Bladder Cancer

Q) What is the most suitable treatment option for non muscle-invasive bladder cancer with the risk of recurrences?

A)Cystectomy

B)Intravesical chemotherapy

C)Transurethral resection and adjuvant intravesical chemotherapy

D)Palliative therapy

Answer-C(Schwartz-1654)

Patients with non–muscle-invasive bladder cancer (confined to the bladder mucosa or submucosa) can be managed with transurethral resection alone and adjuvant intravesical (instilled into the bladder) chemotherapy/immunotherapy.

The use of these intravesical agents is critical since patients with non–muscle-invasive bladder cancer are at risk for tumour recurrence and progression.

 

Uro Onco MCQS

VON Hipple

Q)Von Hippel Lindau (VHL) causes all except
1. breast cancer
2. pancreas cancer
3. renal
4. hemangioma of cerebellum

 

Renal cell carcinoma

Q) False about Renal cell carcinoma is

a) More common in males

b) Associated with von hippel lindau syndrome

c) Always require radical nephrectomy

d) Has paraneoplastic manifestaions

Answer

c


Renal cell carcinoma is more common in males

Genetic

loss of heterozygosity in chromosome 3p

B/l RCC is associated with VHL syndrome

Paraneoplastic of RCC

Anemia, hypettension, erythrocytosis.

Radical nephrectomy is the gold standard but not always necessary and partial nephrectomies in selected cases give good clearance

Neuroblastoma

Q Not a true statement about Neuroblastoma 
A. Arises from adrenal cortex
B. Can cause paraplegia
C. May cause Hypertension
D. Secrete hormones

Answer see below if you are a premium member and logged in

Sipuleucel-T

Q ) Sipuleucel-T is a vaccine for
A. RCC
B. Testicular carcinoma
C. Prostate carcinoma
D. Bladder carcinoma


Answer visible to premium members who are logged in

UTI Sample

Q) 45 year old male is having recurrent UTI . Best specimen for culture in UTI
A. Midstream urine at anytime
B. Midstream urine at early morning
C. First voided sample
D. Any urine sample

Answer 

a

In males- midstream urine sample 

 

Ketoconazole in prostate cancer

Q) Ketoconazole action in prostate carcinoma is
A. Pituitary inhibition
B. Adrenal ablation
C. Inhibits DHT formation
D. Androgen antagonist

Answer will be visible here only if you are a premium member and logged in 

Stone in alkaline urine

Q) Stone formed in alkaline urine is
A. Calcium oxalate
B. Calcium phosphate
C. Cysteine
D. Uric acid

Answer

Pyelonephritis in child

Q) A  child who recovered from a bout of Pyelonephritis, most useful investigation is
A. DTPA
B. DMSA
C. MCU
D. IVP

Answer