By: Y.

ELWEKEEL
Elwekeel Educational Production

URO Mcq
Pathology

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 SECTION 1
(renal)
1-loss of urine production called :
a-oliguria. b-anuria. c- polyuria. d- uremia.
2- the following statements are true of childhood polycystic kidney disease
except:
a- autosomal dominant.
b-manifests at birth.
c-cysts in liver and kidney.
d- associated with congenital hepatic fibrosis.
3-the clinical complex of nephritic syndrome is usually characterized by all
except:
a-acute onset. b-hematuria with red blood cell casts .
c-some degree of oliguria. d-proteinuria of .3.5 gm/day.
4-the commonest renal calculi associated with proteus infection are:
a-cystine stone . b-triple phosphate stone .
c-uric acid stone . d-calcium oxalate stone.
5-which of the following doesn’t complicate pyelonephritis:
a-pyonephrosis. b-papillary necrosis .
c-renal stones. d-renal cell carcinoma.

6-which of the following is correct regarding renal calculi :

a-most are composed calcium oxalate .
b- in most calcium stones the patients have hypercalcemia.
c-large renal stones typically cause ureteric colic.
d-stones less than 7mm are likely to pass spontaneously.

7-in chronic glomerulonephritis all are true except:

a-the capsular surface is often finely granular .
b-the calyces and the renal pelvis are usually distorted .
c-the kidney re usually small .
d-many glomeruli are hyalinized.
8-causes of flea bitten kidney include all except:
a-acute poststreptococcal glomerulonephritis.
b-rapidly progressive glomerulonephritis .
c-haemolytic uraemic syndrome.
d-benign nephrosclerosis.
9-true statements regarding minimal change disease include all the following
except:
a-it occurs most often in children.
b-the glomeruli appear normal by light microscope.
c-nephrotic syndrome frequently occurs.
d-serum complement is often decreased .
10-nephrotc syndrome include all the following except:
a-proteinuria. b-hypoproteinemia.
c-hematuria . d-edema
11- concerning the pyonephrosis all are true except:
a-its due infection of hydronephrotic kidney.
b-calyces and renal pelvis are full with pus .
c-obstruction on top of pyelonephritis.
d-calyces are communicating with each other but not with the renal pelvis .
12- concerning the renal cell carcinoma the following are true :
a-a tumor of childhood.
b- tumor originate from embryonal rests.
c-spread only by lymphatics.
d- clear cell pattern is common .
13-the renal pelvis is intact in the following diseases:
a-acute pyelonephritis . b- chronic pyelonephritis.
c-chronic glomerulonephritis . d- phosphate stone.
14-the following types of glomerulonephritis can be associated with crescents
except:
a-poststreptococcal GN.
b- membranoproliferative GN.
c-lupus nephritis.
d- focal segmental glomerulosclerosis.
15- renal carcinoma all are true except:
a-its more frequent in adult than children .
b-is often composed of large cells with abundant clear cytoplasm.
c-rarely invade the renal vein.
d-present with painless hematuria.
16-the characteristic urine changes in poststreptococcal acute proliferative
glomerulonephritis is :
a-massive albuminuria.
b-polyurea.
c-oliguria with microscopic haematuria .
d-pyouria.
17-diabetic nephropathy most commonly predispose to:
a-glomerulosclerosis .
b- renal arteriolar sclerosis.
c-papillary necrosis.
d-none of the above.
18-these are true for chronic glomerulonephritis except:
a-size is decreased but not equally contracted .
b-weight decreased.
c-granular surface.
d-adherent capsule.
cross match the following (19-22)with (a-d):
19-pyelonephritis a-upper pole of kidney.
20-urinary calculi b-benign tumor.
21-renal carcinoma c-usually bilateral.
22-infantile polycystic kidney disease d-hydronephrosis.
e-pregnancy
23-this is not true for microscopic picture of long standing benign essential
hypertension:
a-glomerular necrosis.
b-necrotizing arteriolitis.
c-tubular fibrosis.
d-interstitial fibrosis and lymphocytic infiltrate.
24-The gross picture of hydronephrosis except:
a-kidney enlarged .
b- lobulated outer surface .
c-weight is increased.
d-atrophic renal parenchyma.
25-the most common microscopic type of renal cell carcinoma is :
a-chromphobe carcinoma. b-papillary carcinoma.
c-clear cell type. d-sarcomatoid type.
26-all are causes of small kidney except:
a-healed infarction. b-chronic diffuse glomerulonephritis.
c-beet root kidney. d-benign nephrosclerosis.
27-the following is not a feature of polycystic kidney:
a-congenital malformation.
b-the cyst communicate with the renal pelvis.
c-causes renal failure.
d-bilateral lesion.
28-all are causes of haematuria except:
a-congenital polycystic kidney.
b-nephrotic syndrome
c-renal tumors.
d-chronic venous congestion.
29-this are true for transitional cell carcinoma of urinary bladder:
a-associated with cigarette smoking.
b-associated with aniline dyes industry.
c-increases incidence with urinary stones.
d-all of the above.

30-the most important feature of nephritic syndrome is :

a-heavy proteinuria. b-oliguria.
c-generalized odema. d-none of the above.
31-hypoproteinemia in the nephrotic syndrome is due to:
a-loss of protein in urine .
b-decreased protein uptake.
c-decreased absorption of proteins from intestine .
d-all of the above .
32-this is acause of congenital hydronephrosis:
a-benign prostatic hyperplesia.
b-calculi.
c-atresia in the urethra .
d-carcinoma of uterus.
33-this is true for chronic glomerulonephritis except:
a-the surface of the kidney is often finely granular.
b-the kidneys are often small.
c-the calyces and the pelvis are distorted.
d-hyalinized glomeruli.
34-this s not a feature of membranous glomerulonephritis:
a-major cause of nephrotic syndrome in adult.
b-spike and dome pattern.
c-both A and B .
d-none of the above.
35-the following features are those in adult polycystic renal disease except:
a-autosomal dominant pattern of inheritance.
b-may be unilateral.
c-associated with berry aneurysm of the circle of willis.
d-there are often cyst in the liver .
36-congenital anomalies of kidney include:
a-agensis b-horse shoe shaped .
c-hypoplesia. d-all of the above .
37-this is characteristic for chronic pyelonephritis:
a-large kidneys. b-smooth surface.
c-glomerular hyalinization. d-dilated calyces and pelvis.
38-this is incorrect regarding gross picture of hydronephrosis:
a-enlarged kidney. b-increased weight.
c-lobulated outer surface. d-atrophic renal parenchyma.
39-the commonest type of renal calculi:
a-calcium oxalate stone. b-pigment stone.
c-calcium carbonate stone. d-mixed stones.
40-all are true regarding nephroblastoma (wilms tumor) except:
a-an embryonic tumor.
b-most common from 3 to 5 years of age .
c-mature glomeruli and tubules.
d-maybe sporadic or familial.
41-all are causes of small kidney except:
a-healed infarction.
b-early stage of amyloidosis.
c-chronic diffuse glomerulonephritis.
d-benign glomerulosclerosis.
42-all are causes of haematuria except:
a-minimal change glomerulonephritis.
b-congenital polycystic kidney.
c-renal tumors.
d-chronic venous congestion.
d-chronic venous congestion.
43-all are chemical carcinogens for urinary bladder except:
a-aniline dyes . b-vinyl chloride monomer.
c-rubber industry. d-benzidine and related compounds.
44-this is correct regarding transitional cell carcinoma of urinary bladder :
a-papillary urothelial tumor is the commonest type.
b-it presents always incidentally.
c-carcinoma in situ is a papillary tumor with invasion.
d-shistosomiasis is not a risk factor.
45-these are causes of nephrotic syndrome :
a-amyloidosis. b-diabetes mellitus.
c-systemic lupus erythematosis. d-all of the above.
46-this is not a feature of crescentic glomerulonephritis:
a-it is rapid and progressive.
b-death from renal failure if untreated.
c-nephrotic syndrome.
d-may be immune mediated.
47-bacterial inflammation of interstitial tissue of renal cortex ,medulla and
pelvis is :
a-glomerulonephritis. b-pyelonephritis.
c-nephritis. d-none of the above.
Cross match the following (48-51) to (a-e):
48-minimal change GN. a-asymmetrical kidneys contraction.
49-chronic GN . b-pregnancy is a predisposing factor.
50-acute pyelonephritis. C-caused by immune complex
51-chronic pyelonephritis. d-nephrotic syndrome.
e-symmetrical kidney contraction
52-staghorn calculi:
a-take the shape of renal pelvis and calceal systems.
b-composed of magnesium ammonium phosphate.
c-all of the above
d- none of the above .
53-this is not a feature of hydronephrosis:
a-it is always bilateral.
b-obstruction to the urine outflow.
c- it could be congenital or acquired
d-dilated pelvis and calyces.
54-marked dilatation and infection of renal pelvis and calyces due to
obstruction is :
a-hydronephrosis. b-pyonephrosis.
c-all of the above. d-none of the above.
55-cystitis is an inflammation of :
a-urinary bladder . b-gall bladder.
c-polycystic kidney. d-none of the above.
56-these are risk factors for carcinoma of urinary bladder except:
a-cigarette smoking b-chronic cystitis
c-schistosomaiasis of urinary bladder. d-none of the above.
57-the following is a malignant urinary bladder tumor:
a-transtional cell carcinoma. b-squamous cell carcinoma .
c-adenocarcinoma. d-all of the above .
58-the characterstic urine changes in post streptococcal acute proliferative
glomerulonephritis is :
a-massive albuminuria. b-polyurea.
c-oliguria wth microscopic hematuria. d-pyourea.
59-the following type of renal stone is very rare:
a-oxalate stone. b-urate stone.
c-phosphate stone. d-cystine stone.
60-the edema of kidney failure or glomerular protein loss is most likely to
appear first:
a-around the eyes. b-as ascites fluid in the abdomen.
c-in the ankle and feet. d-in the genitals.
61-female are more susceptible to urinary tract infection because :
a-the immune system is weaker in female.
b-high estrogen level.
c-low testosterone level.
d-short urethra.
62-the following is not a cause of renal calculi:
a-vitamin A deficiency.
b-vitamin D deficiency.
c-urinary tract infection.
d-urinary tract obstruction.
63-the following type of renal stone is most commonly associated with
haematuria:
a-oxalate stones. b-urate stones.
c-phosphate stones. d-cystine stones.
64-gross feature of renal cell carcinoma include all except:
a-it is commonly centred in the cortex.
b-it is surrounded by a true capsule.
c-it is commonly well circumscribed.
d-cut surface is golden yellow.
65-nephroblastoma is called:
a-warthins tumor. b-wilms tumor.
c-benign mixed tumor. d-pancoasts tumor.
66-the commonest urinary bladder cancer in children is:
a-transtionalell carcinoma.
b-wilms tumor.
c-leiomyosarcoma.
d-rhabdomyosarcoma.
67-these are complications of acute pyelonephritis except:
a-chronic pyelonephritis. b-hydronephrosis.
c-perinephric abscess . d-renal papillary necrosis.
68-these are paraneoplastic manifestations which may be seen in patient with
renal cell carcinoma except:
a-hypertension. b-hypocalcemia.
c-polycythemia. d-amyloidosis.
69-focal embolic glomerulonephritis may occur in:
a-subacute bacterial endocarditis.
b-systemic lupus erythematosis.
c-polyarteritisnodosa.
d- all of the above.
70-route of infection in pyelonephritis:
a-ascending infection from urinary bladder.
b-lymphatic spread from the intestine.
c-blood spread from a septic fossa.
d-all of the above.
71-epithelial crescents are characteristic of :
a-acute diffuse prolifertive glomerulonephritis .
b-rapidly progressive glomerulonephritis.
c-membranous glomerulonephritis.
d-membranoproliferativegomerulonephitis.
72-which is not a risk factor for acute pyelonephritis:
a-diabetes mellitus. b-nephrolithiasis.
c-prostatism. d-simple cyst.
73-the following lesion doesn’t cause enlargement of the kidney:
a-hydronephrosis. b-renal cell carcinoma.
c-chronic pyelonephritis. d-acute pyelonephritis.
74-the following disease diagnosed only by electron microscope:
a-acute diffuse proliferative glomerulonephritis.
b-membranous glomerulonephritis.
c-rapidly progressive glomerulonephritis.
d-minimal change glomerulonephritis.
75-factors predispose to pyelonephritis include all except:
a-urinary tract obstruction.
b-urinary tract instrumentation.
c-schistosomiasis.
d-hypertension.

76-hydronephrosis is caused by:

a-urethral stricture. b-benign prostatic hyperplesia.
c-tabes dorsalis. d-all of the above.

77-this is not true for transtionl cell carcinoma of urinary bladder

a-associated with cigarette smoking .
b-high incidence with schistosomiasis.
c-associated with aniline dyes industry.
d-increased incidence with urinary stones.
78-dysuria is:
a-pus in urine. b-increased amount of urine.
c-burning micturition. d-decreased amount of urine.
79-th blastematous tissue of nephroblastoma consist of :
a-spindle cells. b-small primitive cells.
c-small muscle cell. d-malignant epithelial cells.
80-the most common cause of acute renal failure is:
a-acute tubular necrosis
b-acute tubulointrstitial diseases.
c-disseminated intravascular coagulation.
d-none of the above.
81-this are true for renal stones except:
a-urate stones are stag-horn stones.
b-phosphate stones occur in the urinary bladder.
c-oxalate stones are multiple and spiky.
d-cystine stones occur as a part of autosomal dominant disease.
82-haematuria is caused y:
a-chronic venous congestion of the kidney.
b-hypertension.
c-rapidly progressive glomerulonephritis.
d-all of the above.
83-acute diffuse proliferative glomerulonephritis presented with:
a-nephrotic syndrome. b-nephritic syndrome.
c-all of the above. d-none of the above.
84-these are features of renal cell carcinoma except:
a-the tumour shows tubular or papillary formations.
b-the cytoplasm of malignant cells are clear or granular.
c-the cells contain mucin.
d-the stroma is very vascular.
85-chronic glomerulonephritis produce:
a-bilateral symmetrical kidney contraction .
b-bilateral asymmetrical kidney contraction.
c-all of the above.
d-none of the above.
86-the following isn’t a feature of polycystic kidney:
a-congenital malformation.
b-the cysts communicate with renal pelvis.
c-causes renal failure.
d-bilateral lesion.
87-hypoproteinaemia in the nephrotic syndrome is due to :
a-loss of protein in urine.
b-decreased protein intake.
c-decreased absorption of proteins in the intestine.
d-all of the above.
88-the commonest bacteria causing acute pyelonephritis is:
[Link]. b-staphylococcus aureus.
c-bacillus proteus. d-streptococcus haemolyticus.
89-all are features of renal cell carcinoma except:
a-malignant tumor. b-early blood metastases.
c-yellow colour. d-invade renal pelvis lately.
90-acute diffuse proliferative glomerulonephritis is due to :
a-blood borne infection.
b-ascending infection.
c-deposition of immune complex in glomeruli.
d-all of the above.
1 B 19 E 37 C 55 A 73 C
2 A 20 D 38 B 56 D 74 D
3 D 21 A 39 A 57 D 75 D
4 B 22 C 40 C 58 C 76 D
5 D 23 B 41 B 59 D 77 B
6 A 24 C 42 A 60 A 78 C
7 B 25 C 43 B 61 D 79 B
8 D 26 C 44 D 62 B 80 A
9 D 27 B 45 D 63 A 81 D
10 C 28 B 46 C 64 B 82 D
11 D 29 D 47 B 65 B 83 B
12 D 30 B 48 D 66 D 84 C
13 C 31 A 49 E 67 B 85 A
14 D 32 C 50 B 68 B 86 B
15 C 33 C 51 A 69 D 87 A
16 C 34 D 52 C 70 D 88 A
17 A 35 B 53 A 71 B 89 D
18 A 36 D 54 B 72 D 90 C
 SECTION 2
(Male genital)
1-the following are true concerning the seminoma except:
a-are common before puberty.
b-have an increased incidence of undescended testis.
c-may contain teratomatous elements.
d- are usually sensitive to radiotherapy.
2-the unlikely cause of sacrotal swelling is :
a-haematocele. b-mucocele.
c-hydrocele. d-chylocele.
3-this are true regarding the prostatic carcinoma:
a-it is usually a squamous cell carcinoma.
b-often metastesies to lumber and sacral spine .
c-usually produce osteolytic lesions.
d-secret alkaline phosphatase.
4-complication of gonorrhea include:
a-urethral stricture. b-tubo-ovariaan abscess.
c-perihepatitis. d-all of the above.
5-the unlikely cause of sacrotal enlargement is :
a-haematocele. b-mucocele.
c-hydrocele. d-chylocele.
6-the laminated eosinophilic material in prostatic acini is called :
a-psammoma bodies. b-schumann bodies.
c-corpora amylacea. d-corpora lutea.
7-the following is correct regarding the testicular tumors:
a-germ cell tumour are the most common type .
b-seminoma are benign tumor.
c-non seminomatous germ cell tumor generally arise in older men than seminoma .
d-none of the above.
8-which is the most common type of testis tumor found in children:
a-seminoma . b-lymphoma.
c-yolk sac tumor. d-teratocarcinoma.
9-which of the following is correct regarding prostatic carcinoma:
a-most are squamous cell carcinoma.
b-prostate carcinoma produce acid phosphatase.
c-most are diagnosed following PSA testing in asymptomatic men.
d-all of the above.
10-the most unlikely cause of sacrotal enlargement is :
a-haematocele. b-mucocele.
c-hydrocele. d-chylocele.
11-bone metasteses from prostatic carcinoma is osteoblastic because it secret :
a-calcium. b-prostatic specific antigen.
c-acid phosphatase. d-alkaline phosphatase.
12-microscopic feature of seminoma may include all except:
a-tumor cell with clear cytoplasm. b-granulomatous stroma.
c-dense hemorrhage. d-syncytiotrophoblasts.
Cross match the following male tumours (13-16) with (a-e):
13-choriocarcinoma. a-benign tumor.
14-teratoma. b-common in children.
15-yolk sac tumor. c-can produce positive pregnancy test.
16-carcinoma prostat. d-osteosclortic bone metasteses
e-usually malignant.
17-the sacrotal enlargement is unlikely caused by:
a-haematcele. b-mucocele.
c-hydrocele. d-chylocele.
18-seminoma is :
a-benign tumor of testis.
b-malignant tumor of testis.
c-malignant tumor of prostate.
d-benign tumor of prostate.
Cross match the following (19-23) with (a-e):
19-penile bowen disease. a-mumps.
20-atrophic testis. b-accumulation of serous fluid
Within tunica albugenia
21-hydrocele. c-associated with HPV infection.
22-cryptorchidism. d- urethral stricture.
23-gonorrhea. e-incomplete descent of testis.
24-this is incorrect regarding carcinoma prostate:
a-its acommon cancer in older men.
b-common in the outer peripheral glands.
c-it is rarely invade the bone.
d-biopsy is required for diagnosis.
25-SEMINOMA characterized by all the following except:
a-never occur before puberty.
b-it may be of anaplastic type or spermatocytic type.
c-the stroma often show epithiloid granuloma .
d-it is radioresistant.
26-the laminated eosinophilic material in the prostatic acini called:
a-psammoma bodies. b-schumann bodies.
c-corpora amylacea. d-corpora lutea.
27-the atrophic testis may be caused by following condition:
a-mumps. b-radiation.
c-cirrhosis. d-all of the above.
28-microscopic picture of seminoma may include except:
a-tumors cells with clear cytoplasm.
b-it is radioresistant.
c-granulomatous stroma.
D-syncytiotrophoblasts.
29-the following are immunomarker of germ cell tumor except :
a-AFP. b-PSA.
c-HCG. d-PLAP.
30-the following statement is incorrect regarding prostate carcinoma:
a-latent cancer are more common than the clinical cancer.
b-majority arise from periurethral region.
c-denonvillers fascia prevents growth of tumor to the rectum.
d-bone metastases usually cause osteoblastic legions.
31-all are true for benign nodular hyperplesia of prostate except:
a-is very common in elderly men.
b-predisposes to development of prostatic carcinoma.
c-may cause renal failure.
d-may contain area of squamous metaplasia.
32- the statement is false :
a-yolk sac tumor secret alpha feto protein.
b-seminoma secret placental alkaline phosphatase.
c-sertoli cell tumor may secret androgens and estrogen.
d-prostatic carcinoma secrets alkaline phosphatase.

1 A 10 B 19 C 28 B
2 B 11 C 20 A 29 B
3 B 12 C 21 B 30 B
4 D 13 C 22 E 31 B
5 B 14 E 23 D 32 D
6 C 15 B 24 C
7 A 16 D 25 D
8 C 17 B 26 C
9 B 18 B 27 D
 SECTION 3
(l o w e r U T)
1. The histologic picture of malakoplakia of the bladder is:
A. Squamous metaplasia
B. Granulomas
C. Chronic inflammation with foreign body giant cells
D. Many eosinophils
E. Lymphoid follicles
2. The following type of renal stones is commonly associated with haematuria:
A. Oxalate stones
b. Phosphate stones
c. Urate stones
D. Cystine stones
3. Schistosomiasis of the bladder predisposes to:
A. Cystitis
b. Bladder carcinoma
[Link] formation
D. All of the above
4. The following type of renal stones usually occurs on top of infection:
[Link] stones
B. Phosphate stones
C. Urate stones
D. Cystine stones
5. polyp is most common lesion in bilharzial Cystitis
True
False
6. Which of the following transform into adenocarcinoma
A. Cystitis cystica
B. Bunn’s nests
C. Cystitis glandulares
D. Non of above
7. The following type of renal stones is multiple and spiky:
A. Urate stones
B. Oxalate stones
C. Phosphate stones
D. Cystine stone
8. The following type of renal stones is very rare:
A. Oxalate stoncs
B. Phosphate stones
C. Urate stones
D . Cystine stones
9. The following is NOT a type of renal stones:
A. Oxalate stones
B. Cholesterol stones
C. Cystine stones
D. Urate stones.
[Link] gross feature of malakoplakia of the bladder mucosa is:
A. Congested and ocdematous
B. Granular, hard, whitish patches
C. Nodular, soft yellowish thickenings
D. Minute greyish nodules
E. Diffuse atrophy
[Link] following is NOT a metaplastic lesion:
A. Cystitis glandularis
B. Nephrogenic adenoma
C. Brunn’s nests
D. Leukoplakia

1 2 3 4 5 6 7 8 9 10 11

C A D B T C B D B C C
 SECTION 3
(Glomerulonephritis)
1 /Proliferation and inflammation can occur in:
a. Nephritic syndrome
b. Nephrotic syndrome
c. Both of them
d. Non of the above
2 /Antibody – mediated glomerular injury mediated by:
a. Type II hypersensitivity
b. Type IV hypersensitivity
c. Type I hypersensitivity
d. Type III hypersensitivity
3 /Linear deposition of Ab can occur in which of the following:
a. Acute diffuse glomerulonephritis
b. Crescentric glomerulonephritis
c. Diabetes mellitus
d. Non of the above
4 /In IgA nephropathy deposition of antibody occur in which of the following:
a. Subepithelial
b. Mesangium
c. Subendothelial
d. Non of the above
5 /The most frequent cause of nephrotic syndrome in children is:
a. Good pasture syndrome
b. Lipoid nephrosis
c. IgA nephropathy
d. Crescentic glomerulonephritis
6 /The most frequent cause of nephrotic syndrome in adult is.……
a. Lipoid nephrosis
b. Membranous glomerulonephritis
c. Berger's disease
d. Crescentic glomerulonephritis
7 /Means the entire glomeruli is affected:
a. Focal
b. Segmental
c. Global
d. diffuse
8 /Spikes can be seen on the basement membrane by silver stain in
a. Membranous glomerulonephritis
b. Lipoid nephrosis
c. IgA nephropathy
d. Non of the above
9 /Diabetes can cause primary disease in the kidney) (
10 /There are light gray projection in the gross picture of ADPGN) (
11 /Hyaline casts can occur in case of proteinuria) (
12/ In late stage of chronic glomerulonephritis there is oliguria and anemia ( )
13 /Outcome in acute diffuse glomerulonephritis is better in children) (
14 /Pulmonary hemorrhage with acute glomerulonephritis can occur Good
pasture syndrome) (
15 /In gross picture of chronic glomerulonephritis the kidney is enlarged in size
)(
16/ There is abnormal renal function in minimal change glomerulonephritis ( )

1 2 3 4 5 6 7 8

A A D B B B C A

9 10 11 12 13 14 15 16

F T T T T T F F
 SECTION 4
(AcuteTubular necrosis)
1. ATN affects glomeruli (T_F)
2. ATN affects epithelial cells (T_F)
3. ATN can’t cause ARF (T_F)
4. Shock is a cause for ATN (T_F)
5. ATN cause INCREASE GFR (T_F)
6. Ischemic ATN commonly affects PCT (T_F)
7. Toxic ATN comomly affect DCT (T_F)
8. Ischemic ATN is patchy (T_F)
9. In ATN recovery phase there is normal urine (T_F)

10-ATN decrease the intraluminal pressure (T_F)

11-NO increase in ATN (T_F)
12-PGI2 decrease in ATN (T_F)
13-Vasodilladation of B.V is characteristic for ATN (T_F)
14-Stasis can cause renal calculi(T_F)
15-Stasis can cause renal calculi and never cause bacterial
Infection (T_F)
16-Pyogenic cocci cause acidity of urine (T_F)
17-bacillus coli cause acidity of urine (T_F)
18-pyogenic coci cause precipitation of ca (T_F)
19-bacillus coli cause precipitation of phosphate (T_F)
20-Hypocalcinouria is founded in hyperparathyroidism (T_F)

1 2 3 4 5 6 7 8 9 10
F T F T F F F T F F
11 12 13 14 15 16 17 18 19 20
F T F T F F T T F F
 SECTION 5
1-gross feature of RCC include all the following except:
a-commonly centered in the cortex
b-surrounded by true capsule
c-commonly well circumscribed
d-cut surface is golden blue
2-the most important prognostic factor of RCC is:
a-patient age
b-tumor size
c- degree of nuclear atypia
d-degree of papillary formation
3-adenocarcinoma of urinary bladder may arise from:
a-cystitis glandularis
b-urachal remnants
c-all of the above
d-non of the above
4-the blastomatous tissue consists of:
a-spindle shaped cells
b-small primitive cells
c-small muscle cells
d-malignant epithelial cells
5- nephroblastoma is called:
a-warthin’s tumor
b-wilm’s tumor
c-benign mixed tumor
d-pancoast’s tumor
6-clear RCC arise from distal proximal tubules. (T or F)
7-Wilm’s tumor occurs in adults (T or F)
8-transitional cell carcinoma of bladder occurs mostly in non bilharizial case (T
or F)
9-RCC is called hypernephroma because it doesn’t arise from the kidney tissue
proper (T or F)
10-Schistomiasis predisposes to bladder cancer due to concentration of
tryptophan metabolites in urine (T or F)
11-RCC is not a tumor of childhood (T or F)
1 2 3 4 5 6 7 8 9 10 11
B C C B B F F T F T T
 SECTION 6
1. Syphilitic orchitis occur in:
a. Primary stage of syphilis.
b. Secondary stage of syphilis.
c. Tertiary stage of syphilis.
d. All of the above.
e. None of the above.
2. Cryptorchidism means:
a. Duplication of the testis.
b. Undescended testis.
c. Absence of the spermatic cord.
d. Absence of the testis.
3. Mode of infection in gonorrhoea is:
a. Ingestion of contaminated food.
b. Droplet infection.
c. Blood transfusion.
d. Sexual intercourse.
e. Direct contact.
4. Tuberculous epididymitis results from:
a. Direct spread.
b. Blood spread.
c. Lymphatic spread.
d. Primary infection
5. Acute non-suppurative orchitis occurs as a complication of:
a. Mumps.
b. Small pox.
c. Measles.
d. Tonsillitis.
e. Chicken pox.
6. Granulomatous orchitis usually results from:
a. Tuberculous infection.
b. Sarcoidosis.
c. Autoimmune reaction.
d. Foreign body reaction.
e. Bilharzial infection.
7. Gonorrhea is a non-suppurative inflammation. (True or False)
8. Polymyxovirus is the causative organism of mumps. (True or False)
1 2 3 4 5 6 7 8
C B D B A A F T
 SECTION 7
1 .Which of the following is true about benign prostatic hyperplasia:
a- Affect peripheral prostatic zone.
b- It is commonly change into prostatic carcinoma.
c- May lead to bilateral hydronephrosis.
d- All of the above.
2 .Which of the following is true about prostatic carcinoma:
a- Most cases are estrogen dependent tumor.
b- Most cases arise in peripheral prostatic zone.
c- Gleason combined grade 2+3 (score 5) means high grade tumor.
d- All of the above.
3 .Which of the following is true for prostatic adenocarcinoma:
a- Arise in association with gynecomastia.
b- Commonly arise from central periurethral zone of prostate.
c- PSA is a useful marker for diagnosis and follow up.
d- All of the above.
4 .Gleason's grading system for prostatic carcinoma is most important for:
a- Diagnosis.
b- Prognosis.
c- Treatment.
d- All of the above.
5 .Complication of prostatic hyperplasia include all except:
a- UTI.
b- Renal failure.
c- Prostatic carcinoma.
d- Urine incontinence
6 .This is incorrect regarding prostatic carcinoma:
a- Common in older men.
b- Common in outer peripheral gland.
c- Rarely invade bone.
d- Biopsy is required for diagnosis.
7 .Most common organism causes acute prostatitis:
a- Streptococci.
b- Gonococci.
c- E coli.
d- Non of the above.
8 .All of the following is true about adenocarcinoma except:
a- Nucleus show chromatism and vesicular with prominent nucleoli.
b- Invasive capsule.
c- Has osteoscelerotic action.
d- Non of the above.
9 .Which of the following is true about prostatic intraepithelial neoplasia:
a- Consider as carcinoma in situ.
b- Destroyed outer myoepithelial layer.
c- Precancerous.
d- A and C.
e- All of the above.
10 .Which of the following is true about Chronic prostatitis:
a- The gland is edematous and enlarged.
b- Abscess formation.
c- There is aggregate of neutrophil, Lymphocyte and plasma cell.
d- All of the above.

1 2 3 4 5 6 7 8 9 10

C B C D C C C A D C
 SECTION 8
1- Which of the following statements is true about seminoma:
a) It is a benign tumor of die seminiferous tubules
b) It is a radio-resistant tumor
c) It is type of araba
d) All of the above
e) None of THE above
2 -Which of the following statements is true about benign prostatic
hypertrophy:
a) It predominandy affects the peripheral prostatic zone
b) It very commonly changes into prostatic carcinoma
c) May lead to bilateral hydronephrosis
d) All of above
e) None of the above
3 -Which of the following statements is true about prostatic carcinoma:
a) Most cases are estrogen dependent tumors
b) Most cases arise in peripheral prostatic zone
c) Gleason's combined grade 2+3 (score 5) means a high-grade tumor.
d) All of die above
e) None of the above
4 -Which of the following statements is true for prostatic adenocarcinoma:
a) It arises in association with gynecomastia
b) It commonly arises from the central periauricular zone of the prostate
c) PSA is a useful marker for diagnosis and follow up
d) All of above
e) None of the above
5 -Mode Of infection in gonorrhea is:
a) Ingestion of contaminated food
b) Droplet infection
c) Sexual intercourse
d) Blood transfusion
e) Direct contact
6 -Syphilitic orchitis occur in:
a) Primary stage of syphilis
b) Secondary stage of syphilis
c) Tertiary stage of syphilis
d) All of above
e) None of above
7 -Germ cell tumors do not include:
a) Seminoma
b) Teratoma
c) Sertoli cell tumor
d) Yolk sac tumor
e) Embryonal carcinoma
8 -The following tumor secretes alfa fetoprotein:
a) Seminoma
b) Teratoma
c) Yolk sac tumor
d) Choriocarcinoma
e) cell tumor
9 -The following condition is a risk factor of neoplasia
a) Undescended testis
b) Acute orchitis
c) Epididymitis
d) Syphilitic orchitis
e) Granulomatous orchitis
IO- The commonest type of malignancy in malignant teratoma is:
a) Squamous cell carcinoma
b) Adenocarcinoma
c) Rhabdomyosarcoma
d) Leiomyosarcoma
e) Lymphoma
II- A 40 years-old man has a well circumscribed testicular mass. Microscopically,
this mass consists of malignant cells with large central nuclei and pale or clear
cytoplasm. The stroma shows lymphocytic infilterate. The most possible
diagnosis is:
a) Seminoma
b) Teratoma
c) Embryonal carcinoma
d) Enodermal sinus tumor
e) Choricarcinoma
12 -A 80 years old man suffering from urine incontinence and back pain. X ray
showed multiple osteoblastic metastatic lesions in the vertebrae. The most
possible primary site of cancer is:
a) Renal cell carcinoma
b) Carcinoma of urinary bladder
c) Carcinoma of die prostate
d) Carcinoma of die prostatic urethra
e) Carcinoma of the ureter
13 -Gleason's grading system for prostatic carcinoma is most important for:
a) Diagnosis
b) Prognosis
c) Treatment
d) All of above
e) None off above
14 -Complications of prostatic hyperplasia include all except:
a) Urinary tract infection
b) Renal failure
c) carcinoma
d) Urine incontinence
15 -Gonorrhea is a non-suppurative inflammation .(T-F)
16 -All germ cell tumors are malignant except mature teratoma .(T-F)
17-Seminoma never occurs before puberty .(T-F)
18 -Hormones secreated by die germ cell tumors are used for their differential
diagnosis . .(T-F)
19 -Serum levels of prostatic specific antigen are much higher in prostatic
carcinoma than in hyperplasia. .(T-F)
20 -Corpora amylacea is the name given for normal prostatic secretion which
appears as eosinophilic material in the acini. ( )

1 2 3 4 5 6 7 8 9 10

E C B C C C C C A A

11 12 13 14 15 16 17 18 19 20

A C D C F T T T T T

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