I- Select the appropriate answer (one selection and a half mark for each)

1. Autosomal recessive polycystic kidney (ARPKD / multicystic kidney) has the

following features except:
a. Multiple hepatic cysts
b. The condition often manifests in adults.
c. Tubular involvement
d. Bilateral disease
2. Regarding RCC which of the following least correct:
a. Strong association with VHL
b. Clear cell carcinoma is the most common
c. It is benign if less than 5 cm.
d. Heriditary tumors are more frequently bilateral and multifocal
e. Hematuria is a common presentation
3. Which of the following is not derived from renal tubules:
a. Clear cell carcinoma
b. Oncocytoma
c. Angiomyolipoma
d. Papillary renal cell carcinoma
e. Renal tubular adenoma

4. Incidence of AD polycystic kidney disease is:

a. 1:100
b. 1:1000
c. 1:10000
d. 1:100000
5. An adult with a renal tumor. Post resection histological diagnosed is
oncocytoma. Which is true:
a. Oncocytoma usually less than 2 cm.
b. Intracellular fat is typical of oncocytoma
c. Oncocyoma is not likely a microscopic diagnosis
d. Oncocytoma accounts for 10% of renal tumor
e. It is a malignant tumor.
6. A 55 year-old male with large vascular renal tumor of the kidney on CT most
likely to be:
a. Oncocytoma if contains fat
b. A benign mass lesion like tuberculoma
c. Renal cell carcinoma
d. Non of above

7. The following is not associated with testicular malignancy:

a. Cryptorchidism
b. Testicular feminization syndrome
c. Germ cell applasia
d. TB of testis.

8. About embryonal carcinoma of testis, all are true except:

a. The average age at diagnosis is 31 years
b. Usually as a part of mixed germ cell tumors and pure form is rare

Dr. Fayed Al-Yousofy

 c. Metastasis is more early than seminoma
d. Increase serum HCG
9. Which is false about testicular teratoma
a. Mostly cystic and benign in adults
b. Usually mature in infants and children
c. May show increased AFP
d. May be part of mixed germ cell tumors
10. The risk of malignancy in undescended testis is increased to average of:
a. 20 fold
b. 25 fold
c. 30 fold
d. 35 fold
11. Granulomatous orchitis my be caused by:
a. Tuberculosis
b. Autoimmune
c. Sarcoidosis
d. Leprosy
12. The most common testicular malignancy in elderly is:
a. Seminoma
b. Teratoma
c. Lymphoma
d. Leydig cell tumor
13. Benign prostatic hyperplasia affects most often:
a. Peripheral prostate
b. Periuretheral prostate
c. Capsule of prostate
d. Entire prostate
14. Occult prostatic carcinoma is:
a. Incidental carcinoma found in prostatectomies done for BPH
b. Small focus of prostate carcinoma found during autopsy
c. Asymptomatic carcinoma presenting with metastasis
d. Prostatic carcinoma in situ
15. The most common features for nephritic syndrome include the following
except:
a. Heavy proteinuria
b. Hypertension
c. Microscopic hematuria
d. Oliguria
16. The most common cause of nephrotic syndrome in adults is:
a. Acute diffuse glomerulonephritis
b. Minimal change glomerulonephritis
c. Membranous glomerulonephritis
d. Focal segmental glomerulonephritis
17. Examples of immune complex glomerulonephritis include the following
except:
a. Acute glomerulonephritis
b. Membranous glomerulonephritis
c. Membranoproliferative glomerulonephritis
d. Goodpasture's glomerulonephritis

Dr. Fayed Al-Yousofy

18. He majority of cases of membranous glomerulonephritis have following
etiology
a. SLE
b. Viral infections
c. History of drugs
d. Idiopathic
19. The following type of renal stones are due to infection:
a. Calcium oxalate
b. Struvite
c. Uric acid
d. Cystine

II- Discuss genitourinary TB (4 marks).

Dr. Fayed Al-Yousofy