10 MCQ

1 All of the following statements regarding Germ cell tumors (GCTs) are true except?
A Germ cell tumors (GCTs) occur bilaterally approximately 2% of the time

B teratomas may transform into somatic malignancies
C One to 5 percent of GCTs are extragonadal
D Choriocarcinomas and seminomas do not produce AFP
E The half-life of hCG is 5 to 7 days
ANSWER E
2 All of the following statements regarding male reproductive physiology are true
except?
A Both androgens and estrogens regulate LH secretion through negative feedback

B Increased levels of prolactin abolish gonadotropin pulsatility
C Testosterone is metabolized to dihydrotestosterone and estradiol
D Sertoli cells produce inhibin, which inhibits LH
E A progressive decline in testosterone and sperm production occurs with age
ANSWER D
3 All of the following statements regarding male fertility are true except?
A Sixty to seventy-five percent of couples will conceive within 6 months of

unprotected intercourse
B Human spermatogenesis requires 64 days to complete
C Sperm will survive between 2 and 5 days in favorable cervical mucus
D Mesh hernia repairs can induce a dense fibroblastic reaction and may cause vas
occlusion
E The secretions of the seminal vesicles are acidic and have a high fructose content
ANSWER E
4 All of the following statements regarding renal physiology are true except
A Sixty to 65% of filtrate is reabsorbed in the proximal tubule

B The bulk of bicarbonate is reclaimed in the distal tubule
C Cortical blood flow is approximately 5 times as great as medullary blood flow.
D For each doubling of plasma creatinine there is an approximately 50% reduction in
GFR
E The ideal substance to measure GFR is freely filtered and not metabolized, secreted,
or reabsorbed by the kidney
ANSWER B
5 All of the following statements regarding ureteral obstruction are true except?
A Pelvic lipomatosis occurs predominantly in whites
B Aneurysms may cause obstruction of the ureter due to perianeurysmal fibrosis and
inflammation
C Retroperitoneal fibrosis usually extends from the renal hilum to the pelvic brim
D Proliferative cystitis and cystitis glandularis are frequently found in patients with
pelvic lipomatosis
E Obstruction in pregnancy is more common on the right
ANSWER A
6 Criteria for renal radiologic imaging after trauma include all of the following
except?
A all penetrating trauma

B all blunt trauma with microscopic hematuria
C all blunt trauma with hypotension
D high-impact rapid deceleration trauma
E all pediatric patients with microscopic hematuria
ANSWER B
7 All of the following statements regarding renal calculi are true except?
A Cystine stone is inherited as an X-linked recessive

B Most stones in pregnancy pass spontaneously
C The most important determinate of uric acid stone formation is low urinary pH
D Hypocitraturia is defined as urinary citrate excretion less than 320 mg/day
E Low magnesium levels are often associated with decreased urinary citrate levels
ANSWER A
8 All of the following statements regarding urinary bladder physiology are true
except?
A In men, the bladder neck is rich in adrenergic innervation

B A very low outflow resistance at the bladder neck can result in low flow rates with
high detrusor pressures
C Smooth muscle is able to adjust its length over a much wider range than can
skeletal muscle
D Bladder mucosal blood flow is reduced by distention
E The umbrella cells are the primary barrier between lumen and bladder submucosa
ANSWER B
9 All of the following statements regarding hormonal regulation are true except?
A Parathyroid hormone increases bone resorption and promotes phosphate

reabsorption
B Vasopressin, in addition to increasing water reabsorption, promotes potassium
secretion
C Atrial natriuretic peptide (ANP) is produced in the atrium, and promotes natriuresis
D Vitamin D increases intestinal absorption of calcium and suppresses parathyroid
(PTH) release
E Tamm-Horsfall protein is the matrix of renal tubule casts
ANSWER A
10 All of the following statements regarding testicular tumors are true except
A Liposarcoma is the most common paratesticular tumor in the adult

B 10% of Leydig cell tumors and Sertoli cell tumors are malignant
C The primary landing zone for right testicular tumors is the right paracaval lymph
nodes
D The most common testicular neoplasm in men older than 50 is lymphoma
E Cystadenoma of the epididymis is associated with von Hippel-Lindau syndrome
ANSWER C

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1 All of the following statements regarding Germ cell tumors (GCTs) are true except?

A Germ cell tumors (GCTs) occur bilaterally approximately 2% of the time

A Both androgens and estrogens regulate LH secretion through negative feedback

A Sixty to seventy-five percent of couples will conceive within 6 months of

A Sixty to 65% of filtrate is reabsorbed in the proximal tubule

A all penetrating trauma

A Cystine stone is inherited as an X-linked recessive

A In men, the bladder neck is rich in adrenergic innervation

A Parathyroid hormone increases bone resorption and promotes phosphate

A Liposarcoma is the most common paratesticular tumor in the adult

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