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Category: Urology--->Testicular Cancer
Page: 1

Question 1# Print Question

. Regarding orchidectomy for testicular cancer, which of the following is TRUE?

A. Testicular prosthesis can be inserted without fear of prohibitive infectious complications
B. Division of the spermatic cord must be taken at the superficial inguinal ring
C. In cases of symptomatic metastatic disease orchidectomy should precede chemotherapy
D. Organ-sparing surgery can be performed when tumour volume is less than 50%
E. Long-term risk of silicone implants is well known


Question 2# Print Question

Regarding testicular cancer, which of the following is TRUE?

A. Incidence is 2 per 100,000 males in Western countries
B. 3%–5% are bilateral at diagnosis
C. Magnetic resonance imaging is the imaging of choice for diagnosis
D. Magnetic resonance imaging is more sensitive than ultrasound for diagnosis
E. Tumour markers provide no prognostic information


Question 3# Print Question

In the staging & diagnosis of testicular cancer, which of the following is TRUE?

A. CT thorax, abdomen & pelvis is recommended in all patients
B. Discuss sperm banking in all men after orchidectomy
C. Five-year survival for ‘good prognosis’ seminoma is 96%
D. In the TNM staging classification pN2 means a lymph node mass >5 cm
E. In the TNM staging classification M1b means non-regional lymph node(s) or lung metastasis


Question 4# Print Question

Regarding tumour markers in testicular cancer, which of the following is TRUE?

A. HCG has a half-life of 5–7 days
B. AFP has a half-life of 48–72 hours
C. In non-seminomatous germ cell tumours an HCG of 5,000 confers poor prognosis
D. Pure seminomas never secrete AFP
E. In seminomas an HCG >50,000 confers poor prognosis


Question 5# Print Question

Regarding germ cell neoplasia in situ (GCNIS), which of the following is TRUE?

A. Overall incidence in the contralateral testis is approximately 10%
B. Incidence of a contralateral metachronous tumour is approximately 10%
C. Biopsy of the contralateral testis is mandatory in most cases
D. Chemotherapy is more effective than radiotherapy in its treatment
E. Five-year risk of developing testicular cancer is 90% with a normal contralateral testis




Category: Urology--->Testicular Cancer
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