Trial test · Urology (Prometric)

Question 1 of 10

A 45-year-old woman is scheduled for shock-wave lithotripsy of a renal calculus. Urine culture is negative, she has no indwelling catheter or nephrostomy, and there is no evidence of an infected stone. Which antibiotic strategy is appropriate?

Give routine single-dose antibiotic prophylaxis to every patient

Do not give routine antibiotic prophylaxis

Give a seven-day therapeutic antibiotic course before treatment

Give intravenous broad-spectrum antibiotics throughout the procedure

Question 2 of 10

A 32-year-old immunocompetent man has multiple external anogenital warts confirmed clinically. He prefers self-administered treatment rather than office-based destruction and can adhere reliably to instructions. Which evidence-based topical option is appropriate?

Use intravesical mitomycin treatment

Use oral fluconazole treatment

Use self-administered imiquimod 5% cream

Use topical systemic-antibiotic treatment

Question 3 of 10

A 71-year-old man receives bladder-wall onabotulinumtoxinA for refractory urgency urinary incontinence after oral therapy has failed. Before treatment he voids independently with a modest post-void residual. Which complication must be specifically discussed?

Possible prolonged need for bilateral nephrostomies

Possible prolonged need for intermittent catheterisation

Possible prolonged need for suprapubic drainage

Possible prolonged need for ureteric stents

Question 4 of 10

During elective ureteroscopy for a renal calculus, atraumatic advancement of the ureteroscope is impossible because the ureter is too narrow. There is no infection and no emergency requiring immediate clearance. Which next step is appropriate?

Abandon all future endoscopic treatment

Convert immediately to percutaneous renal access

Force the ureteroscope through the narrowing

Insert a JJ stent and reattempt later

Question 5 of 10

A couple is preparing for intracytoplasmic sperm injection after male-factor infertility evaluation identifies a clinically significant genetic abnormality in the man. Which step is mandatory before assisted reproductive treatment?

Begin testosterone treatment before assisted reproduction

Provide genetic counselling to the couple

Proceed directly to ICSI without genetic counselling

Replace counselling with another routine semen analysis

Question 6 of 10

A 62-year-old woman has biopsy-confirmed primary urethral carcinoma. Before definitive local treatment, the multidisciplinary team needs accurate assessment of tumour extent and regional lymph-node enlargement within the pelvis. Which imaging modality is recommended?

Obtain radionuclide bone scintigraphy

Obtain pelvic magnetic resonance imaging

Obtain plain pelvic radiography

Obtain renal cortical scintigraphy

Question 7 of 10

A 69-year-old man with muscle-invasive bladder cancer undergoes maximal TURBT. He is medically fit but declines radical cystectomy and wishes to pursue definitive bladder preservation. Which treatment framework provides established curative intent?

TURBT followed by radiotherapy alone

TURBT followed by systemic chemotherapy alone

TURBT followed by surveillance alone

TURBT followed by concurrent chemoradiotherapy

Question 8 of 10

During multichannel filling cystometry, a patient coughs. Vesical pressure and abdominal pressure rise simultaneously by 42 cm H2O, while calculated detrusor pressure remains essentially unchanged. Which interpretation is correct?

The pressure rise is an abdominal-pressure artefact

The tracing establishes definite bladder outlet obstruction

The tracing demonstrates severely reduced bladder compliance

The tracing demonstrates true detrusor overactivity

Question 9 of 10

During counselling before elective partial nephrectomy, a urologist explains that a complication occurs in 2 of every 100 patients, while an alternative procedure has the same complication in 4 of every 100 patients. Which risk-communication approach is most appropriate?

Present both absolute event rates

Omit numerical information despite available data

Describe both risks only as uncommon

Present only the fifty-percent relative reduction

Question 10 of 10

A nine-year-old girl has continuous urinary dampness despite otherwise normal voluntary voiding. She has never achieved complete daytime dryness. Renal ultrasound demonstrates a duplex kidney, and an ectopic ureter is suspected. Which feature most strongly supports this diagnosis?

Continuous leakage between normal voids

Stress leakage during coughing only

Urgency leakage before normal voids

Nighttime leakage during sleep only