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Question 1
A 62-year-old male with a baseline PSA of 6.8 ng/mL undergoes multiparametric MRI (mpMRI) of the prostate, which demonstrates a 14 mm PI-RADS 5 lesion in the right peripheral zone with abutment of the capsule but no gross extraprostatic extension. Targeted and systematic transperineal biopsies reveal ISUP Grade Group 2 (Gleason score 3+4=7) adenocarcinoma in 3 targeted cores (maximum core involvement 40%), and all systematic cores from the left lobe are benign. What is the most appropriate next clinical management discussion with this patient?
Correct Answer:
Discussion of definitive local therapies (radical prostatectomy or external beam radiotherapy) versus carefully monitored active surveillance
Question 2
A 66-year-old male who underwent robot-assisted laparoscopic radical prostatectomy 2 years ago for pT3aN0 prostate cancer with negative surgical margins had an undetectable postoperative PSA (
Correct Answer:
Biochemical recurrence; initiate salvage radiation therapy to the prostatic bed with consideration of short-term ADT
Question 3
A 71-year-old male presents with bone pain and is diagnosed with de novo metastatic hormone-sensitive prostate cancer (mHSPC). Staging 68Ga-PSMA PET/CT demonstrates multiple avid lesions across the lumbar spine, pelvis, and ribs (high-volume disease by CHAARTED criteria), with a baseline PSA of 185 ng/mL and normal organ function. What represents the current evidence-based first-line systemic management?
Correct Answer:
Triplet systemic therapy with ADT, docetaxel chemotherapy, and an AR pathway inhibitor (darolutamide or abiraterone)
Question 4
During evaluation of a 60-year-old male with mild lower urinary tract symptoms, multiparametric MRI of the prostate demonstrates a 12 mm well-circumscribed, encapsulated, round nodule within the transition zone with heterogeneous T2 signal and no diffusion restriction or focal early enhancement. According to PI-RADS v2.1 guidelines, how should this finding be categorized?
Correct Answer:
PI-RADS 2 (Clinically significant cancer is unlikely)
Question 5
A 64-year-old male with clinically localized prostate cancer (PSA 16 ng/mL, cT2b, ISUP Grade Group 4 [Gleason 4+4=8]) is scheduled for robot-assisted radical prostatectomy. A validated nomogram calculates an estimated pelvic lymph node involvement risk of 22%. What constitutes the standard anatomical template for extended pelvic lymph node dissection (ePLND) in this patient?
Correct Answer:
Removal of external iliac, obturator fossa, and internal iliac (hypogastric) nodal packets up to the common iliac bifurcation bilaterally
Question 1
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About this Exam

Prepare with the Arab Board Urology Clinical Exam Practice Questions - Arab Board of Health Specializations Urology Final Clinical and Oral Exam practice quiz. This question bank includes 100 questions covering year-old, male, renal, reveals, and presents. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Arab Board Urology Clinical Exam Practice Questions - Arab Board of Health Specializations Urology Final Clinical and Oral Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, male, renal, reveals, and presents. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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