Urology Board Exam Started: Jul 12, 2026 20:21 Page 3 of 53 Attempt #872 Overall: 0 / 263 questions answered Question 11 / 263 Not answered In a rural clinic with limited resources: A young man has sudden severe testicular pain, high-riding testis, and absent cremasteric reflex. What is the management? A. Oral antibiotics and review in 1 month B. Scrotal support only C. Urgent surgical exploration for torsion D. CT abdomen first E. Reassurance Show Answer & Explanation Correct Answer: C Explanation: [Urology] Suspected testicular torsion is a surgical emergency; exploration should not be delayed by imaging if suspicion is high. Reference: EAU Paediatric Urology/Urological Emergencies Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 12 / 263 Not answered In a rural clinic with limited resources: A man has painless visible hematuria. What is the key next step? A. Reassure as normal aging B. Urgent urologic evaluation including cystoscopy and upper-tract imaging C. Treat as UTI without testing forever D. PSA only E. No follow-up if no pain Show Answer & Explanation Correct Answer: B Explanation: [Urology] Visible painless hematuria warrants evaluation for urinary tract malignancy. Reference: NICE Suspected Cancer Guidance; AUA Microhematuria Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 13 / 263 Not answered In a rural clinic with limited resources: A 68-year-old man has LUTS from BPH without red flags. Which medication improves dynamic obstruction? A. Alpha-1 blocker such as tamsulosin B. Loop diuretic at night C. Antibiotic for all cases D. Chemotherapy E. Levothyroxine Show Answer & Explanation Correct Answer: A Explanation: [Urology] Alpha-1 blockers relax prostate/bladder neck smooth muscle and improve LUTS quickly. Reference: AUA Benign Prostatic Hyperplasia Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 14 / 263 Not answered During morning rounds: A young man has sudden severe testicular pain, high-riding testis, and absent cremasteric reflex. What is the management? A. Oral antibiotics and review in 1 month B. Scrotal support only C. Urgent surgical exploration for torsion D. CT abdomen first E. Reassurance Show Answer & Explanation Correct Answer: C Explanation: [Urology] Suspected testicular torsion is a surgical emergency; exploration should not be delayed by imaging if suspicion is high. Reference: EAU Paediatric Urology/Urological Emergencies Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 15 / 263 Not answered Question 44: In an Arab Board-style clinic station: A 35-year-old has flank colic and CT shows 4-mm distal ureteric stone without infection or renal failure. What is reasonable? A. Immediate nephrectomy B. No analgesia C. Antibiotics always D. Analgesia, hydration advice, and trial of passage with follow-up E. Chemotherapy Show Answer & Explanation Correct Answer: D Explanation: [Urology] Small uncomplicated distal ureteric stones often pass with conservative management and follow-up; urgent drainage is needed if infected obstruction. Reference: EAU Urolithiasis Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 3 of 53 Next → »