QUESTIONS OF THE 3RD AND THE 4TH WEEK OF URINARY MODULE BY SECTION 7

1-Intestinal caeca of male worms reunite pre equatorially ? A. True B. False 2-The eggs escape into the lumen of the bladder by the effect of ? I miracidial antigen II contraction of bladder muscles III shell spine IV stretching of capillary wall A. I and IV B. I,II and III C. II,III and IV D. II and III 3-All the following are methods for diagnosing Schistosoma Haematobium, EXCEPT? i) ELISA ii) Indirect Fluorescent Antibody Test (IFAT) iii) Cytoscopy iv) Rectal Swab A. i & ii B. iii & iv C. All of the above D. None of the above 4-Which of the following is the manifestation at the Stage of invasion and maturation in Schistosoma Haematobium? A. Local inflammatory response B. Formation of fibrous tissue C. Papular skin lesions D. Bilharzial granulomatous reaction 5-All True regarding Rapid Progressive glomerulonephritis, EXCEPT ? A. present of cresent more than 50% of glomeruli B. rapid and progressive loss of renal function C. may cross react with alveolar basement membrane in lung D. proliferation of mesangial cell and parietal layer. 6-Which of the following is false regarding nephrotic syndrome ? A. rapid and progressive dearrangement of glomerular capillary B. proteinuria more than 0.0035 kg per day C. melanoma and carcinoma may cause nephritic syndrome D. generalized edema is one of the manifestation 7-Which of the following is true regarding Focal Segmental Glomerulosclerosis?

A. Diffuse thickening of GBM B. Mesangial cell reaction C. Good response to corticosteroid D. Regular subepithelial deposits 8-All true regarding Membranoproliferative Glomerulonephritis (MPGN), EXCEPT? A. Action of membrane attack B. Activation of alternate complement pathway C. Display ribbon-like dense deposits D. Double contour appearance 9-Schistosomes differ from other trematodes in the following, EXCEPT ? I. the cercariae have a bifurcated tail II. females possess a gynecophoric canal III. they are hermaphrodites IV. the testes are at least two A. I and II B. II and III C. III and IV D. I and IV E. None 10-All are false about chronic glomerulonephritis, EXCEPT ? A. It is prior to rapidly progressive glomerulonephritis B. The kidneys show symmetrically contracted with focally granular external surface C. The glomeruli are completely sclerosed with mesangial proliferation D.It results in irreversible impairment of renal function E.It is characterized by diffuse loss of epithelial foot processes 11-Urogenital groove is bridged by ? A .Urethral fold B.Anal fold C.Genital swelling D.Scrotal septum 12- Enlargement of the genital swelling in males leads to formation of ? A.Penile urethra B.Corpora cavernosa C.Glans penis D.Scrotum 13- As regard hypospadius, all are true EXCEPT ? A .Abnormal opening of the urethra B .It occur along the inferior aspect of the penis C.Complete fusion of urethral folds D.The opening is along the shaft TRUE/FALSE

14-Epispadius is usually associated with ectopia vesica. 15-Development of external genitalia of both male and female are under influence of dihydrotestosterone. MATCH the following questions according to the correct ANSWER/S 16 17 18 Genital swelling Genital tubercle Urethral fold

A B C D E F

Labia minora Labia majora Clitoris Penile urethra Corpora cavernosa and glans penis Scrotum

19- All of the following diseases result in chronic renal failure, EXCEPT ? A.Post streptococcal GN B. Ig A Nephropathy C. Minimal change disease D. Focal Segmental Glomerulosclerosis 20-which of the following statement about berger disease is true ? A. It affects children more than adult B. it recurs every few weeks C. It is characterized by intense deposition of igA D. It is the end stage of glomerular disease 21-These descriptions describe adult polycystic kidney, EXCEPT ? A. Kidneys are markedly enlarged B. kidneys may be filled with serous fluid C. Renal pelvis and calyces are distorted D. It appears as a spherical mass 22-All are true about membrane proliferative GN, EXCEPT ? A. Type I MPGN is most common than type II B. Type I MPGN is considered as autoimmune disease C. Both types have poor prognosis D. Type II has tendency to recure in renal allograft. 23-The true statement about klebseilla is ? A. Gram negative, non sporing & having polysaccharide capsule. B. Colonies are rose pink C. it is one of the bacteria that is useful in studies of faecal pollution of water D. It grows at tempreture 42C

24- The false statement about Escherichia coli is ? A.It is a gram negative,non sporing bacilli B.The colonies are large raised, moist and mucoid C.It is the commonest organisms to be cultured from stool D.It's intestinal commensal strain caused opportunistic infections in other parts of organ. 25-Diseases produced by Ps Aeruginosa, EXCEPT ? A.Fetal septicemia in neonates and debilitated people B.UTI when introduced by catheters C.Infection wounds and burns D.Otitis externa in swimmers E.Bacteremia, pneumonia and meningitis 26-All of the following are true regarding medium that inhibits swarming, EXCEPT ? A. Media containing phenyl ethyl alcohol B. Mac Conkey agar and DCA C. Blood agar containing 5-6 times the usual concentration of agar D.Electrolyte deficient media like CLED medium 27-Diseases produced by Proteus, EXCEPT ? A. Meningitis B. Pneumonia C. Septicemia D. Bacteraemia 28-All are true about Klebsiella, EXCEPT ? A. Gram negative, non motile bacilli B. Has a well defined polysaccharide capsule C. Indole and citrate test positive D. Ferment lactose and produce pink colonies on MacConkey's agar 29- What is the prognosis and fate of IgA Nephropathy? A.Completely resolve B.Renal function is maintained for the rest of life C.Usually have remitting relapsing course D.All cases progress to chronic renal failure 30-Kelbsiella is known to cause ozaena which is ? A.Formation of excessive mucous in upper respiratory tract B.Harbinger of squamous cell carcinoma of respiratory tract C.Formation of granuloma of the nose and pharynx D.Progressive atrophy of mucous membranes 31-Failure of the collecting tubules and nephrons to join together leads to ? A.Horseshoe kidney B.Pelvic kidney C.Polycystic kidney D.Renal agenesis

32- Pelvic kidney is characterised by ? A. failure of the kidney to ascend to the abdomen B.failure of the kidney to develop collecting system C.failure of the kidney to ascend to the abdomen as it lower pole fuse together D.failure of the formation of the renal pelvic 33-Mesonephros differs from pronephros in the following, EXCEPT ? A.no special duct B.contain 5-7 pairs of hollow balls of epithelium C.caudal and more numerous D.differentiates into a cup-shaped bowman`s capsule 34-These tubules form parts of nephron, EXCEPT ? A.Loop of henle B.Collecting tubules C.Convoluted tubules D.Bowmans capsule 35-The secretory part of metanephron is ? A.Ureteric bud B.Mesonephric duct C.Metanephric cap D.Ureter 36-All the following is true about acute tubular necrosis, EXCEPT ? A.Patchy individual cell necrosis within some proximal and distal tubules are characterization of ischemic ATN B.Occlusion of tubular lumen by cast is only the characterization of nephrotoxic ATN C.Prognosis is better in nephrotoxic type D.Ischemic ATN is accompanied by focal rupture basement membarane 37-All of the following statements regarding acute urinary tract obstruction are true, EXCEPT ? A. it is due to increase intraluminal pressure B.it leads to hydronephrosis C.followed by acute renal failure if bilateral D.sudden and complete obstruction 38- Which of the following is the characteristics of ATN ? I. Extensive necrosis along proximal tubules with intact basement membrane for nephrotoxic type II. Acute suppression and deterioration of renal function III. Most of glomeruli are completely hyalinized IV. Have patchy individual cell necrosis in ischemic ATN A. I and II B. III and IV C. I, II and III D. I, II and IV 39-Concerning urinary tract obstruction, all are true EXCEPT ?

A. common cause of renal dysfunction B.may occur at any level of urinary tract C.many of its causes are untreatable D.chronic obstruction is more common and leads to hydronephrosis 40-All of the following are true regarding the complication of renal stones, EXCEPT ? A.squamous metaplasia B.hematuria C.frequency, urgency, nocturia D.pyelonephritis 41-All of the following are true about risk factors of urinary tract infection, EXCEPT ? A.avitaminosis B.diabetes mellitus C.immunodeficiency D. pregnancy TRUE/FALSE 42-Non-obstructive non-specific chronic pyelonephritis type, pelvic-calcygeal system is inflamed and not distended but increased renal mass 43-Ascending urinary tract infection causative organism is gram negative cocci 44-There are risk factor for pyelonephritis, EXCEPT ? A.immunosupression B.absence of antibactericidal properties in female C.radiation therapy D.cystoscopy 45-The following factors increases the risk of getting urinary tract infection, EXCEPT ? A.Autonomic neuropathy in diabetes melittus B.urolithiasis C.hydronephrosis D.polycystic kidney 46-All of the followings are true, EXCEPT ? A.Urachal cyst is caused by failure of obliteration of the middle part of allantois. B.The upper part of prostatic urethra develops from the pelvic part of the definitive uro-genital sinus. C.Failure of the cloacal septum to develop completely will cause congenital recto-vesical fistula. D.The urinary bladder is endodermal in origin except at the trigone. 47-The uro-genital sinus is divided into 3 part, EXCEPT ? A.cranial portion B.phallic part C.caudal portion D.pelvic part 48-Pelvic part of definitive urogenital sinus gives ?

A.upper part of prostatic urethra and membranous urethra B.lower part of prostatic urethra and membranous urethra C.penile urethra D.membranous urethra and the vestibule of vagina 49-Congenital anomalies of urethra is/are ? A.ectopia vesicae B.urachal rupture C.hypospadius D.all of the above 50-These tubules form parts of the nephron, which are ? I. Glomerulus II. Convoluted tubule III. Loop of Henle IV. Collecting duct A. I & IV B. I, II & IV C. II, III & IV D. I, II & III 51-Which of the following is the correct origin of nephroblastoma? A.Nephron and fibroblast B.Squamous metaplasia of urothelium C.Tubular epithelium D.Primitive renal blastema 52-All of the following are congenital gonadal dysgenesis of female fetus, ECXEPT ? A.Swyer Syndrome B.Turner Syndrome C.Klinefelter Syndrome D.Female pseudohermophrodites 53-The following are factors affecting the descend of testis, EXCEPT ? A.Mullerian Inhibiting Substance B.Testosterone C.Shortening of gubernaculums D.Decrease in intra-abdominal pressure 54-Nephroblastoma may present clinically as painless profuse total hematuria ? A.True B.False 55-All of the following are TRUE regarding Wilms Tumor, EXCEPT ? A.Arise from primitive renal blastema cell B.Having soft, variegated appearance C.Occurs mainly in children D.Characterized by large palpable abdominal mass

56-All of the following is true regarding descent of testis, EXCEPT ? A.Testosterone is a normal stimulus B.Originate from posterior abdominal wall L1 C.Processus vaginalis passes through the layer of lower part of posterior abdominal wall D.Testis descend through pelvis and inguinal canal during 7 th and 8th month of fetal life 57-Choose false answer regarding clinical features of renal cell carcinoma ? A.Painless profuse total hematuria B.Dysuria C.Pain in costovetebral angle D.Palpable mass 58-Which of the following are congenital malformation of testis ? A.Ectopic testis B.Congenital inguinal hernia C.Congenital hydrocele D.Pseudohermaphroditis 59-All below are true about descent of the testis, EXCEPT ? A.Processus vaginalis will become tunica vaginalis B.Origin of testis is anterior abdominal wall at the level of L1 C.Androgen plays a role in descent of testis D.This process occurs before puberty 60-Tumors that cause haematuria is ? A.Nephroblastoma B.Urothelial tumor C.Angiolipoma D.Renal cell carcinoma 61-Which of the following is not a clinical features of urinary bladder tumor ? A.Dysuria B.Painless hematuria C.Chronic renal failure D.Hydronephrosis 62-Choose the correct factor affecting descend of testis ? A.Androgen and MIS B.Low intra-abdominal pressure C.Relaxation of the gubernaculum D.Low intra-perineal pressure 63-All are true regarding to proteus, EXCEPT ? A.its Gram negative non-capsulated bacilli and swarming enterobacteria. B.They produce bacteriocins which has been used as a good tool for typing strains. C.it have been classified into several groups by their O,H and K antigens. D.Proteus plays a role in urinary tract infection by promoting stone formation.

64-The Diseases or clinical manifestations of Urinary tract infection that is related to proteus ? A.Hydronephrosis and/or hydroureter. B. fever and malaise in bacteraemia, pneumonia and meningitis C.otitis externa of swimmers D.Cystitis, pyelitis and pyelonephritis 65-Which are the statements below are correct about proteus ? I. The two identical proteus will result in swarming and no coalesce with signs of demarcation. II. Proteus in blood agar will appear as Swarm. Where as, in macConkeys agar it grows as non-lactose fermenting colonies. III. Dienes phenomenon is to determine the strains of proteus in epidemiological studies. IV. CLED, DCA & macConkey media are non-inhibitory solid media that are responsible for swarming appearance of proteus colonies. A. I , II & IV B. II &III C. I , II & III D. I & II E. all of the above 66-Which of the following characteristics shared by E.coli and Enterococci? I.grows on McConkeys agar II.ferment lactose III.have A/B/non- haemolytic reaction on blood agar IV. indicator for faecal pollution of water A. I, II & IV B. II, III & IV C. III & IV D. all of the above 67-Which of the following is a False statement? A.the mesonephros and mesonephric ducts are derived from intermediate endoderm B.in females, the mesonephric duct degenerates except for the duct of epoophron and gartner's duct C.paramesonephric duct is the mullerian duct D.in females, the caudal 1/3 of the duct gives rise to the uterus and superior of the vagina 68-Which of the following is a true statement? A.cranial 1/3 of paramesonephric duct will ascend vertically lateral to the mesonephric duct B.intermediate 1/3 of wolffian duct passes horizontally ventral to the mesonephric duct C.only epoophron and gartners cyst remain from the mesonephric system in female D.in male, the paramesonephric duct has degenerated except for the appendix testis 69-Which of the following is/are a correct statement(s) for the development of vagina? A.the vagina is developed from the wall of urogenital sinus B.the fused lower ends of paramesonephric ducts form the body and cervix of uterus C.the outgrowth from urogenital sinus is called the sinovaginal bulbs D.the lumen of vagina is separated from the cavity of urogenital sinus by the hymen E.all of the above

70-Which of the following is the anomalies due to complete or partial atresia of paramesonephric ducts? A.arcuate uterus B.bipartite uterus C.imperforate hymen D.double uterus,double cervix, single vagina 71-All of these statements are true regarding Pseudomonas sp. , EXCEPT ? A.Pseudomonas sp. need moist environment to survive B.Pseudomonas sp. are gram +ve motile bacilli C.They are oxidase positive and can grow on cetrimide agar unlike other bacterias D.They are somewhat non fastidious organisms (grow on nutrient agar) 72-what is the antigenic structure of Pseudomonas aeruginosa ? A.O protein B.G protein C.A protein D.M protein

GOOD LUCK, ACERS !!!! ALL THE BEST.. NEVER GIVE UP

10

ANSWERS : 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. B B D C D A B A B D A D C True False B&F C&E A&D C C D B A B E C C C C D C 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. A B B C B B D C C (frequency, urgency & nocturia are SYMPTOMS ) A,99 False,101 False,97 C,99 D B B,47 B,48 C D,43 D,Page 106 C,124 D,121 B,106 B,106 C,121 B,106 D,122 B,122 D,106 C,108 A,121 C (theres no K (capsular) antigen in proteus) A (urease secreted from the proteus favor the stone formation lead to obstruction of Urinary tract) B A A D E C B A

65. 66. 67. 68. 69. 70. 71. 72.

11