Benign Prostatic Hyperplasia MCQ Quiz | Urology

Welcome to the Benign Prostatic Hyperplasia (BPH) quiz. This quiz is designed for MBBS students to test their knowledge on the pathophysiology, clinical features, diagnosis, and management of BPH, a common condition in urology. You will be presented with 25 multiple-choice questions covering key aspects of the topic. After submitting your answers, your score will be displayed, and the correct and incorrect answers will be highlighted for your review. This is an excellent tool for self-assessment and exam preparation. For your convenience, you can also download all the questions along with their correct answers in a PDF format by clicking the download button that appears after you submit the quiz. Good luck!

1. Which zone of the prostate is primarily involved in Benign Prostatic Hyperplasia (BPH)?

2. The development and progression of BPH are most directly dependent on which hormone?

3. Which enzyme is responsible for converting testosterone to its more active form within the prostate gland?

4. Which of the following is considered a “storage” symptom of BPH?

5. A patient with BPH complaining of “intermittency” is describing which type of symptom?

6. What is the most widely used tool for quantifying the severity of lower urinary tract symptoms (LUTS) in BPH?

7. On Digital Rectal Examination (DRE), the prostate of a patient with typical BPH is most likely to feel:

8. Which investigation provides an objective measure of the severity of bladder outlet obstruction?

9. In the context of BPH, what is the primary role of measuring serum Prostate-Specific Antigen (PSA)?

10. Acute urinary retention is a potential complication of BPH. What is the immediate management?

11. How do alpha-1 adrenergic blockers, such as tamsulosin, primarily work in BPH?

12. Finasteride and Dutasteride belong to which class of drugs used for BPH?

13. The primary effect of 5-alpha reductase inhibitors in the management of BPH is to:

14. Combination therapy with an alpha-blocker and a 5-alpha reductase inhibitor is most beneficial for which group of patients?

15. Which of the following is an absolute indication for surgical intervention in BPH?

16. For many years, which surgical procedure has been considered the “gold standard” for treating BPH?

17. What is the most common long-term complication following a Transurethral Resection of the Prostate (TURP)?

18. TURP syndrome is a serious complication caused by the absorption of hypotonic irrigation fluid. Its features are primarily due to:

19. Holmium Laser Enucleation of the Prostate (HoLEP) is a modern surgical alternative to TURP. What is a key advantage of HoLEP over TURP?

20. A 65-year-old man presents with LUTS. Besides BPH and prostate cancer, which of the following should be considered in the differential diagnosis?

21. A high post-void residual (PVR) urine volume in a patient with BPH indicates:

22. Which of the following is a common herbal supplement sometimes used by patients for BPH, although with limited high-quality evidence?

23. In a patient with BPH and significant storage symptoms (urgency, frequency), an anticholinergic agent like oxybutynin can be cautiously added if:

24. Histologically, BPH is characterized by the proliferation of which cell types?

25. How does treatment with a 5-alpha reductase inhibitor (e.g., finasteride) affect serum PSA levels?