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Multiple choice questions for Urinary Obstruction and BPH
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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.
The most common reason for urinary obstruction in children is (
)
a. stone; b. injury; c. congenital; d tumor ; e. TB
Urinary tract obstruction is usually caused by (
)
a. stone; b. injury; c. congenital; d tumor ; e. TB
In old men, the most common reason of urinary obstruction is ( )
a. Congenital ;b. injury; c. tumor , d.pelvic disease; e. benign prostatic hyperplasia;
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
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.
The mean prostatic weight increases after the age of (
).
a. 20;
b.30;
c.40; d.50;
e.60
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
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.
What is the first line therapy for BPH treatment ?
a. Watchful waiting; b. TURP; c. Medicine; d. Minimally invasive surgical treatment; e.
TUIP.
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
Which kind of αreceptors are abundant in the prostate and base of the bladder and sparse in
the body of the bladder?
a. α1; b. α2; c. α3; d. α4; e.β1.
Which king of medicine has been shown to be more efficacious in improving the lower
urinary tract symptoms associated with BPH.
a. α Adrenergic blockers ; b. 5-α 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. α Adrenergic blockers ; c. 5-α reductase inhibitors; d.
Phytotherapy; e. α Adrenergic blockers plus 5-α 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 α 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.
Answers: Red one is the only correct answer, please change the color when used in exam !