FCPS IMM Surgery Urology MCQs: High-Yield Practice Questions & Prep

Urology is one of the subject blocks in the FCPS IMM Surgery QBank. It covers stones, benign prostatic enlargement, urological cancers, trauma and infection. Below is a sample set in the style of the bank, with the reasoning after each answer.

Sample MCQs

1. A 12-year-old with sudden testicular pain, a high-riding testis and absent cremasteric reflex has:

• A) Epididymitis
• B) Orchitis
• C) Testicular torsion ✅
• D) Torsion of the appendix testis

Why: Absent cremasteric reflex strongly suggests torsion.

2. Gold standard for diagnosing nephrotic syndrome?

• A) Serum albumin
• B) Urine dipstick
• C) 24-hour urinary protein ✅
• D) Renal biopsy

Why: Nephrotic syndrome: proteinuria >3.5 g/24 hrs, hypoalbuminemia, edema.

3. Most salivary calculi occur in which gland?

• A) Parotid gland
• B) Sublingual gland
• C) Submandibular gland ✅
• D) Minor salivary glands

Why: About 80% occur in the submandibular duct and most are radio-opaque.

4. A child with bloody diarrhoea after a restaurant meal develops petechiae and facial swelling; the blood film shows schistocytes. The diagnosis is:

• A) Haemolytic uraemic syndrome ✅
• B) Immune thrombocytopenic purpura
• C) Henoch-Schonlein purpura
• D) Disseminated intravascular coagulation

Why: Shiga-toxin E. coli causes HUS with haemolytic anaemia, thrombocytopenia and renal failure.

5. The most common site of urethral injury in males is:

• A) Membranous urethra
• B) Bulbar urethra ✅
• C) Prostatic urethra
• D) Penile urethra

Why: A fall astride the perineum injures the bulbar urethra.

6. The right adrenal gland is closely related anteriorly to which structure?

• A) Inferior vena cava ✅
• B) Aorta
• C) Splenic vein
• D) Left renal vein

Why: The right adrenal lies behind the IVC, whereas the left adrenal is related to the aorta and splenic vessels.

7. Which isotope scan is used to assess renal function and pelviureteric junction obstruction?

• A) DTPA ✅
• B) DMSA
• C) HIDA
• D) Sestamibi

Why: DTPA (or MAG3) renography evaluates function and drainage.

8. The most common causes of renal failure leading to renal transplant are:

• A) Polycystic kidney disease and reflux
• B) Glomerulonephritis and lupus only
• C) Diabetes mellitus and hypertension ✅
• D) Nephrolithiasis and infection

Why: Diabetes and hypertension account for most end-stage renal disease.

9. During hysterectomy the ureter is most at risk where it passes:

• A) Over the pelvic brim
• B) Under the uterine artery near the cervix ✅
• C) Behind the ovarian vessels
• D) Over the common iliac bifurcation

Why: The ureter runs "water under the bridge" beneath the uterine artery about 2 cm lateral to the cervix.

10. An abnormal digital rectal examination is next followed by:

• A) PSA and prostate biopsy ✅
• B) Observation
• C) TURP
• D) Cystoscopy

Why: PSA plus biopsy assesses suspected prostate cancer.

How to Study This Block

• Link each stone type to its urine and X-ray features.
• Know the staging and first-line treatment of prostate, bladder and renal tumours.
• Learn the grades of renal and bladder trauma and which are managed conservatively.

Each subject in the QBank can be filtered on its own, so you can drill urology until your accuracy is stable. Confirm the exam format and syllabus against the current CPSP guidelines.

Frequently Asked Questions

Which urology topics repeat most?

Stones, BPH and prostate cancer, bladder tumours, renal trauma and the paediatric conditions such as hypospadias and undescended testis.

Are the explanations specific?

Yes. Each answer states why it is correct and what the common distractor gets wrong.

Practise With the Full QBank

The FCPS IMM Surgery QBank has a free trial batch in Tutor mode, subject filters and Timed mode. Related: complete exam guide, how to use recalls.