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Urology Quiz: Introduction and Practice Questions

Quick, free urology practice questions. Instant results.

Editorial: Review CompletedCreated By: Otl CobbUpdated Aug 24, 2025
Difficulty: Moderate
Questions: 15
Study OutcomesAdditional Reading
3D voxel art depicting the Introduction to Urology course content

This urology quiz helps you review core basics, check your understanding, and spot topics to revisit before class or clinic. Work through quick questions on common presentations, stones, and urologic cancers, with instant feedback. To broaden your prep, try a diagnostic cytology quiz, an emergency medicine quiz, or a medical terminology quiz.

The primary function of the glomerulus in the nephron is best described as
Reabsorption of glucose via SGLT2
Concentration of urine by countercurrent exchange
Ultrafiltration of plasma driven by hydrostatic pressure
Active secretion of potassium into the tubule
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A 65-year-old man presents with weak urinary stream and nocturia. The most appropriate initial medication class for symptomatic benign prostatic hyperplasia is
ACE inhibitors
Aromatase inhibitors
Alpha-1 adrenergic blockers
Loop diuretics
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Which imaging modality is first-line for evaluating acute scrotal pain to assess for testicular torsion?
Scrotal ultrasound with Doppler
Noncontrast CT abdomen/pelvis
MRI pelvis with contrast
Intravenous pyelogram
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Nitrites and leukocyte esterase on urine dipstick most commonly indicate
Nephrotic syndrome
Acute tubular necrosis
Urinary tract infection with gram-negative bacteria
Glomerulonephritis
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A 24-year-old with sudden severe unilateral testicular pain and a high-riding testis most urgently requires
NSAIDs and scrotal support
Immediate manual detorsion and urgent surgical fixation
Empiric antibiotics for epididymitis and observation
Outpatient urology referral within 1 week
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In renal colic from a suspected ureteral stone, the preferred initial imaging in a nonpregnant adult is
Noncontrast CT of the kidneys, ureters, and bladder
Contrast-enhanced CT venogram
KUB radiograph only
MRI urogram
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Which pathogen is most frequently implicated in uncomplicated cystitis in women?
Klebsiella oxytoca
Enterococcus faecalis
Escherichia coli
Pseudomonas aeruginosa
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Which electrolyte abnormality is most classically associated with tumor lysis syndrome in advanced urologic malignancies?
Hypophosphatemia
Hyperuricemia
Hypokalemia
Hypercalcemia
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Gross painless hematuria in an older smoker most strongly raises concern for
Prostatitis
Acute interstitial nephritis
Nephrolithiasis only
Bladder cancer
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Which medication class can reduce prostate volume over time in men with enlarged prostates and LUTS?
Calcium channel blockers
Alpha-2 agonists
5-alpha-reductase inhibitors
Loop diuretics
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The most appropriate test to confirm suspected vesicoureteral reflux in a child after recurrent febrile UTIs is
Voiding cystourethrogram
Noncontrast abdominal CT
Renal Doppler ultrasound only
Serum cystatin C
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The preferred initial management for a stable patient with obstructing ureteral stone and fever is
Alpha-blocker alone
Oral antibiotics and expectant passage
Extracorporeal shock wave lithotripsy the next week
Emergent urinary decompression with stent or nephrostomy
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A postvoid residual urine volume persistently greater than 300 mL suggests
Overactive bladder only
Polyuria due to diabetes insipidus
Urinary retention with possible outlet obstruction or detrusor underactivity
Acute kidney injury from prerenal causes
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The most appropriate next step for a right renal mass suspicious for clear cell renal cell carcinoma is
Start neoadjuvant chemotherapy
Contrast-enhanced CT or MRI for staging and characterization
Immediate cystoscopy
Empiric radiation therapy
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Which stone type is radiolucent on plain radiograph and can be dissolved by urinary alkalinization?
Cystine
Struvite
Uric acid
Calcium oxalate
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Which finding on urinalysis is most specific for glomerular hematuria?
Dysmorphic red blood cells and RBC casts
Protein trace only
Positive nitrites
WBC clumps
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In men with suspected chronic bacterial prostatitis, the most helpful culture for diagnosis is from
First-void urine only
Blood cultures
Midstream urine only
Expressed prostatic secretions after prostatic massage
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Best initial management for priapism lasting over 4 hours is
Observation and oral sildenafil
Ice packs and compression only
Immediate orchiectomy
Aspiration of corporal blood with intracavernosal phenylephrine
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Which intravesical therapy is standard for high-risk non-muscle-invasive bladder cancer?
Systemic cisplatin
Oral methotrexate
Topical imiquimod
Intravesical BCG
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Gleason Grade Grouping in prostate cancer is based on
Sum of the two most prevalent glandular patterns on histology
TNM nodal status
MRI PIRADS score alone
PSA velocity over 5 years
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Study Outcomes

  1. Analyze diagnostic criteria for urological neoplasms such as prostate, bladder, renal, and testicular cancers.
  2. Examine patients in both outpatient and inpatient settings to assess urological conditions.
  3. Apply principles of surgical assistance during urological procedures.
  4. Evaluate management strategies for urinary calculi and urinary incontinence.

Introduction To Urology Additional Reading

Embarking on your urology journey? Here are some top-notch resources to guide you through the essentials:
  1. This comprehensive guide covers a wide range of urological topics, from neoplasms to urinary incontinence, making it a handy reference for both clinical practice and study.
  2. Dive into a curated collection of materials, including the AUA Medical Student Core Curriculum and uroradiology cases, tailored to enhance your understanding of urological conditions and procedures.
  3. This free, up-to-date resource offers detailed information on urological diseases, examinations, and treatments, complete with illustrations to aid your learning.
  4. Access a variety of training videos and webinars that demonstrate common urologic procedures, providing practical insights into patient management.
  5. This authoritative guide offers point-of-care information on both benign and malignant urological conditions, integrating diagnosis and treatment advice from established guidelines.
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