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Urothelial tumors of the upper & lower urinary tracts MCQ Question with Answer

Urothelial tumors of the upper & lower urinary tracts MCQ with detailed explanation for interview, entrance and competitive exams. Explanation are given for understanding.

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Question No : 43
What is the commonest type of tumors occurring in the penile urethra?

adenocarcinoma
transitional cell carcinoma
squamous cell carcinoma
basal cell carcinoma

Question No : 44
What is NOT a contraindication to BCG treatment?

history of pulmonary TB
total incontinence
immunosuppression
impaired renal function

Question No : 45
Immediately following transurethral resection of bladder tumors, intravesical installation of which material(s) is(are) contraindicated?

epirubicin
mitomycin c
BCG
none of the above

Question No : 46
While resecting a large bladder tumor located at the right lateral wall, the surgeon observes a bladder perforation, what should next step be?

continue the procedure as perforations at this site do no harm
abort the procedure and leave a urethral catheter
convert tumor removal to open method and repair the defect
perform abdominal exploration and manage accordingly

Question No : 47
What is true regarding inverted papilloma of the bladder?

the standard treatment is transurethral resection
the prognosis for inverted papilloma is pathetic, with a recurrence rate of approximately 65%
the likelihood of synchronous urothelial carcinoma is 26%
has been shown to harbor p53 gene mutations

Question No : 48
What is the commonest manifestation of upper tract urothelial carcinomas?

obstructive uropathy
painless hematuria
pain radiating to the groin
locally advanced tumor

Question No : 49
While deeply resecting a large bladder tumor, the surgeon noted loss of bladder distension, what should next step be?

increase the irrigation fluid and pursue the procedure
abort the procedure and leave a urethral catheter
perform cystogram and manage accordingly
perform abdominal exploration and manage accordingly