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Question 1
A 64-year-old man with a baseline PSA of 6.2 ng/mL and a normal digital rectal examination undergoes multiparametric MRI (mpMRI) of the prostate. The MRI reveals a 14 mm focal lesion in the peripheral zone of the right mid-gland with marked hypointensity on ADC, marked hyperintensity on high b-value DWI, and early focal contrast enhancement, classified as PI-RADS 4. According to EAU and Swiss guidelines, what is the most appropriate next step in diagnostic management?
Correct Answer:
Combined MRI-targeted biopsy (cognitive, fusion, or in-bore) plus systematic template core biopsies of the prostate
Question 2
A 58-year-old asymptomatic man is diagnosed with prostate adenocarcinoma following a combined MRI-targeted and systematic biopsy. Pathology confirms ISUP Grade Group 1 (Gleason score 3+3=6) in 2 out of 14 cores, with a maximum core involvement of 30%. His PSA is 4.8 ng/mL, prostate volume is 45 mL (PSA density 0.11 ng/mL/cc), and digital rectal examination is normal (cT1c). According to EAU guidelines, what is the preferred initial management strategy?
Correct Answer:
Active surveillance with scheduled PSA monitoring, repeat mpMRI, and confirmatory/surveillance biopsies
Question 3
A 66-year-old man with newly diagnosed high-risk localized prostate cancer (cT3a on MRI, PSA 24 ng/mL, biopsy ISUP Grade Group 4 [Gleason 4+4=8]) is scheduled for robotic-assisted radical prostatectomy. A validated nomogram calculates a 28% risk of pelvic lymph node involvement. According to EAU guidelines, what is the standard anatomical template for extended pelvic lymph node dissection (ePLND)?
Correct Answer:
Removal of obturator, external iliac, and internal iliac (hypogastric) lymph node packets bilaterally
Question 4
A 62-year-old man underwent radical prostatectomy for pT3a pN0 R1 prostate adenocarcinoma 18 months ago. His post-operative PSA nadir was < 0.01 ng/mL. On routine follow-up, his PSA is measured at 0.22 ng/mL and confirmed at 0.26 ng/mL 6 weeks later. PSMA-PET/CT shows no evidence of distant visceral or bone metastasis. What is the definition of this condition and the recommended initial management?
Correct Answer:
Biochemical recurrence post-prostatectomy; initiate early salvage radiotherapy to the prostatic bed
Question 5
A 60-year-old man presents with bone pain. Workup reveals de novo metastatic hormone-sensitive prostate cancer (mHSPC) with extensive bone metastases (8 lesions across the spine and pelvis, including 4 outside the axial skeleton) and multiple pelvic lymph nodes (high-volume disease by CHAARTED criteria). His ECOG performance status is 0. Based on the PEACE-1 and ARASENS trials and current EAU guidelines, what is the preferred first-line systemic treatment?
Correct Answer:
Triplet therapy: Androgen deprivation therapy (ADT) plus docetaxel chemotherapy plus an androgen receptor pathway inhibitor (darolutamide or abiraterone)
Question 1
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Prepare with the Facharzt FMH Urologie Practice Questions - Facharzt FMH für Urologie Spécialiste FMH en urologie Exam practice quiz. This question bank includes 100 questions covering year-old, renal, prostate, guidelines, and reveals. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Facharzt FMH Urologie Practice Questions - Facharzt FMH für Urologie Spécialiste FMH en urologie Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, renal, prostate, guidelines, and reveals. 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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