PUA Questions

Question 1

Which of the following genetic mutations is associated with hereditary leiomyomatosis and renal cell carcinoma (HLRCC)?
A. VHL
B. FH
C. SDHB
E. MET

Answer 1

B. FH

Question 2

In the management of refractory overactive bladder, what is the proposed mechanism of action for tibial nerve stimulation?
A. Direct inhibition of detrusor muscle
B. Modulation of sacral and pudendal nerve reflexes
C. Increased bladder compliance
D. Downregulation of muscarinic receptors

Answer 2

B. Modulation of sacral and pudendal nerve reflexes

Question 3

Which of the following is NOT a typical feature of the nutcracker syndrome?

A. Left renal vein hypertension
B. Microscopic hematuria
C. Right sided varicocele
D. Flank pain

Answer 3

C. Right sided varicocele

NUTCRACKER SYNDROME is defined as compression of the left renal vein between the abdominal aorta posteriorly and superior mesenteric artery anteriorly.

Question 4

In a patient with persistent Mullerian Duct syndrome, which of the following genetic defects is most likely present?

A. Androgen receptor mutation

B. 5-alpha reductase deficiency

C. Anti-mullerian hormone (AMH) or AMH Receptor mutation

D. SRY Gene mutation

Answer 4

** C. Anti-mullerian hormone (AMH) or AMH Receptor mutation**

Question 5

Which of the following is the most appropriate management for a patient with a large (>7cm) renal mass that is suspicious for renal carcinoma?

A. Laparoscopic simple nephrectomy
B. Laparoscopic partial nephrectomy
C. Robotic-assisted partial nephrectomy
D. Open radical nephrectomy

Answer 5

D. Open radical nephrectomy

Question 6

Which of the following urodynamic parameters best differentiates detrusor underactivity from bladder outlet obstruction in men with lower urinary tract symptoms?

A. Qmax

B. PdetQmax

C. Bladder Contractility Index (BCI)

D. Abrams-Griffiths number

Answer 6

** C. Bladder Contractility Index (BCI)**