Urology

The following are examples of items that you would

find in a multiple-choice question (MCQ) exam.
Model answers are included for your information.

[Date]

Confidential - all rights reserved - unauthorized reproduction or use prohibited.

 Urology

Instructions
Answer sheets

1. Please ensure that your name and identification number are correctly recorded at the top of your
answer sheet.
2. Use only the pencil provided to mark the answer sheet. Do not use ink.
3. To indicate a correct answer, blacken the appropriate oval with your pencil. Please note that the
mark you make must be definite and black; if not, the optical scanner may not sense it.

Please note that these answer sheets are marked by optical scanner.

Do NOT cross out an incorrect answer, it must be erased.

Do NOT mark the answer sheet anywhere except in the answer ovals.

All pencil marks on the answer sheet are picked up by the scanner, which rejects sheets with extra or
improperly placed markings. Any question having more than one oval blackened is rejected.

NOTE: It is to your advantage to answer every question even if you are not satisfied that you know the correct
answer. You are advised not to mark your answers in the examination booklet with the intention of transferring
them later to the answer sheet. Only answers recorded on the answer sheet will be scored. You will not be given
extra time to record or transfer answers from the examination booklet to the answer sheet. It is also suggested
that you start to answer the questions at once rather than try to read through the paper first and then start
recording your answers; otherwise you may run out of time.

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 Urology

Example

All questions have a stem and four options, only one of which is considered to be the CORRECT answer.

Question

This is a stem.
1.
2.
3.
4.

The correct answer is number 3, and should be marked on your answer sheet as follows:

MARK ONLY ONE OVAL FOR EACH QUESTION

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 Urology

Question 1
The von Hippel-Lindau (VHL) gene mutation is MOST commonly found in:
1. Type 1 papillary renal cell carcinoma
2. Type 2 papillary renal cell carcinoma
3. Sporadic non-inherited clear cell renal cell carcinoma
4. Chromophobe renal cell carcinoma

Answer 1
The correct answer is 3. Sporadic non-inherited clear cell renal cell carcinoma.

Question 2
Three years after placement of an artificial urinary sphincter (AUS) post prostatectomy and adjuvant radiotherapy,
a 67-year-old man presents with urosepsis, a large scrotal abscess, and urethral cuff erosion. The cuff is removed,
the urethra repaired, and a catheter is left in place for 3 weeks. Repeat evaluation 6 months later includes a
normal urethroscopy, and a 3 pad per day bothersome stress urinary incontinence. What is the MOST appropriate
management?
1. Cunningham clamp
2. Male sling
3. Bladder neck injection with bulking agent
4. Transcorporeal placement of a new AUS.

Answer 2
The correct answer is 4. Transcorporeal placement of a new AUS/

Question 3
What is the mechanism of action of trimethoprim?
1. Inhibition of dihydropteroate synthetase
2. Competitive inhibition of dihydrofolate reductase
3. Inhibition of cell wall synthesis
4. Disruption of protein synthesis

Answer 3
The correct answer is 2. Competitive inhibition of dihydrofolate reductase.

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 Urology

Question 4
The acute phase (i.e. the first 1-2 hours) of unilateral ureteral obstruction is initially characterized by:
1. Increased renal blood flow
2. Increased glomerular filtration rate (GFR)
3. Increased afferent arteriole resistance
4. Increased tubuloglomerular feedback

Answer 4
The correct answer is 1. Increased renal blood flow.

Question 5
During laparoscopic left adrenalectomy for a 3-cm adrenal mass, troublesome bleeding is encountered during
dissection along the medial margin of the gland. What is the MOST likely source of bleeding?
1. Lumbar vein
2. Inferior vena cava
3. Inferior phrenic vein
4. Splenic vein

Answer 5
The correct answer is 3. Inferior phrenic vein.

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