Multiple choice questions for Urinary Obstruction and BPH

1. Which one is wrong to describe hydronephrosis?

a. is a "stretching" or dilation of the collecting part of the kidney. ;
b. often results from a blockage in the ureter ;
c. urine is trapped in the kidney;
d. may also be due to reflux of urine into the bladder.
e. too much urine produced by the kidney.
2. The most common reason for urinary obstruction in children is ( )
a. stone;
b. injury;
c. congenital;
d. tumor ;
e. TB
3. Urinary tract obstruction is usually caused by ( )
a. stone;
b. injury;
c. congenital;
d. tumor ;
e. TB
4. In old men, the most common reason of urinary obstruction is ( )
a. Congenital ;
b. injury;
c. tumor ,
d. pelvic disease;
e. benign prostatic hyperplasia;
5. Which of the following classes of medication is the most common initial treatment of men with
symptomatic benign prostatic hypertrophy (BPH)?
a. alpha 1 agonist;
b. Alpha 1 blocker;
c. beta agonist;
d. beta 1blocker;
e. watchful waiting
6. What is the appearance of BHP grossly?
a. Hyperplasia the peripheral zones;
b. in all of the proateatic zone;
c. African Americans; it is permissive rather than causative;
d. enlarged prostate;
e. Prostate with nodules on it.
7. The mean prostatic weight increases after the age of ( ).
a. 20;
b. 30;
c. 40;
d. 50;
e. 60
8. Most of the prostatic nodules responsible for the bladder outlet obstructive symptoms associated
with BPH arise in the tissue.
a. Peripheral Zone;
b. Central Zone ;
c. Transition Zone ;
d. bladder neck zone
e. Urethral Zone
9. In a BPH operation prostate specimen, we can see that the hyperplastic nodules comprise
primarily by ( ) components.
a. epithelial;
b. stromal;
c. smooth muscle;
d. fibroblast;
e. Urothelial.
10. What is the first line therapy for BPH treatment ?
a. Watchful waiting;
b. TURP;
c. Medicine;
d. Minimally invasive surgical treatment;
e. TUIP.
11. Which kind of gonadal hormone is important in promoting growth of prostate that would
eventually lead to symptomatic BPH.
a. testosterone;
b. dihydrotestosterone;
c. estrogen;
d. LHRH;
e. androgen
12. Which kind of receptors are abundant in the prostate and base of the bladder and sparse in the
body of the bladder?
a. 1;
b. 2;
c. 3;
d. 4;
e. 1.
13. Which king of medicine has been shown to be more efficacious in improving the lower urinary
tract symptoms associated with BPH.
a. Adrenergic blockers ;
b. 5- reductase inhibitors;
c. Rye Grass Pollen Extract;
d. TURP;
e. Phytotherapy.
14. in patients with an obstructing prostate, there are some absolute indications. Which one is NOT
the indication for BPH surgical intervention?
a. acute urinary retention,;
b. recurrent infection,;
c. recurrent hematuria;
d. residual urine;
e. azotemiae.
15. In BPH surgical treatment, which one of the following method is the golden standard ?
a. TURP;
b. open prostatectomy;
c. TUNA;
d. TUMT
16. In BPH surgery, an open prostatectomy may be considered instead of TURP when the prostate is
estimated to weight more than ( ) g.
a. 40;
b. 60;
c. 80;
d. 100;
e. 120
17. A typical BPH patient with IPSS score of 16 and a large prostate but no significant bother should
be treated by ( )
a. Watchful waiting;
b. Adrenergic blockers ;
c. 5- reductase inhibitors;
d. Phytotherapy;
e. Adrenergic blockers plus 5- reductase inhibitors.
18. Watchful waiting should be administrated only in BPH patients who have ( ) IPSS symptom
scores.
a. 0 ;
b. 0-5;
c. 0-7
d. 0-10;
e. 8-19
19. The patient should be aware of the following side effects of Adrenergic blockers especially of
( ).
a. . postural hypotension,
b. fatigue,
c. retrograde ejaculation,
d. rhinitis,
e. headaches.
20. Although TURP is the gooden standard for BPH surgery, we must be aware of it`s
frequent complication of ( )
a. urinary incontinence;
b. bleeding,
c. urethral stricture;
d. retrograde ejaculation;
e. water intoxication and dilutional hyponatremia.