Prostate Surgery: Comprehensive Learning Quizzes for Medical Students

Question 1

What is the most common type of prostate cancer based on its microscopic appearance?

Accepted Answer

Adenocarcinoma

Answer

Squamous cell carcinoma

Answer

Transitional cell carcinoma

Answer

Neuroendocrine carcinoma

Question 2

What is the primary mechanism of action of alpha-blockers in the treatment of BPH?

Accepted Answer

Relaxation of prostate smooth muscle, improving urine flow

Answer

Reduction of prostatic secretions

Answer

Inhibition of 5-alpha-reductase, shrinking the prostate

Answer

Enhancement of voiding pressure, increasing the force of urine flow

Question 3

What is the recommended initial treatment for acute prostatitis, an infection of the prostate?

Accepted Answer

Antibiotics taken by mouth

Answer

Biopsy of the prostate using ultrasound guidance

Answer

Prostatectomy, surgical removal of the prostate

Answer

Observation without immediate treatment (watchful waiting)

Question 4

Which of the following physical examination findings is associated with prostatitis?

Accepted Answer

Prostate feeling soft and tender to the touch

Answer

Prostate feeling firm and non-tender

Answer

Prostate feeling uneven and bumpy

Answer

Prostate feeling smooth and normal

Question 5

What is the most common cause of chronic prostatitis, a long-lasting inflammation of the prostate?

Accepted Answer

Unknown cause (idiopathic)

Answer

Bacterial infection

Answer

Immune system dysfunction

Answer

Pelvic muscle problems

Question 6

What is the primary goal of active surveillance, a monitoring strategy used in prostate cancer management?

Accepted Answer

To closely observe disease progression without immediate treatment

Answer

To definitively cure the cancer

Answer

To prevent the spread of cancer to other parts of the body

Answer

To improve the patient's overall survival

Question 7

Which of the following is NOT a risk factor for developing prostate cancer?

Accepted Answer

Regularly engaging in intensive physical activity

Answer

Being over 50 years old

Answer

Having a family history of prostate cancer

Answer

Being of African or Caribbean descent

Question 8

Which of the following is a reason for performing transurethral resection of the prostate (TURP)?

Accepted Answer

Difficulty urinating due to an enlarged prostate

Answer

Prostate cancer that has spread to other parts of the body

Answer

Infection of the prostate gland

Question 9

A 60-year-old male patient presents with an elevated prostate-specific antigen (PSA) level. Which imaging technique is most appropriate as the initial evaluation for suspected prostate cancer?

Accepted Answer

Magnetic Resonance Imaging (MRI)

Answer

Ultrasound

Answer

Computed Tomography (CT)

Answer

Bone Scan

Question 10

Which of the following is NOT a recognized risk factor for prostate cancer?

Accepted Answer

High intake of fruits and vegetables

Answer

Age over 50

Answer

African American race

Answer

Family history of prostate cancer

Question 11

What is the primary diagnostic modality for prostate cancer?

Accepted Answer

Transrectal ultrasound-guided biopsy

Answer

Digital rectal examination

Answer

Prostate-specific antigen (PSA) test

Answer

Transrectal ultrasound (TRUS)

Question 12

Which of the following is a key indication for transurethral resection of the prostate (TURP)?

Accepted Answer

Benign prostatic hyperplasia (BPH)

Answer

Prostate cancer

Answer

Prostatitis

Answer

Urethral stricture

Question 13

What is the primary mechanism of action of laser prostatectomy?

Accepted Answer

To vaporize or coagulate prostate tissue

Answer

To remove prostate tissue in large pieces

Answer

To create a channel through the prostate

Answer

To destroy prostate cancer cells

Question 14

Which of the following is NOT a common symptom of benign prostatic hyperplasia (BPH)?

Accepted Answer

Dysuria

Answer

Frequent urination

Answer

Hesitancy

Answer

Nocturia

Question 15

What is the standard first-line treatment for prostatitis?

Accepted Answer

Antibiotics

Answer

Alpha-blockers

Answer

Hormonal therapy

Answer

Surgery

Question 16

What is the preferred surgical approach for clinically localized prostate cancer?

Accepted Answer

Radical prostatectomy

Answer

Transurethral resection of the prostate (TURP)

Answer

Radical cystectomy

Answer

Laparoscopic assisted radical prostatectomy

Question 17

What is the primary objective of neoadjuvant hormone therapy before prostate surgery?

Accepted Answer

Reduce prostate size

Answer

Prevent metastasis

Answer

Enhance urinary continence

Answer

Improve radiotherapy effectiveness

Question 18

Define a positive surgical margin following radical prostatectomy.

Accepted Answer

Cancer cells present at the edge of the removed prostate

Answer

Cancer spread beyond the prostate capsule

Answer

Lymph node involvement

Answer

Cancer recurrence within five years

Question 19

What is the primary treatment for uncomplicated prostatitis?

Accepted Answer

Antibiotics

Answer

Alpha-blockers

Answer

TURP

Answer

Radical prostatectomy

Question 20

Which factor is strongly associated with an increased risk of developing prostate cancer?

Accepted Answer

Increasing age

Answer

Smoking

Answer

Diabetes

Answer

Obesity

Question 21

What is the primary purpose of a prostate-specific antigen (PSA) test?

Accepted Answer

To screen for prostate cancer

Answer

To monitor treatment response in prostate cancer

Answer

To diagnose prostatitis

Answer

To assess the severity of benign prostatic hyperplasia

Question 22

In a prostate biopsy procedure, which technique involves using transrectal ultrasound guidance to collect multiple tissue samples?

Accepted Answer

Transrectal ultrasound-guided biopsy

Answer

Punch biopsy

Answer

Needle biopsy

Answer

Excisional biopsy

Question 23

What is the predominant histological subtype of prostate cancer?

Accepted Answer

Adenocarcinoma

Answer

Sarcoma

Answer

Squamous cell carcinoma

Answer

Transitional cell carcinoma

Question 24

What is the primary aim of androgen deprivation therapy (ADT) in prostate cancer?

Accepted Answer

To suppress testosterone levels

Answer

To inhibit angiogenesis

Answer

To increase estrogen levels

Answer

To stimulate the immune system