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1. A patient presents with dysuria, urinary frequency, and urgency.
Most likely diagnosis?
A. Appendicitis
B. Acute uncomplicated cystitis
C. Migraine
D. Pneumonia
Rationale: Dysuria with frequency and urgency commonly indicates
lower urinary tract infection.
2. Which organism most commonly causes uncomplicated UTI?
A. Streptococcus pyogenes
B. Escherichia coli
C. Mycobacterium tuberculosis
D. Candida albicans only
Rationale: E. coli is the most common pathogen in uncomplicated
cystitis.
3. Which finding suggests pyelonephritis rather than cystitis?
A. Dysuria only
B. Fever with flank pain
, C. Frequency only
D. Mild urgency only
Rationale: Fever and flank pain suggest upper urinary tract
involvement.
4. Which diagnostic test is commonly obtained for suspected UTI?
A. ECG
B. Urinalysis
C. Colonoscopy
D. EEG
Rationale: Urinalysis helps detect infection markers such as
leukocytes or nitrites.
5. Which patient requires urgent evaluation for possible sepsis
from UTI?
A. Mild urgency only
B. Fever, hypotension, confusion
C. Stable dysuria only
D. Mild nocturia only
Rationale: Signs of systemic instability may indicate sepsis.
6. Which counseling helps reduce recurrent UTIs?
A. Delay voiding routinely
B. Adequate hydration and regular voiding
, C. Avoid fluids entirely
D. Share antibiotics
Rationale: Hydration and regular bladder emptying may reduce
risk.
7. Which symptom suggests nephrolithiasis?
A. Sneezing only
B. Sudden flank pain radiating to groin
C. Ear pain only
D. Dry scalp only
Rationale: Kidney stones often cause severe colicky flank pain.
8. Which test is commonly used to evaluate renal stones?
A. Throat culture
B. CT scan without contrast
C. Bone density scan
D. EEG only
Rationale: Noncontrast CT is highly sensitive for stones.
9. Which advice may help prevent some kidney stones?
A. Chronic dehydration
B. Increase fluid intake
C. High sodium diet
D. Bedrest only
Rationale: Hydration can reduce stone formation risk.
, 10. Which symptom suggests benign prostatic hyperplasia
(BPH)?
A. Hemoptysis only
B. Weak urinary stream and hesitancy
C. RLQ pain only
D. Rash only
Rationale: BPH commonly causes obstructive voiding symptoms.
11. Which medication is commonly used for BPH symptom
relief?
A. Metformin
B. Tamsulosin
C. Digoxin
D. Prednisone
Rationale: Alpha blockers relax smooth muscle to improve flow.
12. Which finding in a male patient warrants urgent urology
referral?
A. Mild hesitancy only
B. Acute urinary retention
C. Stable nocturia only
D. Mild dribbling only
Rationale: Inability to void may require urgent decompression.