Multiple choice questions for Urinary Obstruction and BPH

  1. Which one is wrong to describe hydronephrosis?
  2. is a "stretching" or dilation of the collecting part of the kidney. ;
  3. often results from a blockage in the ureter ;
  4. urine is trapped in the kidney;
  5. may also be due to reflux of urine into the bladder.
  6. too much urine produced by the kidney.
  7. The most common reason for urinary obstruction in children is ( )
  8. stone;b.injury; c.congenital; d tumor ; e.TB
  9. Urinary tract obstruction is usually caused by ( )
  10. stone; b. injury; c.congenital; d tumor ; e.TB
  11. In old men, the most common reason of urinary obstruction is ( )
  12. Congenital ;b.injury; c. tumor , d.pelvic disease; e. benign prostatic hyperplasia;
  13. Which of the following classes of medication is the most common initial treatment of men with symptomatic benign prostatic hypertrophy (BPH)?
  14. alpha 1 agonist;b. Alpha 1 blocker;c. beta agonist;d. beta 1blocker;e.watchful waiting
  15. 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.

  1. The mean prostatic weight increases after the age of ( ).

a. 20; b.30; c.40; d.50; e.60

  1. Most of the prostatic nodules responsible for the bladder outlet obstructive symptoms associated with BPH arise in the（ ）tissue.
  2. Peripheral Zone; b.Central Zone ; c.Transition Zone ; d. bladder neck zone；e.Urethral Zone
  3. In a BPH operation prostate specimen, we can see that the hyperplastic nodules comprise primarily by ( ) components.
  4. epithelial; b. stromal;c. smooth muscle; d. fibroblast; e.Urothelial.
  5. What is the firstline therapy for BPH treatment ?
  6. Watchful waiting; b. TURP; c. Medicine; d.Minimally invasive surgical treatment; e. TUIP.
  7. Which kind of gonadal hormone is important in promoting growth of prostate that would eventually lead to symptomatic BPH.
  8. testosterone; b. dihydrotestosterone; c. estrogen; d.LHRH; e.androgen
  9. Which kind of αreceptors are abundant in the prostate and base of the bladder and sparse in the body of the bladder?
  10. α1;b. α2; c. α3; d. α4; e.β1.
  11. Which king of medicine has been shown to be more efficacious in improving the lower urinary tract symptoms associated with BPH.
  12. αAdrenergic blockers ; b. 5-α reductase inhibitors; c. Rye Grass Pollen Extract; d.TURP; e. Phytotherapy.
  13. in patients with an obstructing prostate, there are some absolute indications. Which one is NOT the indication for BPH surgical intervention?
  14. 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 ?
  16. TURP; b.open prostatectomy; c. TUNA; d. TUMT
  17. In BPH surgery, an open prostatectomy may be consideredinstead of TURP when the prostate is estimated to weight more than ( ) g.
  18. 40; b.60; c.80; d.100; e. 120
  19. A typical BPH patient with IPSS score of 16 and a large prostate but no significant bother should be treated by ( )
  20. Watchful waiting; b. αAdrenergic blockers ; c. 5-α reductase inhibitors; d. Phytotherapy; e.αAdrenergic blockers plus 5-α reductase inhibitors.
  21. Watchful waiting should be administrated only in BPH patients who have ( )IPSS symptom scores.
  22. 0 ; b.0-5; c. 0-7; d. 0-10; e. 8-19
  23. The patient should be aware of the following side effects ofαAdrenergic blockersespecially of ( ).
  24. . postural hypotension, b. fatigue, c. retrograde ejaculation, d. rhinitis, e. headaches.
  25. Although TURP is the gooden standard for BPH surgery, we must be aware of it`s frequent complication of ( )
  26. 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 !