1.

The recommended occupational exposure

limit to medical personnel according to the
(National Council on Radiation Protection
and Measurements, 2012) is:
A. 6.2 mSv/year
B. 10.5 mSv/year
C. 20 mSv/yaer
D. 50 mSv/year
E. 18 mSv/year
Answer: D

2. The intravenous iodinated contrast media

has the following characters that is why it
used frequently in radiologic study
A. Highly hydrophilic
B. Low in lipid solubility
C. Of low binding affinity for protein
receptors
D. Of low binding affinity for
membranes
E. It can enter inside RBCs or
tissue cells
Answer: E
3. A 38 years old male, oligospermic patient
underwent bilateral testicular biopsy for
IVF, one year later seminal fluid analysis
found to be azospermic, hormonal study
done for him and found to be within
normal limits, FNA from both testes
reveal hypospermatogenesis. The most
likely complication occured due to
testicular biopsy is
A. Epidydimal obstruction
B. Tubular obstruction
C. Vas obstruction
D. Complete transaction of the vas
E. Complete transaction of the
epidydimis
Answer: A
4. 29 years old male presented with testicular
ache of recurrent attacks, testicular US
revealed a non-palpable 9mm Lt.
testicular mass, SFA of revealed mild
oligospermia. The best next step is
A. Radical orchoidectomy
B. US surveillance
C. Biopsy
D. Partial orchoidectomy
E. Do MRI
 Answer: B
5. The metabolic syndrome traits that
responsible for increased incidence of
stone disease are all except one.
A. Visceral obesity
B. Hyperglyceridemia
C. Hyperglycemia
D. Hyperthyroidism
E. Hypertension
Answer: D
6. The sacral plexus can be injured when it
pass through the greater sciatic foramina
during which of the following procedure.
A. Radical prostatectomy
B. Rectopexy
C. Sacrospinous culdosuspension
D. Anterior vaginal repair
E. Radical cystectomy
Answer: C

7. The A delta neve fibers in the bladder wall

is largely respond to the passive bladder
distention and active bladder contractions
is
A. Active bladder distention
B. Passive bladder contraction
 C. Passive bladder distention and
active bladder contraction
D. Active bladder emptying
E. Passive bladder emptying
Answer: C

8. A 45 years old female, presented to the

urology clinic with frank painless
haematurea, urinary tract ultrasound
revealed a single bladder mass 4×4cm
solid mass in the Lt. lateral wall, later on
underwent cystourethroscopy and
TURBT. Histopathology came back and
reveal high grade invasive T. C.C..
Metastatic workup was negative, for better
quality of life what is the best option for
this lady
A. Neoadjuvant chemotherapy with
radical cystectomy and incontinent
diversion
B. Cystectomy, forgo the uterus
and vagina with orthotopic
diversion
C. Anterior pelvic exenteration with
orthotopic diversion
D. Anterior pelvic exenteration with
incontinent diversion
 E. Cystectomy, forgo the uterus and
vagina with incontinent diversion
Answer: B
9. A meticulous lymph node dissection is
essential component in radical cystectomy.
The pathologic LN metastasis at time of
cystectomy is reported as proximally as.
A. 10%
B. 15%
C. 20%
D. 25%
E. 30%
Answer: D
10. Before reversal vasovasostomy done
which one of the following tests should be
done
A. FSH hormone level
B. LH hormone level
C. Sperm analysis with
centrifugation and examination of
the pellet for sperm
D. Antisperm antibody
E. Testicular ultrasound study
Answer: C
11. Autosomal dominant kidney disease is
a systemic disease with varied renal
pathology include all of the following
except.
A. Renal cysts
B. Calculi
C. Renal artery aneurysm
D. Infection
E. Haemorrhage
Answer: C
12. During normal pregnancy the stone
formation is unchanged in spite of a
physiological state of absorptive
hypercalciurea. The exact cause for this
phenomena is
A. Placental production of
1,25dihydroxycholicalciferol
B. Increase PTH
C. Decreased urinary
glycosaminoglycans.
D. Decreased urinary citrate levels.
E. Increase vit. D metabolism in the
liver
Answer: A
13. A 30 years old male patient underwent
renal transplant 2 years ago presented with
haematurea and renal mass in the allograft.
FNA of the mass reveal Epstein-Barr
virus related non Hodgkin lymphoma, the
first step in treatment of this tumor is.
A. Nephrectomy of transplanted
kidney
B. Antiviral antibiotic
C. Anti CD-20
D. Reduction or withdrawal of
imunosuppresions
E. Chemotherapy
Answer: D
14. A 34 years old male patient underwent
Lt. Radical orchoidectomy for germ cell
tumor, after routine biopsy of the
contralateral testis found to have germ cell
neoplasia insitue (GCNIS) in this
remaining testis. The best treatment option
for this patient is
A. Radiotherapy
B. Partial orchoidectomy
C. Radical orchoidectomy
 D. Cispaltin- based chemotherapy
E. Active surveillance
Answer A
15. In pediatric age group the most
common cause of urolithiasis is
A. Hyperuricosuria
B. Hypercalciuria hypocitraturia
C. Cystinuria
D. Congenital abnormality
E. Hyperoxaluria
Answer: B
16. A 42 years old male, sustained
abdominal high velocity abdominal bullet
injury underwent urgent laparatomy which
revealed intestinal injury of small and
large bowel associated with Lt. mid
ureteric injury. The best management
regarding his ureteric injury is
A. Direct ureteroureterostomy
B. Trans ureteroureterostomy
C. Simple nephrectomy of the
ipsilateral kidney
D. Ureteric repair with bowel
interposition
E. Ureteric repair with Boari flap
Answer C