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BPT CLINICAL; INTERNAL MEDICINE UROLOGY EXAM 2026 QUESTIONS AND 100% CORRECT AND VERIFIED ANSWERS

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URO - 7 The conversion of testosterone to dihydrotestosterone is catalysed by the following enzyme which is also targeted as part of BPH treatment: A) 5-α-reductase B) 7-β-cytosterine C) aromatase D) acidic phosphatase A) 5-α-reductase In the aetiology of BPH 5-α-reductase plays crucial role in converting testosterone to dihydrotestosterone within the prostate. • 8 URO - 8 In the aetiology of prostate cancer the following plays a role: A) age B) genetic factors C) hormonal factors D) all of the above D) all of the above Although in the aetiology of prostate cancer causal factors have not been determined, but older age, genetic- (positive family history) and hormonal factors (androgen-dependency) all contribute to the development of prostate cancer. • 9 URO - 9 The main risk factor for urothelial cancer is: A) smoking B) alcohol C) benzidine D) petrol A) smoking Smoking certainly plays a role as a risk factor for urothelial carcinoma. Other factors e.g. certain polycyclic chemicals also increase the risk of bladder tumors, but the connection is not as obvious as with smoking.

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BPT CLINICAL MEDICINE
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BPT CLINICAL; INTERNAL MEDICINE
UROLOGY EXAM 2026 QUESTIONS AND
100% CORRECT AND VERIFIED ANSWERS

• 1
URO - 1
One of the aetiologies listed below predisposes to
testicular tumors:
A) testicular trauma
B) testicular torsion
C) undescended testes
D) BRCA2 mutation
C) undescended testes
In the aetiology of testicular tumors the only evidence-based risk
factor is an undescended testis (in this case testicular tumors
are 10-20 times more likely to occur). Trauma, torsion, genetic
factors are not evidence-based predisposing factors.
• 2
URO - 2
Mark the pathology which usually leads to scrotal pain on
palpation:
A) testicular tumor

,B) epididymitis
C) hydrocele
D) varicocele
B) epididymitis
In case of epididymitis, the epididymis and the testicle are
enlarged, and are painful to touch. In case of a testicular tumor,
a non-tender nodule can be palpated, or the entire testicle could
be non-tender, but enlarged. Varicocele causes a pulling-like
pain, the distended veins can be palpated as a „bag of worms”,
the testicles themselves are not painful to touch. A hydrocele
can be transilluminated, it is not painful, a fluctuating fluid can
be palpated within the scrotum.
• 3
URO - 3
Prostate cancer is palpated as:
A) enlarged, consistency similar to smooth muscle
B) hard
C) tender, enlarged
D) non-tender, enlarged
B) hard
Prostate cancer: hard, non-tender nodule in the prostate, or firm,
irregular surface, of a non-tender prostate. Acute prostatitis

,presents with fever, extremely tender and enlarged prostate.
BPH presents as nodular, glandular or muscle-like alteration of
the enlarged prostate.
• 4
URO - 4
Characteristic finding of female spontaneous urine:
A) higher pH
B) contains many epithelial cells
C) always contains a few red blood cells
D) always contains some pus
B) contains many epithelial cells
In the female urine epithelial cells are often present, originating
from the vagina
• 5
URO - 5
Testicular torsion:
A) always bilateral
B) presents with sudden pain, which usually wakes the patient
from his sleep
C) present with high fever immediately
D) more frequent on the right side

, B) presents with sudden pain, which usually wakes the patient
from his sleep
Usually, young men are predisposed to testicular torsion, which
presents at night and the patient is awoken by a sudden, very
intense scrotal pain radiating inguinally. It causes high fever only
if it begins necrotizing. It presents equally commonly on either
side.
• 6
URO - 6
Typical for renal colic, except:
A) flank tenderness
B) nausea, vomiting
C) labial or scrotal pain
D) tenderness on palpation of McBurney’s point
D) tenderness on palpation of McBurney’s point
Typical signs of renal colic include intense flank pain, which
radiates to the labia or scrotum of the same side and is often
accompanied by nausea or vomiting. Tenderness of the
McBurney’s point is characteristic in appendicitis.
• 7
URO - 7
The conversion of testosterone to dihydrotestosterone is

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