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Question 1
A 64-year-old man presents with a 2.5 cm solid, enhancing renal mass in the lower pole of the right kidney. His biopsy reveals clear cell renal cell carcinoma (ccRCC), ISUP grade 2. He has no lymphadenopathy or distant metastasis. His baseline eGFR is 82 mL/min/1.73m². According to the Canadian Urological Association (CUA) guidelines, what is the preferred management?
Correct Answer:
Partial nephrectomy
Question 2
A 71-year-old man with a history of COPD presents with macroscopic hematuria. Cystoscopy reveals a 3 cm papillary tumor on the bladder dome. He undergoes transurethral resection of bladder tumor (TURBT). The pathology reveals high-grade T1 urothelial carcinoma with muscularis propria present and free of tumor in the specimen. What is the recommended next step in management?
Correct Answer:
Repeat transurethral resection (re-TURBT) within 2-6 weeks
Question 3
A 58-year-old healthy man presents with a PSA of 6.2 ng/mL, confirmed on repeat testing. Digital rectal exam (DRE) reveals a normal-feeling prostate. A transrectal ultrasound-guided prostate biopsy reveals adenocarcinoma in 3 out of 12 cores, Gleason score 3+4=7 (ISUP grade group 2), involving less than 50% of any core. Staging bone scan and pelvic CT are negative. What is the most appropriate first-line management option to discuss?
Correct Answer:
Radical prostatectomy or radiation therapy
Question 4
A 28-year-old man presents with a painless right testicular mass. Ultrasound shows a 3.5 cm heterogeneous intratesticular mass. AFP is normal, beta-hCG is 24 IU/L, and LDH is mildly elevated. He undergoes a right radical inguinal orchiectomy. Pathology confirms a pure seminoma. What is the most likely reason his beta-hCG is elevated?
Correct Answer:
Seminomas can contain syncytiotrophoblastic giant cells that secrete beta-hCG
Question 5
A 68-year-old woman is found to have a 4.5 cm solid, enhancing mass in the left renal pelvis on CT urography. Urine cytology is positive for high-grade urothelial cells. Staging chest/abdomen/pelvis CT shows no evidence of metastasis. What is the standard surgical treatment for this patient?
Correct Answer:
Radical nephroureterectomy with bladder cuff excision
Question 1
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Prepare with the RCPSC Urology Practice Questions - Royal College Certification Examination in Urology Exam practice quiz. This question bank includes 100 questions covering year-old, presents, shows, management, and left. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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RCPSC Urology Practice Questions - Royal College Certification Examination in Urology Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, shows, management, and left. 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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