COMPREHENSIVE GU, KIDNEY, AND BILIARY DISORDERS
REVIEW FOR NURSING STUDENTS| FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Which structure is most likely involved with suprapubic discomfort, urinary frequency, urgency,
and dysuria? Answer: Bladder
What condition is most consistent with severe flank pain that radiates to the groin, nausea, and
hematuria? Answer: Renal calculi
Which structure is the likely source of perineal pain, painful ejaculation, dysuria, and fever?
Answer: Prostate
What condition is most likely with dull, aching flank pain, fever, and chills? Answer:
Pyelonephritis
In a patient with burning pain during urination but no flank or suprapubic pain, which structure
is involved? Answer: Urethra
What structure is best described as the source of sudden onset intense unilateral flank pain,
restlessness, and vomiting? Answer: Kidney
Which area is most likely affected in a female patient with suprapubic pressure, cloudy urine,
and foul-smelling urine? Answer: Bladder
What finding suggests involvement of the kidney in a patient with flank pain that worsens with
percussion over the costovertebral angle? Answer: CVA tenderness
Which structure is most likely causing symptoms of hesitancy, weak urine stream, nocturia, and
deep pelvic discomfort? Answer: Prostate
What structure is primarily involved in a patient reporting pain at the start of urination and
urethral discharge? Answer: Urethra
What pain pattern is recognized as originating from the ureter in a patient experiencing colicky
pain that moves from the flank toward the lower abdomen? Answer: Ureter
In a patient with bladder distention reporting lower abdominal pain and inability to void, which
structure is the source of pain? Answer: Bladder
Which condition is most likely in a patient reporting rectal pressure, low back pain, fever, and
urinary urgency? Answer: Acute prostatitis
What pain description is most consistent with continuous dull flank pain rather than sharp
colicky pain? Answer: Renal inflammation
What best indicates bladder involvement in pain description? Answer: Suprapubic pressure
relieved after voiding
What structure is suspected when a patient experiences pain that increases as the bladder fills
and improves after voiding? Answer: Bladder
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
REVIEW FOR NURSING STUDENTS| FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Which structure is most likely involved with suprapubic discomfort, urinary frequency, urgency,
and dysuria? Answer: Bladder
What condition is most consistent with severe flank pain that radiates to the groin, nausea, and
hematuria? Answer: Renal calculi
Which structure is the likely source of perineal pain, painful ejaculation, dysuria, and fever?
Answer: Prostate
What condition is most likely with dull, aching flank pain, fever, and chills? Answer:
Pyelonephritis
In a patient with burning pain during urination but no flank or suprapubic pain, which structure
is involved? Answer: Urethra
What structure is best described as the source of sudden onset intense unilateral flank pain,
restlessness, and vomiting? Answer: Kidney
Which area is most likely affected in a female patient with suprapubic pressure, cloudy urine,
and foul-smelling urine? Answer: Bladder
What finding suggests involvement of the kidney in a patient with flank pain that worsens with
percussion over the costovertebral angle? Answer: CVA tenderness
Which structure is most likely causing symptoms of hesitancy, weak urine stream, nocturia, and
deep pelvic discomfort? Answer: Prostate
What structure is primarily involved in a patient reporting pain at the start of urination and
urethral discharge? Answer: Urethra
What pain pattern is recognized as originating from the ureter in a patient experiencing colicky
pain that moves from the flank toward the lower abdomen? Answer: Ureter
In a patient with bladder distention reporting lower abdominal pain and inability to void, which
structure is the source of pain? Answer: Bladder
Which condition is most likely in a patient reporting rectal pressure, low back pain, fever, and
urinary urgency? Answer: Acute prostatitis
What pain description is most consistent with continuous dull flank pain rather than sharp
colicky pain? Answer: Renal inflammation
What best indicates bladder involvement in pain description? Answer: Suprapubic pressure
relieved after voiding
What structure is suspected when a patient experiences pain that increases as the bladder fills
and improves after voiding? Answer: Bladder
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
