Urology Surgery Past Paper 2022 PDF

‫اختبارات االند‬ ‫لدفعه سنه ‪ 3‬الحالية‬ ‫عام ‪2022‬‬ ‫‪Urology surgery‬‬ 1. All are causes of erectile disfunction except: a. Bilateral varicocele b. Hypertension c. Smoking d. DM 2. All are true about PUJ0 except a. Can present with anuria b. Can present as prenatal hydronephrosis c. Ul...

‫اختبارات االند‬ ‫لدفعه سنه ‪ 3‬الحالية‬ ‫عام ‪2022‬‬ ‫‪Urology surgery‬‬ 1. All are causes of erectile disfunction except: a. Bilateral varicocele b. Hypertension c. Smoking d. DM 2. All are true about PUJ0 except a. Can present with anuria b. Can present as prenatal hydronephrosis c. Ultrasound will show increased antroposterior diameter of the pelvis d. DTPA helps assess di erential renal function and grade of obstruction 3. Wilm’s tumor treatment is ; a. Radiotherapy b. Chemotherapy c. Radical nephrectomy d. All of the above 4. The structure that results in the horseshoe kidney is : a. Common iliac artery b. Inferior mesenteric artery c. Superior mesenteric artery 5. Regarding prostate cancer all of the following are true except: a. Chemotherapy is the treatment of choice in metatstatic disease b. Arises most commonly from the peripheral zone of the prostate c. Radical prostatectomy is curative in T1N0M0 d. It is the most common cancer in male 6. All are true regarding simple renal cysts except: a. It is usually small, but rarely reaches big size b. It is usually unilateral and single, rarely bilateral and multiple c. It appears bulging from the kidney surface d. It is covered by a thick epithelial wall and is lled with water 7. All of the following can be detected as lling defect in IVU except : a. Radiolucent stone b. Fungal ball c. Radiopaque stone d. Blood clot 8. Best surgical management for 3 cm radio opaque renal pelvis stone is: a. Dissolution therapy b. ureteroscopy c. ESWL d. PCNL 9. All of the following are radio opaque stones except: a. Са охаlate b. Ca phosphate c. Uric acid d. Triple phosphate ff fi fi  10. The most common site of origin of cancer prostate is: a. Transition zone b. Central zone c. Anterior bromuscular zone d. Peripheral zone 11. The best age for surgical correction of hypospadias is: a. 6-18 days b. 6-18 weeks c. 6-18 months d. 6-18 years 12. The most appropriate diagnostic modality for evaluation of stones is: a. MRI b. U/S c. Non contrast CT d. IVU 13. All of the following are contraindications for ESWL except: a. Active UTI b. Calcium oxalate stones c. Pregnancy d. Uncorrected coagulopathy 14. Regarding testicular torsion a. Surgical exploration is always indicated b. Cremasteric re ex is present c. Can be managed conservatively d. Diagnosed by plain CT 15. all of the following are manifestations of complete urethral injury except: a. Hematuria b. Inability to void with full bladder c. Butter y hematoma involving scrotum and perineum d. DRE may show a displaced prostate 16. Undescended testicles: a. Are palpable in 80% of cases b. Are usually managed conservative c. Are usually bilateral d. Are managed before 2 years of age 17. Ureteric pain is usually colicy in nature and can radiate to all the following sites except: a. The epigastrium and suprapubic region b. Around the umbilicus c. The contralateral testicle d. The tip of penis or vulva 16. Renal masses are characterized by all of the following except a. Occupies the lumbar region b. The renal angel and full and dull c. The mass moves with respiration d. You cannot insinuate your hand below the costal margin fl fi fl  17. VCUG in cases of posterior urethral valve shows all the following except: a. The urethra proximal to the valve is dilated b. The bladder is huge c. Dilated bulbar urethra d. Bilateral re ux and HUN may be present 18. All of the following can cause stone formation except: a. Hypercitraturia b. Hyperphosphaturia c. Hyperoxaluria d. Hyperuricosuria 19. The most common presentation of RCC is: a. Renal colic b. Hematuria c. Asymptomatic d. Renal biopsy 20. The most common pathological type of kidney cancer is; a. Squamous cell carcinoma b. Clear cell carcinoma c. Transitional cell carcinoma d. Rhabdomyosarcoma 21. The best diagnostic modality for a non palpable testicle in a 1.5 y old male child is: a. MRI b. CTU c. Diagnostic laparoscopy d. Diagnostic laparotomy 22. Complications of BPH include all of the following except: a. Acute urine retention b. Chronic urine retention c. Bladder stones d. Malignant transformation fl 1) Regarding prostate cancer all of the following are true except a) chemotherapy is the treatment of choice in metastatic disease b) It is the most common cancer in male in USA c) Radical prostatectomy is curative in T1N0M0 disease d) Arises most commonly from the peripheral zone of the prostate 2) Carcinoma of the bladder a) is treated with radiation b) can be treated by conservative BCG even in muscle invasive c) is primarily of squamous cell origin d) can mimic UTI with irritability and hematuria e) is treated with partial cystectomy 3) The male contribution to a couple infertility is approximately a) 10% b) 75% c) 25% d) 50% 4) clear cell renal cell carcinoma originates from a) A collecting ducts b) B loop of Henley c) c proximal convoluted tubule d) d distal convoluted tubule 5) A 60-year-old male patient with BPH and chronic attention with uremia the most initial therapeutic modalities a) Open prostatectomy b) TURB c) insertion of indwelling catheter d) alpha blockers 6) The most suitable imaging modality for diagnosis of obstruction and split function of dilated pelvicalyceal system in children is a) VCUG b) non-contrast CT abdomen and pelvis c) renal isotope scan (DTPA) d) U/S abdomen and pelvis with a full UB 7) Complication of BPH include all the following except a) malignant transformation b) bladder stones c) acute urine retention d) chronic urine retention 8) Carcinoma of the prostate that all wrong except a) 70% present in the central zone b) causes rectal compression c) it’s graded histologically using Gleason score d) It is not influenced by hormonal manipulation e) Is typically a squamous carcinoma 9) The most appropriate treatment modality for a 1.5 cm radiopaque right renal pelvic stone is a) dissolution therapy b) ESWL c) URS d) PCNL 10) Medical treatment for urolithiasis includes all of the following except a) Alpha blockers for lower your ureteric stones induce ureteric muscle relaxation b) diuresis by increasing fluid intake c) analgesics d) medical acidification of the urine by potassium citrate and sodium bicarbonate for uric acid stone 11) Regarding testicular torsion all are wrong except a) can be managed by analgesia b) Cremasteric reflex is usually present c) surgical exploration must include doing something to the contralateral healthy side d) Surgery may have minimal role in the treatment 12) Risk factors for male erectile this function includes all the following except a) psychic trauma b) testosterone deficiency c) cigarette smoking d) bilateral varicocele 13) The most suitable surgical tool for moderate female SUI a) injection of urethral bulking agent  b) mid urethral tapes c) Sacro colpopexy d) none of the above 14) Overflow incontinence is a sequel of a) Long standing infra vesical obstruction b) multiple deliveries c) weak urethral sphincter mechanism d) hyper activity of the bladder 15) Most common cause of ureteric injury is a) Blunt b) penetrating c) Iatrogenic d) none of the above 16) During Urine analysis pus cells were found. What are pus cells A) dead polymorphic neutrophils 17) Best modality for stones a) non contrast CT 18) partial nephrectomy is done in all of the following except: a) bilateral disease b) tumor any size with contralateral normal kidney 19) Man presents with cloudy urine - dysuria and swollen right testis. What is the most likely diagnosis? (Orchitis) 20) Bladder Tumor to masculosa propria the least staging? (T2) 21) All of the following filling defect EXCEPT. (Calcium phosphate stone) 22) large high-grade tumor upper 1/3 ureter Radical nephroureterectomy with bladder cuff 23) A male patient with fully rigid erection for 12 hrs then he went to the ICI. what is the next action to be done ? A) penile prosthesis B) urgent evacuation and phenylephrine injection C ) none of the above 1-Treatment of stress incontinence : mid urethral tap 2-Before varicocele removal : Insure female fertility 3-Male has a painful rigid penis after ici to treat his ED , BEST MANAGEMENT : Evacuation 4-60 year old male patient with BPH , suffering from urine retention and uremia What the initial step of management : TURP Prostatectomy Catheterization Alpha blockers 5-What’s found un posterior urethra : Fossa navicularis Prostatic urethra Penile urethra ‫و حاجة كمان مش فاكراها‬ 6-All of the following is indication for partial nephrectomy Except : Solitary kidney Bilateral disease Renal CC with contralateral renal insufficiency RCC with normal contralateral kidney 7-What’s the normal value of PSA : 4mg/ml 4ng/ml 4ng/dl ‫وحاجة تانية غلط مش فاكراها‬  3rd year group 6/ urology (2022) 1- Male presented with acute dysuria, cloudy urine and tender swollen right testis.. what is the first thing to be excluded - orchitis - testicular torsion - testicular tumor - torsion of epididymal appendage 2- all the following are baseline investigations for erectile dysfunction except - lipid profile - testosterone - LH & FSH - fasting and postprandial blood glucose - ECG 3- 60 year old male patient presented to ER complaining from anuria, his serum creatinine is 4mg/dl, an urgent c.t revealed a 1 cm left ureteric stone obstructing a solitary left kidney. The next step is - urgent ESWL - urgent left DJ insertion - good hydration and alpha blockers. 4- Male presented to ER unit complaining from severe left flank colicky pain that radiates to the left testicle and a single vomiting episode, the patient gave history of stone passage last year. The most appropriate next step is - alpha blockers - non contrast ct - analgesics and antispasmodics - PCNL 5- LH and FSH are secreted from which - testis - pituitary gland 6- Varicocele can cause infertility - true - false 7- patient with fever and flank pain. On u/s there is hydronephrosis and turbid urine and ureteric 1.5cm stone. What is the best thing to be done - emergency ureterolithotomy - emergency PCN - broad spectrum antibiotics Meeting Minutes 8- Pregnant female is expected to have renal stone, what is the most suitable method for diagnosis? - CT - x ray - us - IVU 9- Patient presented after motor vehicle accident, the patient's BP is 120/78 mmHg, pulse 88 b/m , respiratory rate 21 c/m. After catheterization patient's urine is clear with no hematuria. C.T abdomen and pelvis with contrast shows 1.5cm right lower pole renal lacerations and no other intra abdominal organ injuries nor collection. The most appropriate management is - discharge the patient - immediate surgical exploration - observation - c.t angiography 10- patient came to the hospital after motor vehicle accident. After catheterization patient's urine shows visible hematuria. What is your next step - discharge the patient - observation - ct with contrast - urgent exploration 11- condition that occurs when fibrous scar tissue develops on the penis causing its curvature - peyronie's disease. 12- after trauma , the patient was complaining from bleeding per urethra. What is your best investigation - ascending urethrogram 13- during routine pre employmenr assessment for 50 year old male. US shows an irregular hyperdense left renal mass. The patient has no other complaints and he has excellent performance statues. What is your next step. - surgical exploration - reassurance and follow up - ct abdomen and pelvis with contrast - non of the above 14- 60 year old patient was complaining from obstructive urinary symptoms, after doing DRE , the physician noted asymmetricam rigid prostate. His PSA was high. What is the next step - prostatectomy - ct abdomen and pelvis - bone scan - tranrectal US guided biopsy from the prostate 15- 60 year old male patient with BPH and chronic retention with elevated renal function. What is your approprate intial theurapeutic modality - TURP - open prostatectomy - alpha blockers - insertion of indwelling catheter 16- the same case in Q15, but the patient came with his wife, and he was complaining from bedwetting, and the physician found his residual urine > 2ml. What should the physician tell his wife - the patient may have bilateral hydronephrosis. 1-Male came to the ER with pain and erected penis since 12 hours after he injectd with ici as a treatment of ED What is the appropriate management? -Observation and analgesic - evacuate it and give phenylephrine 2-What's the most appropriate sterile modality for collecting urine specimen - Midstream voiding - urethral catheterization - suprapubic catheter 3-Patient with pyelonephritis what's the initial diagnostic sign ? - fever , chills and flank pain - increase serum creatinine - bacteremia 4-Patient with serum creatinine 4 and anuria, imaging revealed stone obstructing the left ureter what's the first next step D j stent 5-Struvite stone is associated with UTI 6-Patient with uric oxalate stone has which abnormality -Increase uric acid concentration -Has acidic urine -Has alkaline urine 7-Male is responsible for.. couple infertility -25% -50% 8-Which bacteria is responsible for triple phosphate stone -Proteus -pseudomonus 9-The best management for stones of any size in the lower ureter that cause less morbidity is -Uretroscope 10-To see residual stone after eswl Ct without contrast 11-Testes lymphatic metastasis to Paraortic and peraortovenacaval 12-To diagnose renal mass Ct with and without contrast 13-Method for diagnosis of functional obstruction in uropelvic junction 14-Method for diagnosis vesical injury Retrograde vesicograpm 15-Patient has pain in testes Doppler showed no vascularity Exploration 16-Patient with renal injury 1cm without any exacerbation management Hospitalisation and follow up 17-Cancer in the pelvis treatment Uretronephrectmy with part of the bladder 18-Radical nephrectomy is done in the following 1.renal tumor of any size with intact other kidney 2. In a patient with abnormal renal function 3. Other kidney has a stone 4. Solitairy kidney 19-Varicocèle doesn't affect fertility 20-Patient with with obstructive ureter clinical symptom is Dull aching pain 21-BPH arise from transitional zone 22-Prostate cancer arise from Peripheral zone 23-Management of bladder cancer with invaded muscle layer Radical cystectomy 1. All are causes of erectile disfunction except: a. Bilateral varicocele b. Hypertension c. Smoking d. DM 2. All are true about PUJ0 except a. Can present with anuria b. Can present as prenatal hydronephrosis c. Ultrasound will show increased antroposterior diameter of the pelvis d. DTPA helps assess di erential renal function and grade of obstruction 3. Wilm’s tumor treatment is ; a. Radiotherapy b. Chemotherapy c. Radical nephrectomy d. All of the above 4. The structure that results in the horseshoe kidney is : a. Common iliac artery b. Inferior mesenteric artery c. Superior mesenteric artery 5. Regarding prostate cancer all of the following are true except: a. Chemotherapy is the treatment of choice in metatstatic disease b. Arises most commonly from the peripheral zone of the prostate c. Radical prostatectomy is curative in T1N0M0 d. It is the most common cancer in male 6. All are true regarding simple renal cysts except: a. It is usually small, but rarely reaches big size b. It is usually unilateral and single, rarely bilateral and multiple c. It appears bulging from the kidney surface d. It is covered by a thick epithelial wall and is lled with water 7. All of the following can be detected as lling defect in IVU except : a. Radiolucent stone b. Fungal ball c. Radiopaque stone d. Blood clot 8. Best surgical management for 3 cm radio opaque renal pelvis stone is: a. Dissolution therapy b. ureteroscopy c. ESWL d. PCNL 9. All of the following are radio opaque stones except: a. Са охаlate b. Ca phosphate c. Uric acid d. Triple phosphate ff fi fi  10. The most common site of origin of cancer prostate is: a. Transition zone b. Central zone c. Anterior bromuscular zone d. Peripheral zone 11. The best age for surgical correction of hypospadias is: a. 6-18 days b. 6-18 weeks c. 6-18 months d. 6-18 years 12. The most appropriate diagnostic modality for evaluation of stones is: a. MRI b. U/S c. Non contrast CT d. IVU 13. All of the following are contraindications for ESWL except: a. Active UTI b. Calcium oxalate stones c. Pregnancy d. Uncorrected coagulopathy 14. Regarding testicular torsion a. Surgical exploration is always indicated b. Cremasteric re ex is present c. Can be managed conservatively d. Diagnosed by plain CT 15. all of the following are manifestations of complete urethral injury except: a. Hematuria b. Inability to void with full bladder c. Butter y hematoma involving scrotum and perineum d. DRE may show a displaced prostate 16. Undescended testicles: a. Are palpable in 80% of cases b. Are usually managed conservative c. Are usually bilateral d. Are managed before 2 years of age 17. Ureteric pain is usually colicy in nature and can radiate to all the following sites except: a. The epigastrium and suprapubic region b. Around the umbilicus c. The contralateral testicle d. The tip of penis or vulva 16. Renal masses are characterized by all of the following except a. Occupies the lumbar region b. The renal angel and full and dull c. The mass moves with respiration d. You cannot insinuate your hand below the costal margin fl fi fl  17. VCUG in cases of posterior urethral valve shows all the following except: a. The urethra proximal to the valve is dilated b. The bladder is huge c. Dilated bulbar urethra d. Bilateral re ux and HUN may be present 18. All of the following can cause stone formation except: a. Hypercitraturia b. Hyperphosphaturia c. Hyperoxaluria d. Hyperuricosuria 19. The most common presentation of RCC is: a. Renal colic b. Hematuria c. Asymptomatic d. Renal biopsy 20. The most common pathological type of kidney cancer is; a. Squamous cell carcinoma b. Clear cell carcinoma c. Transitional cell carcinoma d. Rhabdomyosarcoma 21. The best diagnostic modality for a non palpable testicle in a 1.5 y old male child is: a. MRI b. CTU c. Diagnostic laparoscopy d. Diagnostic laparotomy 22. Complications of BPH include all of the following except: a. Acute urine retention b. Chronic urine retention c. Bladder stones d. Malignant transformation fl 1) Which of the following can cause stone a. Chronic obstruction 2) Management of undescended testes is a. Laparoscopy 3) Common organism causing uti is b. Ecoli 4) A 2cm radiolucent stone in the renal pelvis management a. Dissolution therapy 5) 3 cm stone in renal pelvis a. Pcnl 6) 1 cm stone in proximal ureter with hydroneprosis a. Eswl b. Ureteroscope c. Pcnl 7) Diagnosis of a renal injury is a. Ct with contrast 8) Management of intraperitoneal bladder injury a. Surgical exploration 9) Diagnosis of bladder injury a. Ascending cystogram b. Cut cystogram 10) Diagnosis of ureteric injury a. Ct with contrast 11) Testicular torsion a. Surgical exploration 12) All of the following is painful except a. Testicular tumour b. Acute 13) All of the following are causes of hydronephrosis except a. Ant bladder wall tumour b. Contracted bladder 14) Muscle invasive bladder tumour a. Radical cystectomy 15) All of the following are causes of oligoazenospermpia except a. Interstitial cystitis b. Smoking c. Varicocele 16) Metastatic prostatic carcinoma a. Hormonal therapy 17) Diagnosis of bph a. Us b. Dre c. Psa d. All 18) All of the following are definite treatment for ed except a. Antipsychotics 19) Most common incontinence in females a. Stress 20) Treatment of urge inciontinence a. Anticholenirgic  21) All of the following are obstructive symptoms except a. Hesitancy b. Bifurcated stream c. Post voiding dribble d. Urgency 22) All of the following is characteristic of obstructive anuria except a. Bladder is full b. Insertion of a ureteric catheter 23) Metastasis of testicular tumour a. Para-aortic lymph node 24) Most common cause for hydronephrosis in neonate is : Posterior urethral valve G4 1- most common cause of UTI is : E. Coli 2- detecting urethral injury by : asc. Uretheroscope 3- which of the following is true about stones : a-75% of them are calcium oxalates b-Staghorn stones are symptomatic Can't remember other answers 4- diagnosis of BPH is done by : Trus biopsy 5- patient with BPH ,psa is 80 ng/ml, after doing DRE , the best next step is : Trus biopsy 6- 3 years old boy having undescended testis , diagnosis done by ? Laparoscopy 7- cancer prostate, which zone? Peripheral 8- patient in ICU with pyelonephritis, obstructed upper ureter with high level neutrophils, best intervention? *Not sure lw el case kant kda belzbt* PCN 9- patient with hematuria and blood clots, we found several masses, next step?? Cystoscopy with biopsy 10- urge incontinence treated by ? Anticholinergic 11- smoker with urine retention, method of screening? *‫*تقريبا‬ PSA 12- leydig cells function: secrete testosterone 13-Finasteride a-treats BPH very fast b-inhibits conversion of DHT to tostosteron c-it is an alpha blocker d- 14- boy with sudden testicular pain , best intervention is : surgical exploration 15- female has urine incontinence during cough or laughing this is Stress incontinence 16- case with renal stone, diagnostic tool: non contrast ct 17- treatment of t2: radical cystectomy 18- grade of tumour reaching perivesical fat: t3 19- varicocele is present in 5% of patients with erectile dysfunction, true or false: 20- staging system used in prostate tumours: gleason 21- To asses degree of obstruction and split function of the kidney in a child we use... Isotope scan NEW *Urge incontinence first treatment is Medical while stress incontinence first treatment is Surgery *2nd line of treatment to urge incontinence is: Botox Physiotherapy Surgery *Overflow incontinence caused by Obstructed bladder ‫ كان معاها اسباب تبع ال‬urge incontinence *Not a Cause of erectile dysfunction: Bilateral Varicocele Smoking The most common cause of bilateral hydronephrosis in children 1. Ureterocele 2. Post urethral valve 3. Polycystic kidney 2 The next step in bleeding per meatus after pelvic trauma 1. Ascending cystogram 2. Ascending urethrogram 3. CT 4. IVU 2 A patient with severe colicky loin pain, nausea and vomiting. Next step? 1. Non-contrast helical CT 2. MRI with contrast 3. US 4. KUB 1 A 60y old female patient with total painless hematoma performed CT which revealed bladder mass. The next step? 1. Cystoscopy and TURBT 2. Intravesical BCG 3. Radical cystectomy 4. Chemotherapy 1 Initial treatment of non-mets RCC ‫الكيس ناقصة‬ 1. Chemotherapy 2. Radiotherapy 3. Partial nephrectomy 4. Immunotherapy 3 A patient presenting with renal colics and uremic manifestations. What is your initial step in management? 1. Non contrast ct 2. Inserting indwelling catheter 3. ESWL 4. Flexible ureteroscopy 2 A patient came to ER with severe painful rigid penis for 12 hours after intracavernosal injection. What is your next step? 1. Phosphodiesterase inhibitors 2. Immediate evacuation and injection of phenylephrine 3. Alpha blockers 4. Penile prosthesis 2 If a CT reveals a bladder mass that is invading the muscle layer, then the least stage that this tumor might be is: 1. T1 2. T2 3. T3 4. Ta 2 A patient came with irritative LUTS. On DRE, hard nodule is felt in prostate. What is the next step? 1. TRUS-guided biopsy 2. US 3. CT 4. MRI 1 Initial step in management of erectile dysfunction 1. Phosphodiesterase inhibitors 2. Vacuum devices 3. Penile prosthesis 1 The tumor that can cause paraneoplastic syndrome? 1. Carcinoma prostate 2. RCC 3. Urothelial carcinoma bladder 2 Treatment of a 3.5cm renal pelvic stone? 1. Eswl 2. Pcnl 3. Nephrectomy 2 A patient presenting with renal pain following road traffic accident. Ct revealed renal contusion with a 1 cm renal laceration without signs of extravasation. What is your next step? 1. Conservative treatment abd follow up 2. Surgical suturing of laceration 3. Drainage of hematoma 1 A patient presenting with severe testicular pain. Colored doppler revealed no testicular vascularity. What is your next step? 1. Immediate surgical exploration 2. Antibiotics 3. NSAIDs 1 Which of the following is a radiolucent urinary stone? 1. Calcium stones 2. Phosphate stones 3. Uric acid stones 3 Treatment of female SUI? 1. Mid urethral tape 2. Anti-muscarinics 3. Alpha blockers 1 Treatment of overactive bladder ‫نفس خيارات اللي فوق‬ 2 The mc presentation of RCC 1. Incidental 2. Paraneoplastic syndrome 3. Loin pain with hematurua 1 After management of renal colic, the patient developed fever and malaise. Ct revealed pyonephrosis. What is the next step? 1. Ureteroscopy and laser lisotripsy for removal of ureteric stone 2. Antibiotics to treat pyonephrosis 3. Percutaneous nephrostomy to drain pus 3 CT revealed bleeding in between bowel loops dt rupture of bladder following RTA. Next step? 1. Immediate surgical exploration 2. Insertion of indwelling catheter 3. Insertion of cystostomy tube 1 Clear cell carcinoma arises from : Proximal convoluted tubules Distal convoluted tubules Collecting duct 1 Patient with BPH and bilateral hydrouretero nephrosis and uremia, what is the next step: Open prostatectomy TUPR alfa blockers Urinary catheter 4 Patient with renal cell carcinoma 4 cm , treatment? Partial nephrectomy Radical nephrectomy Chemotherapy 1 Most common site of prostate cancer Peripheral zone Patient with BPH and multiple stone , recurrent UTI : TURP & stone extraction 1-Stones for pregnant woman—-us 2-Renal colic how to investigate—non contrast ct 3-Renal colic management—NSAIDs analgesics 4-70 year old male with BPH and chronic retention and elevted renal function. What to do ? - Indwelling catheter(i think this is the answer) - TURP -renal function might be normal 5-motor injury w el urethra hatelha catheter la2a red urine what is next step- 6-diabetic curved penis and uninterested sexual activity why?due autonomic diabetic neuropathy,psychogenic ed,peyronies’s disease(i think eno di) 7-drug for pregnant female with uti-penicillin 8-LH and FSH from-pituitary 9-mc org uti-e coli 10-Patient with BPH had difficult in micturation since few hours, they tried to insert catheter many times but they couldn't, there is some blood in urethral meatus What to do next? - Ascending urethrogram 11-suspected bladder cancer what to do cystoscopy and biopsy 12-hard and irregular prostate suspect-prostate carcinoma 13-smoking predisposes-urothelial bladder carcinoma 14-case of intraperitoneal bladder injury management-surgical exploration 15-suspected rcc what to-ct with iv contrast 16-drug to be given to LUTS-alpha adrenergic or beta blocker -or 5 alpha reductase inh(i think this) 17-a case of hydronephrosis w 3amalnaha DJ stent 18-a case of pt with 0.9mm solitary kidney how to manage W kan feh urgent ureterolithotomy or dj stent or conservative law kan anuric—DJ stent 19-a pt with suggestive epidydimitis what to give -antibiotics and fluid but not sure 20-non radio opaque stone-uric acid 21-a case of grade 3 kidney injury-admission and observation 22-tests less imp to assess erectile dysfunction-ecg(i think) 23-Varicocele is present in 10% of people with infertility True False 24-a patient with prostatic tumor and emergent acute urine retention what to do?Ana ekhtart tranurethral haga bs not sure 25-extra bladder rupture management-observation 26-type of stone with urinary infection Struvite 27-which is wrong regarding anuria Full bladder 28-which is not risk factor RCC:kan haga leha 3laka bel food Kan mawgod smoking w htn w hagat kter sah 29-wide bore catheter-retention 30-kidney injury is investigated by-ct contrast