1.What is the TNM stage of a Gleason 4+5 Prostate Cancer with one bone metastases in T12 vertebral body and one obturator lymph node with bilateral disease fixed to the pelvic side walls?
A.T4a N1 M1a
B. T4b N1 M1a
C.T4b N1 M1b
D.T2c N1 M1c
E.T4b N1 M1c
F.T4a N0 M0
G.T3b N0 M1a
H.T4a N1 M0
2.The most appropriate treatment for a 45 year old fit and otherwise healthy man who has a multifocal recurrence of his PT1G3 TCC at the bladder dome seen a 6 months cystoscopy after BCG induction, with clinically impalpable disease, is:
A.Radical Cystectomy with Urethrectomy
B.Radical Radiotherapy
C.BCG maintenance and close surveillance via cystoscopy and cytology
D.Radical Cystectomy
E.Intravescial BCG with Interferon
F.Intravesical MMC
G.Re-Induction with BCG (x6)
3.Which antibiotic is the most appropriate for each of the 3 following scenarios:
Scenario 1 – 55 Year old man undergoing redo TURP for voiding symptoms
Scenario 2 – 27 Year old lady having sacro-nueuromodulator implanted
Scenario 3 – 44 Year old man having left ureteroscopy and Laser Lithotripsy for a 7mm upper ureteric stone
A.Gentamicin
B.Gentamicin + Amoxicillin
C.Cefuroxime
D.Ciprofloxacin
E.Flucloxacillin
F.Erythromycin
G.Co-Amoxiclav
4.Which is the most appropriate investigation for the following scenarios:
Scenario 1 – 54 Year old man presenting with frank haematuria after having a normal flexible cystoscopy and renal ultrasound 1 week ago
Scenario 2 – 24 Year old lady with recurrent episodes of left sided pyelonephritis
Scenario 3 – 19 year old man with cystinuria presents with pyrexia & right loin pain
A.MAG 3 Renogram
B.Isotope Bone Scan
C.CT Abdomen/Pelvis Non Contrast
D.CT Abdomen / Pelvis combined with PET Scan
E.MR Urogram
F.Renal Ultrasound
G.Cystoscopy & Bilateral Retrograde Pyelograms