jipmer 2012 urology paper.docx

8/16/2019 jipmer 2012 urology paper.docx

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JIPMER 2013 UROLOGY QUESTION PAPER

1.which of the following is false about molecular biology ?

a. splicing: the removal of introns(spliced out) and the connection of

exons(spliced together) in mRN

b. telomere: an essentiall structural molecule of chromosome consisting

of repitative noncoding !N and associated telomere specificbinding proteins that cap and stabilise the chromosome

c. transcription: synthesis of RN on !N template

d. transfection: synthesis of proteins from mRN template

". the charecteristics of synthetic biomaterials used in the reconstruction

of genitourinary tract include

a. rapidly biodegradable

b. greater surface area to volume ratio

c. not affected by pore si#e

d. inhibiting tissue fibrous ingrowth

$. which of the following is false about bladder pain syndrome(%&') ornterstitial cystitis?

a.female to male ratio :1

b.fluctuating course of disease without longterm se*uele

c. no effect on pregnancy outcome

d.the disease seen at younger age in males and hunners ulcer seen more

commonly in males

+. gerota,s fascia opens

a.superiorly

b.inferiorly

c.medially

d.laterally

. seminal vesicles contributes ----- of semen volume?

a. +/

b. $/

c. 0/

d. /

2. sex steroids are secreted by which layer of adrenal cotex?

a. #ona glomerulosa

b. #ona fasciculate

c. #ona reticularis

d. #ona vasculosa


2/14

0. in prostate glandular volume contributes what of total volume?

a. $/

b.+/

c. 2/

d. 0/

. renal arteries arises at the level of?a. 31"

b. 41

c. 4"

d. 4$

5.what of bladder wall is composed of collagen ?

a. /

b. 2/

c. $/

d. "/

1/. latent pacema6er cells are present in?a. upper ureter

b. middle ureter

c. lower ureter

d. all of the above

11. retroperitoneal fibrosis is idiopathic in ?

a. $/b. /

c. 0/

d. 5/

1".anti proliferative factor (&7) is a mar6er of ?

a. acute prostatitis

b. neurogenic bladder

c. interstitial cystitis

d. bladder cancer

1$. the segment of 6idney most variable in origin of its blood supply?

a. apical

b. middlec. lower

d. posterior

1+.intra operatively ureter can be identifided as it enters the pelvis

a. at the superior border of sacrum

b.at the crossing of uterine artery

c. over the common iliac artery where internal iliac artery arises

d. at the aortic bifurcation


3/14

1. following drugs are contraindicated during pregnency except?

a.floro*uinolones

b.cefaclor

c. chloramphenicol

d. tetracyclins

12. a man who is evaluated for sexually transmitted disease

('3!) is unli6ely to have chlamyda infection if exposure to sexual

partener is more than

a. 1days

b. $/days

c. +days

d. 2/days

10. Reiter,s syndrome includes all except

a. prostatitis

b. urethritis

c. 8on9unctivitis

d.arthritis

1. hematospermia commonly due to

a. trauma

b. malignancy of seminal vesicles

c.tuberculosis of prostateseminal vesicles

d. non specific inflammation of prostate seminal vesicles

15. normal levels of daily protein excretion in adultsa. / ; / mg

b. / ;1/mg

c. 1//


4/14

"".true about retrocaval ureter

a. it is due to persistence of anterior cardinal vein in the

retroperitonium

b. @'A shape deformity on retrograde pyelography is diagnostic

c. definitive diagnosis can be made by B>

d. surgery is not indicated in all the cases

"$. false about angiotensinogen

a. it is a +" aminoacid protein

b. functions as serine protease inhibitor similar to alfa-1 antitrypsin

c. liver is the primary site of storage where it is synthesised

d. estrogen and glucocortcoids increases the angiotensinogen levels in

the blood

"+.following reagent is used for the detection of protein on urinary

dipstic6 test?a. peroxidise

b. red a#o dye

c. indoxyl

d. tetrabromophenol blue

". stage of 8C! when D7R is "2mlE1.0$mEmin

a. stage "

b. stage $

c. stage +

d. stage

"2. leucocyte esterase test depends on

a. double oxidative reactionb.oxidation of dia#onium salt by indoxyl

c. dia#otisation to form red a#o dye

d. calorimetric reaction with sodium nitroprusside

"0. ' unit of absorbed dose of radiation?

a. gray

b. roentgen

c. sieverts

d. rads

". false about acute interstitial nephritis (N)

a. clinical picture although variable usually involves abnormal urinary

sedimentb.renal biopsy is not usually re*uired for the confirmation of diagnosis

c.most common cause of granuloma formation is sarcoidosis

d. nephrotic range proteinuria is fre*uently seen in N due to

N'!F'


5/14

"5. most commonly used transducer in 3R>'

a. "Gh#

b. $Gh#

c. Gh#

d. 0Gh#

$/.in the treatment of hyper6elemia which of the following doesnFt alterthe serum CH levels

a.insulin H glucose

b.sodium bicarbonate

c.calcium gluconate

d.nebulised albuterol

$1.adult effective dose of radiation who exposed to 83 C>% without and

with contrast

a. = /.1 msv

b. /.1 to 1 msv

c. 1 to 1/ msv

d. 1/ to 1// msv

$". following is not a mechanism of action of idiosyncratic anaphylactoid

reactions due to intravascular iodinated contrast media

a. release of vasoactive substances including histamine

b. activation of physiologic cascades including complement 6inin

coagulation and fibrinolytic systems

c. activation of cholinesterase

d. patientFs anxiety

$$. treatment regimen for uncomplicated cystitis in asymptamatic adult

women

a. $ days

b. daysc. 0 days

d. 1/ days

$+. which of the following is false when 3c 55-!G' is used to

differentiate hydronephrosis(I!N) from multi cystic 6idneys

(G8!C)a. G8!C rarely reveals concentration of isotope in the cortex

b. I!N rarely excrete the isotope in the collecting system

c. G8!C more medial enhancement than periphery

d. I!N more peripheral enhancement than medial


6/14

$. true about stents

a. increases ureter peristalisis

b. decreases the intra renal pressure

c. increases the intra renal pressure

d. it provides better drainage than nephrostomy

$2. Gichaelis Dutmann bodies charestrically found ina. xantho granulomatous pyelonephritis

b. chlamyda infection

c. interstitial cystitis

d. renal mala6opla6ia

$0. false about spermatocytic seminoma

a. contributes = 1 of testicular tumors

b. arises from germcell intra epithelial neoplasia

c. commonly seen in the 2th decade

d. usually benign orchiectomy is the treatment of choice

$. urethral in9uries seen in

a. of pelvicJ in malesb. 1/ of pelvicJ in males

c. $/ of pelvicJ in males

d. +/ of pelvicJ in males

$5. half life of I8D and 7& respectively

a. "+ to $2 hrs $ to 0 days

b. "+ to $2 hrs " to $ days

c. to 2 hrs $ to days

d. " to $ hrs $ to 0 days

+/. when compared to silicon catheters made up of latex are

a. less cost

b. less tissue reactivity

c. less bacterial adherence

d. less incidence of >3

+1. following is not a relative contraindication of retroperitoneal

approach

a. previous per cutaneous renal surgery

b. previous open renal surgeryc. hEo radio therapy

d. hEo xantho granulomatous pyelonephritis

+". advantages of rigid endoscopes EK

a. larger wor6ing channel

b. larger lumen allows for improved irrigant flow

c. improved image *uality due to presence of rod lens system

d. ability to deflect the endoscope tip


7/14

+$. following catheter is used during difficult catheterisation in males

a. Robison

b. 8ouncil

c. 8oude

d. Lhistle tip

++. false about phenylephrine used in the treatment of priapism

a. drug of choice for intra corporeal in9ection

b. it is a non selective alfa agonist which acts on alfa receptors

c. doesnFt have beta mediated chronotropic ionotropic effects

d. is diluted to "// micro grams per ml and given as /.ml to 1ml

+. following is not used for the treatment of pyronies disease

a. carnitin

b. intralesional verapamil

c. extra corporial shoc6wave therapy

d. radiation therapy

+2. other name for @sertolicell only syndromeA

a. hypospermatogenesis

b. maturation arrest

c. germinal cell aplasia

d. endstage testis

+0. which of the following disease doesnFt recurr after renal

transplantation

a. 7'D'

b. I>'c. !&C!

d. &rimary oxaluria

+. not a absolute indication of renal exploration after trauma

a. hemodynamic instability with shoc6

b. expanding pulsatile renal hematoma

c. suspected renal pedicle avulsion

d. non viable tissue

+5. false about medial fibroplasia

a. most common fibroplasia constituting $/ to +/ of fibrous

lesions

b. occurs in women between $ to /y of agec. often involves both renal arteries

d. none of the above

/. following immunosuppressant causes diabetes

a. mycophenolate mofetil

b. cyclosporine

c. sirolimus

d. a#athiopine


8/14

1. grade of in9ury when ureter transection is =/ following truma

a. grade 1

b. grade "

c. grade $

d. grade +

". postoperative B fluid of choice after renal transplantation

a. /." Na8l

b. /.+ Na8l

c. /.5 Na8l

d. $ Na8l

$. after transplantation the minimum duration after which couple is advised to plan for pregnancy

a. $mb. 2m

c. 1"m

d. "+m

+. drug which decreases the levels of cyclosporine in the blood

a. refampicine

b. phenobarbitone

c. 6etocona#ole

d. phenytoin

. regarding fertility after transplantation all of the following true

except

a. after successful 6idney transplantation levels of 7'I 4Itestosterone usually becomes normal and spermatogenesis

improves

b. among male recipients who have fathered children there has

been increase in congenital abnormalities in the offspring

c. impregnation be delayed atleast 1y after transplantation

d. successful renal transplantation usually restores fertility in

premenopausal women

2. false about renal artery stenosis after renal transplantation

a. it can be due to atheroma or faulty suture techni*ue

b. can present with impaired renal function

c. finding of bruit over the 6idney graft is a reliable

sign of diagnosisd. percutaneous transluminal angioplasty is the intial treatment

of choice


9/14

0. one 7rench (17) e*uals to

a. /.$$mm in circumference

b. $.$mm in circumference

c. /.$$mm in diameter

d. $.$mm in diameter

. most common cause of gross hematuria in M/y male

a. R88

b. 8a bladder

c. 8a prostate

d. Iypercalciuria

5. hypomagnesuric urolithiasis caused by EK

a. laxative abuse

b. inflammatory bowel disease

c. chronic thia#ide therapy

d. chronic citrate therapy

2/. false about cystinuriaa. is caused by autosomal recessive error of transepithelial transport involving intestine and 6idneys

b. crystalli#ation occurs when excreted concentration is above

"/mg E 4

c. relatively more radio opa*ue and diagnosed on plane xray

d. staghorn calculi or multiple filled calyces are common

21. false about pregnancy associated hydronephrosis

a. commonly starts from "nd trimester

b. usually resolves within one month following delivery

c. left side is more common than right side

d. ureter dialatation doesnFt extend below pelvic brim

2". the wavelength of Io-D lasera. 1/2/nm

b. "1//nm

c. "/nm

d. 1/2//nm

2$. incidence of primary bladder calculi is highest during

a. 1st decade

b. "nd decade

c. $rd decaded. +th decade

2+. mineralogical name for calcium oxalate monohydrate

a. whewellite

b. weddellite

c. brushite

d. whitloc6ite


10/14

2. microscopic appearance of cystine calculi

a. hexagonal

b. envelope shaped

c. hourglass

d. rectangular

22. not a cause of a*uired renal tubular acidosisa. obstructive uropathy

b. idiopathic hyper calciuria

c. cystinuria

d. recurrent pyelonephritis

20. which of the following is not a poor prognostic factor for metastatic R88

a. 6arnofs6y performance score =/

b. elevated lactate dehydrogenase(M1. times upper limit of normal)

c. elevated corrected calcium (M1/mgEd4)

d. prior nephrectomy status

2. true about recurrence after partial nephrectomy for R88

a. incidence is $/ to /b. most commonly seen in tumor bed

c. commonly due to persistence of the tumor

d. thermal ablation is a treatment option

25. most common cyst from which adrenocortical carcinoma arises?

a. endothelialb. epithelial

c. pseudocyst

d. parasitic

0/. most common primary urethral calculi?

a. ca oxalate

b. ca phosphate

c. uricacid

d. magnesium ammonium phosphate

01. halflife of dapoxetene?

a. +mins

b. 1.hrsc. "hrs

d. +hrs

0". infection calculi most commonly caused by?

a. K coli

b. &seudomonas

c. &roteus

d. 'taphylococcus


11/14

0$. following is not a feature of Iinman 'yndome

a. incontinence

b. recurrent >3

c. incomplete emptying

d. hematuria

0+. according to G! classification type 1 synthetic mesh

a. poresi#e $/ to / mm

b. poresi#e / to 0mm

c. submicronic pore si#e

d. poresi#e M 0 mm

0. for following reasons vaginal approach is preffered over

abdominal for bladder nec6 closure except

a. prior pelvic surgery

b. prior pelvic radiotherapy

c. when martius flap is used

d. greater flexibility of lower limbs

02. false about 7owler 'yndrome

a. abdominal distention

b. no sensation

c. increased bladder capacity M1 4

d. feeling of urgency

00. false regarding the outcome following revascularisation of

atherosclerotic renal artery disease

a. outcome is similar irrespective of pre op serum cr leveles

b. outcome is good when there is deterioration in the renal function where angiotensin receptor bloc6ers are

used to

controle I3N

c. preop 6idney si#e M5cm good outcome

d. %E4 renal artery stenosis good outcome

0. false about primary hyperoxluria

a. type 1 is most common and due to deficiency of alaninEglyoxalate aminotransferase en#yme

b. type " is due to deficiency of glyoxalate reductaseEhydroxypyruvate reductase

c. urinary oxalate levels increased without increase in serum levelsd. without treatment death is common before "/y of age

05. most important pathogenitic mechanism of uricacid stones

a.dcreased urinary pI

b.low urine volume

c. hyper uricosuria

d. hyper calciuria


12/14

/. most common cause of ureterocolic fistula

a. extensive local colonic malignancy

b. diverticulitisc. chrons disease

d. radiotherapy

1. following is not a feature of Douverneur 'yndrome

a. fre*uency

b. dysuria

c. hesitancy

d. tenismus

". incidence of unilateral renal agenisis

a. 1E11//

b. 1E""//

c. 1E12//

d. 1E+/

$. true among the following

a. most of the urinary oxalate derived from dietary sources

b. severe calcium restriction leads to enteric hyperoxaluria

c. oral oxalate restriction is the treatment of primay hyperoxaluria

d. 5 of oxalate is ultrafilterable and reabsorption is negligible

+. false regarding stones during pregnancy

a. age ad9usted incidence of stones is similar in multiparous and primapara women

b. incidence is similar in pregnancy and non pregnancy states

c. incidence is more on 4t side than Rt side

d. ureteric stones twice common than renal stones

. prostate volume highly correlates with

a. &'

b. >rine flow rate

c. &ost void residual volume

d. histological grade

2. in a postmenopausal women with 3" bladder ca planned for

surgery. Lhich of the following structure is not removed

a. ovaries

b. uterus

c. vagina

d. all of the above


13/14

0. true physical restriction of ureter is seen at

a. >&

b. >B

c. at the crossing of gonadal vessels

d. where ureter crosses iliac vessels

.reflux of urine into non dilated ureter pelvis corresponds to B>R

a. grade "

b. grade $

c. grade +

d. grade

5. cremasteric artery is a branch of

a. internal pudendal

b. obturator

c. inferior epigastric

d. external iliac

5/. true about triangulation techni*ue used during percutaneous

access to upper collecting system

a. ability to maintain both the medio-lateral cephalo-caudal planes as

in the Feye-of-the needleF techni*ue

b. ability to moniter the depth of the needle continuously

c. typically "1-gauge needle is used to maintain the angle of entry

d. can be used to place the needle at any location and angle

51. false about 6linefelter syndrome

a. enuchoidism

b. gynecoomastia

c. a#oospermia

d. decreased gonadotrophin levels

5". inner most covering of testis

a. tunica albugenia

b. tunica vasculosa

c. tunica vaginalis

c. cremasteric fascia

5$. mechanism of absorption of Ico$- in &83

a. active diffusion

b. action of carbonic anhydrase

c. passive diffusion

d. no absorption in &83


14/14

5+. transverse plication of redundant ureter

a. 6alisin6i plication

b. starr plication

c. polatino ; lead better method

d. hendren plication

5 medullary sponge 6idney truea. common in male stone formers than female

b. is a rare cause of hypercalciuria

c. is a rare cause of hypertension

d. is heritable

52. persistence of hydronephrosis in immediate postop period after surgical correction of B>R is commonly

due to

a. >&O

b. >BO

c. non obstructive hydronephrosis

d. infravesical obstruction

50. most common crossed renal ectopia

a. crossed renal ectopia without fusion

b. crossed renal ectopia with superior fusion

c. crossed renal ectopia with inferior fusion

d. solitary crossed renal ectopia

5. true about thoracic 6idney

a. most commonly associated with diaphragmatic hernia

b. renal arteries commonly derived from thoracic aortac. renal rotation is usually complete

d. fre*uently associated with ascent of other intra abdominal structures

55.following is true regarding the prenatal ultrasonography of

renal cysts

a. multiple microcysts usually visualised as diffuse hypoechogenic

6idney

b. multiple renal cysts are usually communicating

c. a cyst in the upper pole of 6idney is usually a dilated upper pole of duplex 6idney

d. presence of central large cyst is charecterestic of G8!C

1//. after ureteroneocystostomy for correction of B>Ra. early refux is common

b. contralateral reflux is more common than ipsilateral

c. early reflux spontaneously resolves by 1yr

d. persistence of reflux at 1yr doesnFt correlates with preop grade of reflux

jipmer 2012 urology paper.docx

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