Urology EMQs

Options For Questions 1 - 6

A. Hydrocele

B. Epididymal cyst

C. Varicocele

D. Inguinal hernia

E. Epididymo-orchitis

F. Testicular cancer

 

Match the typical presentation to the most likely diagnosis:

1. Large soft mass in the scrotum, separate from the testicle. It disappears when the patient lies flat and becomes more prominent on standing.

2. Hot and very tender testicular swelling, most prominent at the superior pole and at the back of the testicle.

3. Non-tender, hard, irregular lump.

4. Non-tender, soft, fluctuant lump at the superior pole of the testicle that is separate from the testicle itself. It transilluminates with light.

5. Mildly tender, soft and irregular lump separate from the testicle.

6. Non-tender, soft, fluctuant lump around the testicle that transilluminates with light.

 

Options For Questions 7 - 14

A. Renal cell carcinoma

B. Prostate cancer

C. Bladder cancer

 

Match the risk factor to the type of cancer:

7. Exposure to aromatic amines

8. Von Hippel-Lindau disease

9. Anabolic steroid use

10. Schistosomiasis

11. Obesity

12. Tall stature

13. End-stage renal failure

14. Black African or Caribbean origin

 

Options for Questions 15 - 20

A. Suprapubic catheter

B. Tunnelled cuffed catheter

C. Simple catheter

D. Coudé tip catheter

E. Three-way catheter

F. Foley catheter

 

Select the type of catheter most likely to be used in the following situations:

15. Intermittent self-catheterisation for neurogenic bladder

16. Intravesical medication for bladder cancer

17. Prostatic hypertrophy where there is difficulty inserting a two-way catheter

18. Urethral obstruction that prevents urethral catheterisation

19. An elective operation under a general anaesthetic

20. Regular long term haemodialysis

 

Options for Questions 21 - 29

A. Trimethoprim for 7 days

B. Cefalexin for 7 days

C. Gentamycin for 7 days

D. Nitrofurantoin for 3 days

E. Ofloxacin for 2 weeks

F. Trimethoprim for 6 weeks

G. Amoxicillin for 3 days

H. Nitrofurantoin for 4 weeks

 

Select the course of antibiotics that would be most suited to the scenario (subject to local guidelines):

21. 60 year old man with chronic prostatitis for the past 4 months

22. 32 year old woman with pyelonephritis and currently systemically well

23. 38 year old man with an uncomplicated lower urinary tract infection

24. 30 year old woman with pyelonephritis and signs of sepsis

25. 67 year old woman with a catheter-associated urinary tract infection and systemically well

26. 21 year old woman with an uncomplicated lower urinary tract infection

27. 27 year old woman who is 12 weeks pregnant with a lower urinary tract infection

28. 45 year old man at low risk of STIs with epididymo-orchitis

29. 57 year old man with acute bacterial prostatitis

  1. Large soft mass in the scrotum, separate from the testicle that disappears when the patient lies flat and becomes more prominent on standing. D. Inguinal hernia
  2. Hot and very tender testicular swelling, most prominent at the superior pole and at the back of the testicle. E. Epididymo-orchitis
  3. Non-tender, hard, irregular lump. F. Testicular cancer
  4. Non-tender, soft, fluctuant lump at the superior pole of the testicle that is separate from the testicle itself. It transilluminates with light. B. Epididymal cyst
  5. Mildly tender, soft and irregular lump separate from the testicle. C. Varicocele
  6. Non-tender, soft, fluctuant lump around the testicle that transilluminates with light. A. Hydrocele
  7. Exposure to aromatic amines. C. Bladder cancer
  8. Von Hippel-Lindau disease. A. Renal cell carcinoma
  9. Anabolic steroid use. B. Prostate cancer
  10. Schistosomiasis. C. Bladder cancer
  11. Obesity. A. Renal cell carcinoma
  12. Tall stature. B. Prostate cancer
  13. End-stage renal failure. A. Renal cell carcinoma
  14. Black African or Caribbean origin. B. Prostate cancer
  15. Intermittent self-catheterisation for neurogenic bladder. C. Simple catheter
  16. Intravesical medication for bladder cancer. E. Three-way catheter
  17. Prostatic hypertrophy where there is difficulty inserting a two-way catheter. D. Coudé tip catheter
  18. Urethral obstruction that prevents urethral catheterisation. A. Suprapubic catheter
  19. An elective operation under a general anaesthetic. F. Foley catheter
  20. Regular long term haemodialysis. B. Tunnelled cuffed catheter
  21. 60 year old man with chronic prostatitis for the past 4 months. F. Trimethoprim for 6 weeks
  22. 32 year old woman with pyelonephritis and currently systemically well. B. Cefalexin for 7 days
  23. 38 year old man with an uncomplicated lower urinary tract infection. A. Trimethoprim for 7 days
  24. 30 year old woman with pyelonephritis and signs of sepsis. C. Gentamycin for 7 days
  25. 67 year old woman with a catheter-associated urinary tract infection and systemically well. A. Trimethoprim for 7 days
  26. 21 year old woman with an uncomplicated lower urinary tract infection. D. Nitrofurantoin for 3 days
  27. 27 year old woman who is 12 weeks pregnant with a lower urinary tract infection. B. Cefalexin for 7 days
  28. 45 year old man at low risk of STIs with epididymo-orchitis. E. Ofloxacin for 2 weeks
  29. 57 year old man with acute bacterial prostatitis. E. Ofloxacin for 2 weeks

 

Maximum score = 29

Your % = your score x 3.45

 

Well done on completing this set of questions. Now take your score and enter it into your tracking table to start building up a record of all your hard work and progress!