostate cancer?

A. PSA

B. digital rectal examination

C. transrectal ultrasonography

D. human kallikrein 2