Reproductive Biology / Medicine / Infertility MCQs – Exercise 24

The multiple choice questions in this online test paper focuses on Reproductive Biology / Reproductive Medicine / Infertility MCQ. If you are looking for self evaluation of your PG Medical entrance exam preparation then this online Reproductive Biology / Reproductive Medicine / Infertility MCQ Test Paper will help you to evaluate your exam preparation.

Instruction for REPRODUCTIVE BIOLOGY/ REPRODUCTIVE MEDICINE / INFERTILITY MCQs:

1- This online MCQ practice test paper contains 30 questions.
2- Each question in this online practice test paper have four options and only 1 option is correct.
3- You can view the answers of this practice test paper after submitting the practice test paper.
Note: The answers mentioned at the end of practice test are the best suitable option as per our knowledge. Users shall cross-check the answers with their textbooks.

Q 1. Benign prostatic hyperplasia (BPH) originates in the:

transition zone.

peripheral zone.

periurethral glands.

transition zone and periurethral zone.

Q 2. An absolute indication for surgery (TURP or open prostatectomy) is:

severe symptoms.

PVR urine volume of 300 mL or more.

single episode of acute urinary retention (AUR).

refractory gross hematuria secondary to BPH.

Q 3. Strong correlation exists between prostate volume and:

serum prostate-specific antigen (PSA).

International Prostate Symptom Score (IPSS).

peak urinary flow rate (PFR).

postvoid residual (PVR) urine volume.

Q 4. The tension of prostate smooth muscle is mediated by the:

α1 receptor.

α2 receptor.

β2 receptor.

muscarinic cholinergic receptor.

Q 5. The primary objective of the digital rectal examination (DRE) in the evaluation of men with LUTS is to:

estimate prostate volume.

obtain prostatic secretions.

identify prostate nodules.

determine rectal tone.

Q 6. Advantage of terazosin over prazosin?

Its longer half-life

Its better absorption

Its greater α1-receptor selectivity

Its lesser expense

Q 7. Percentage of men with LUTS who have uninhibited contractions?

10%

30%

60%

80%

Q 8. Next step for a man with a PVR urine volume of 300 mL?

Repeat the PVR

Upper urinary tract imaging

Urodynamic testing

TURP

Q 9. Percentages of men older than 50 years of age have moderate or severe LUTS?

30%

50%

Q 10. Likelihood that a man with acute urinary retention will develop a subsequent episode of urinary retention within 1 week is approximately:

20%.

40%.

60%.

80%.

Q 11. A low PFR suggests:

severe symptoms.

bladder outlet obstruction.

impaired detrusor contractility.

B&C

Q 12. Likely mechanism for dizziness with α1-adrenergic blocker therapy

Vascular

Central nervous system

Carotid baroreceptor

Psychological factors

Q 13. What percentage of men have both BPH and hypertension?

15%

30%

50%

Q 14. According to IPSS LUTS is said to be severe if score is

0–7

8–19

20–35

>35

Q 15. Urodynamic study helps to decrease the failure rate of TURP in men with a PFR of 15 mL/sec is approximately:

10%.

25%.

50%.

75%.

Q 16. Medications that influence symptoms and flow rate true statement include

There is no documented influence of any medication on symptoms or flow rate.

Antihistamines and bronchodilators significantly decrease urinary flow rates.

Calcium channel blockers and β-adrenergic blockers reduce urinary flow rates significantly.

Antidepressants, antihistamines, and bronchodilators increase the symptom score by several points.

Q 17. Retrograde ejaculation is most commonly seen with:

terazosin.

prazosin.

finasteride.

Tamsulosin

Q 18. In a man with BPH and a slightly elevated creatinine concentration it is advisable to perform:

transurethral resection of the prostate (TURP).

intravenous pyelography.

renal ultrasonography.

urodynamic study.

Q 19. Ideal candidate for medical therapy for BPH should have symptoms that are:

severe

moderate.

minimal.

bothersome.

Q 20. Smooth muscle accounts for what percentage of the area density of the prostate?

10%

20%

40%

Q 21. An IPSS of 20 indicates severe:

LUTS.

BPH.

bladder outlet obstruction.

bladder dysfunction.

Q 22. Major advantage of tamsulosin 0.4 mg over terazosin 10 mg is:

greater efficiency.

less retrograde ejaculation.

no dose titration

greater lowering of blood pressure.

Q 23. Which of the following α-adrenergic blockers does not lower blood pressure in men with uncontrolled hypertension?

Terazosin

Tamsulosin

Prazosin

Q 24. Imaging of the upper tract is indicated for:

prostate glands weighing more than 50 g.

urinalysis demonstrating hematuria.

bladder trabeculation.

severe LUTS.

Q 25. The definition of detrusor instability is bladder pressure greater than which level at a bladder volume of 300 mL or less?

5 cm H2O a

15 cm H2O

40 cm H2O

60 cm H2O

Q 26. Improvement in the IPSS of 5 units correlates with a symptom improvement that is:

marked.

moderate.

slight.

none.

Q 27. Percentage of men who have histologically proven BPH with a serum PSA value of 4.0 ng/mL or greater?

15%

30%

50%

Q 28. In older men with LUTS, which test should be routinely performed?

Urinalysis

Peak flow rate

Serum creatinine assay

Renal ultrasonography

Q 29. Bladder trabeculation suggests:

high-grade obstruction.

high success rate after TURP.

high PVR urine volume.

none of the above.

Q 30. Uninhibited detrusor contractions in men with BPH will resolve after TURP?

Never

Unlikely

Likely

Always

Reproductive Biology / Medicine / Infertility MCQs – Exercise 24

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Reproductive Biology / Medicine / Infertility MCQs – Exercise 24

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