Question 1
A 64-year-old man has a PSA of 6.8 ng/mL and an MRI showing a PI-RADS 4 lesion. Transperineal biopsy reveals Gleason 3+4=7 (ISUP grade group 2) in 3 of 12 cores. According to NICE NG131 risk stratification, into which category does this disease fall?
Correct Answer:
Intermediate risk
Question 2
A 58-year-old man with newly diagnosed metastatic, hormone-sensitive prostate cancer (high-volume, CHAARTED criteria) is starting androgen deprivation therapy. Based on current UK practice and STAMPEDE evidence, which addition to ADT offers the greatest overall survival benefit in this setting?
Correct Answer:
Docetaxel chemotherapy or an androgen-receptor pathway inhibitor
Question 3
A 70-year-old man with castration-resistant prostate cancer has bone-only metastases and rising PSA despite abiraterone. Genomic testing reveals a germline BRCA2 mutation. Which targeted agent is specifically indicated for BRCA-mutated metastatic CRPC?
Correct Answer:
Olaparib (a PARP inhibitor)
Question 4
A 67-year-old man undergoes TURBT for a 2.5 cm solitary papillary bladder tumour. Histology shows high-grade pT1 urothelial carcinoma with no muscle in the specimen. What is the most appropriate next step?
Correct Answer:
Re-resection (re-TURBT) within 2-6 weeks
Question 5
Following TURBT for a small, solitary, low-grade pTa bladder tumour in a 55-year-old woman, which intervention reduces the risk of early tumour recurrence with the strongest evidence base?
Correct Answer:
A single immediate post-operative instillation of intravesical mitomycin C
Question 1
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Prepare with the FRCS Urol Practice Questions - Intercollegiate Specialty Fellowship Examination in Urology (FRCS Urol) Exam practice quiz. This question bank includes 100 questions covering year-old, renal, prostate, bladder, and woman. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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FRCS Urol Practice Questions - Intercollegiate Specialty Fellowship Examination in Urology (FRCS Urol) Exam

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