Urology Board Exam Started: Jul 13, 2026 07:19 Page 13 of 53 Attempt #2298 Overall: 0 / 263 questions answered Question 61 / 263 Not answered A 70-year-old with nocturia and weak urinary stream has elevated PSA and large prostate on DRE. Most appropriate initial therapy: A. Immediate TURP B. Alpha-blocker such as tamsulosin C. Radiotherapy D. Prostatectomy E. 5-alpha reductase inhibitors Show Answer & Explanation Correct Answer: B Explanation: Alpha-blockers are first-line for symptomatic BPH and provide rapid symptom relief. Reference: American Urological Association 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 62 / 263 Not answered During a primary-care follow-up visit: a 75-year-old man has sepsis with hydronephrosis with risk profile of dehydration. After initial stabilization and assessment, what is the most appropriate management step? A. Targeted antimicrobial treatment B. Risk-stratified hematuria workup C. Emergent scrotal exploration for torsion suspicion D. Alpha-blocker-based LUTS management E. Analgesia with medical expulsive strategy when appropriate Show Answer & Explanation Correct Answer: C Explanation: Emergent scrotal exploration for torsion suspicion is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Urology. Reference: EAU Guidelines; Urology topic-specific current guideline update 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 63 / 263 Not answered A 35-year-old with severe flank pain has a 5mm calcium oxalate stone on imaging. Most appropriate management: A. Shock wave lithotripsy B. Expectant management with hydration and analgesics C. Immediate ureteroscopy D. Percutaneous nephrolithotomy E. Nephrostomy tube placement Show Answer & Explanation Correct Answer: B Explanation: Stones <6mm have high spontaneous passage rates; expectant management with hydration is appropriate. Reference: American Urological Association 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 64 / 263 Not answered At a preventive-care consultation: a 52-year-old man is evaluated for sudden unilateral scrotal pain in the context of BPH history. Which is the most appropriate next investigation? A. Cystoscopy pathway B. Urinalysis and culture C. Renal function and sepsis markers D. Post-void residual assessment E. Scrotal Doppler ultrasound Show Answer & Explanation Correct Answer: E Explanation: Scrotal Doppler ultrasound is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Urology. Reference: NICE LUTS Guidance; Urology topic-specific current guideline update 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 65 / 263 Not answered In an outpatient specialty clinic: a 62-year-old man presents with sepsis with hydronephrosis. Relevant risk context includes BPH history. What is the most likely diagnosis? A. Acute bacterial prostatitis B. Obstructive infected system C. Benign prostatic hyperplasia D. Bladder malignancy suspicion E. Testicular torsion Show Answer & Explanation Correct Answer: D Explanation: The pattern of sepsis with hydronephrosis with risk factors such as BPH history is most consistent with Bladder malignancy suspicion. This answer best matches the expected diagnostic framework for Urology. Reference: BAUS Recommendations; Urology topic-specific current guideline update 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 13 of 53 Next → »