Urology Practice Questions

Urology covers stone diagnosis and passage, renal colic presentation, and the workup for painless hematuria, which is high-yield on the MCCQE, USMLE Step 2 CK, and PLAB. These four sample questions come from MediLingo's bank of 3,900+ questions across 23 specialties.

Sample questions

Question 1

What is the classic pain pattern of ureteral colic?

a) Epigastric pain radiating to the back

b) Diffuse abdominal pain without radiation

c) Flank pain radiating to the groin ✓ Correct

d) Suprapubic pain only

Key teaching point: Ureteral colic: flank pain radiating to groin.

Question 2

What is the gold-standard imaging for suspected kidney stones?

a) Renal ultrasound

b) IV pyelogram

c) Noncontrast CT of the abdomen/pelvis ✓ Correct

d) Plain KUB X-ray

Key teaching point: Suspected stones: noncontrast CT is gold standard.

Question 3

A 5 mm distal ureteral stone is seen on CT. What medical expulsive therapy helps?

a) Allopurinol

b) Immediate ureteroscopy

c) Tamsulosin to aid stone passage ✓ Correct

d) Thiazide diuretic

Key teaching point: Distal ureteral stone <10 mm: tamsulosin aids passage.

Question 4

A 68-year-old smoker has painless gross hematuria. What is the most likely diagnosis and next step?

a) Urinary tract infection

b) Kidney stones

c) Benign prostatic hyperplasia

d) Urothelial carcinoma; perform cystoscopy ✓ Correct

Key teaching point: Painless hematuria in smoker = urothelial cancer; cystoscopy.

Keep going — 3,900+ questions

With streaks, XP and duels. Free for med students in 72 countries; 30-day free trial elsewhere.

More practice questions

Neurology — Stroke, seizure, headache, and movement disorders
Nephrology — AKI, CKD, electrolytes, acid-base, and glomerular disease
Hematology — Anemias, coagulation disorders, leukemias, and lymphomas
MSK & Rheumatology — Arthritis, fractures, metabolic bone disease, and vasculitis
Infectious Disease — Endocarditis, HIV, UTIs, sepsis, and tropical infections
General Surgery — Biliary disease, breast, thyroid, and perioperative care
Biostatistics & Epidemiology — Risk reduction, study design, confidence intervals, and screening
Dermatology — Inflammatory dermatoses, infections, and skin manifestations
Ophthalmology — Red eye, acute vision loss, and glaucoma
ENT — Epistaxis, otitis media, croup, and pharyngeal infections
Geriatrics & Palliative Care — Falls, delirium, dementia, capacity, and end-of-life
Psychiatry — Mood disorders, anxiety, psychosis, and substance use
Cardiology — Acute coronary syndromes, heart failure, arrhythmias, and valvular disease
Respiratory — Asthma, COPD, pneumonia, and pulmonary embolism
Gastroenterology — IBD, cirrhosis, GI bleeding, biliary disease, and pancreatitis
Endocrine — Diabetes diagnosis, medications, and hypoglycemia
Emergency Medicine — Trauma resuscitation, tamponade, tension pneumothorax, and burns
Pediatrics — Neonatal fever, febrile seizures, autism screening, and ADHD
Obstetrics & Gynecology — Pre-eclampsia, ectopic pregnancy, antepartum bleeding, and postpartum hemorrhage
Musculoskeletal — Fracture classification, compartment syndrome, osteoporosis, and frozen shoulder
Pharmacology — Antihypertensives, anticoagulant reversal, and beta-blocker selectivity
Ethics — Informed consent, emergency treatment, minors, and refusal of care