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The images are too large to process in batch. Based on all the OCR text I've gathered, I have enough content to now compile the questions and provide correct answers. Let me write the complete Q&A document.

Based on all the text extracted from your PDF (which is a heavily scanned, multi-language Kazakh/Russian/English urology exam), here are all identifiable questions with correct answers in English:

Urology Exam - All Questions with Correct Answers

Q1. What laboratory methods are carried out in the diagnosis of trophoblastic tumors of the uterus?

Correct Answer: Determination of hCG (human chorionic gonadotropin) and trophoblastic beta-globulin.

Q2. What does the classic triad of symptoms of acute glomerulonephritis include? (3 correct answers)

Options: Swelling, Dyspnea, Hypertension, Hematuria, Heartbeat

Correct Answer: Swelling (edema), Hypertension, Hematuria

These three form the classic triad of acute glomerulonephritis.

Q3. A 34-year-old woman was admitted to the emergency room of the renal center with complaints of lower back pain, increase in body temperature to 39.0°C, proteinuria up to 1.0 g/L, leukocyturia, bacteriuria. What is the diagnosis?

Correct Answer: Acute pyelonephritis

Fever, flank/back pain, leukocyturia, and bacteriuria are classic signs of acute pyelonephritis.

Q4. A 29-year-old patient complains of an increase in body temperature up to 38.5°C, pain in the lumbar region, frequent urination. Lab: leukocytosis, elevated ESR. What is the diagnosis?

Correct Answer: Acute pyelonephritis

Fever, costovertebral angle pain, frequency, leukocytosis, and elevated ESR point to upper urinary tract infection (pyelonephritis).

Q5. A 30-year-old female patient has low back pain, pollakiuria (frequent urination), stranguria (painful urination), temperature 37.5°C, weakness. What is the treatment?

Correct Answer: Antibiotics (e.g., fluoroquinolones or cephalosporins)

This presentation is consistent with acute cystitis/pyelonephritis; antibiotics are the mainstay of treatment.

Q6. A patient notes a decrease in the amount of urine to 400 ml over the last 20 days. What condition does this describe?

Correct Answer: Oliguria (urine output 100-400 mL/day)

This is characteristic of renal failure (acute or chronic), obstruction, or severe dehydration.

Q7. What is the frequency (prevalence) of male infertility?

Correct Answer: 40-50% of infertility cases (male factor accounts for approximately 40-50% of all infertility cases; male infertility alone accounts for about 20-30%).

The OCR captured "40-30" which refers to male infertility contributing to 30-40% of all infertility cases.

Q8. A patient has come to the urologist with complaints of an increase in scrotal size. The method used for diagnosis was diaphanoscopy (transillumination). What is the likely diagnosis?

Correct Answer: Hydrocele (fluid-filled sac around the testis)

Diaphanoscopy (transillumination) is the classic bedside test for hydrocele - light passes through the fluid-filled sac.

Q9. The following condition is characterized by the urethral meatus opening on the DORSAL (upper) surface of the penis:

Options: A) Epispadias, B) Penile rupture, C) Micropenis, D) Hypospadias

Correct Answer: A) Epispadias

Epispadias = urethral opening on the dorsal surface. Hypospadias = ventral surface.

Q10. A 62-year-old patient during the last two years notes a gradual painful increase in the volume of the left half of the scrotum. What is the most likely diagnosis?

Correct Answer: Testicular tumor (cancer) or Hydrocele

Gradual painless or mildly painful enlargement of a testis in an older patient raises concern for testicular tumor. Ultrasound of the scrotum is the next step.

Q11. Ultrasound imaging of the scrotum is used to diagnose:

Correct Answer: Testicular torsion, epididymo-orchitis, varicocele, hydrocele, and testicular tumors.

Q12. A 24-year-old patient complains of episodic dull pain in the left genital area/scrotum that occurs after physical exertion. What is the diagnosis?

Correct Answer: Varicocele (dilated veins of the pampiniform plexus)

Dull dragging scrotal pain worsening with exertion in a young male is the classic presentation of varicocele, especially on the left side.

Q13. A 60-year-old patient complains of heaviness in the lower back, general weakness, dry mouth, headaches, and increased blood pressure. What is the likely diagnosis?

Correct Answer: Chronic renal failure (CKD) or Renovascular hypertension

The combination of hypertension, uremic symptoms (dry mouth, weakness, headache), and back heaviness in an elderly patient suggests chronic kidney disease with hypertension.

Q14. Bladder calculus (bladder stone) - how is it diagnosed?

Correct Answer: Plain X-ray (KUB) for radiopaque stones, ultrasound, and cystoscopy (gold standard for direct visualization).

Q15. Prevention of congenital malformations of the central nervous system (neural tube defects) involves:

Correct Answer: Folic acid supplementation (400-800 mcg/day) before conception and during the first trimester. (Note: OCR captured "sedative agent" as a distractor option)

Q16. A 20-year-old patient complains of absence of menstruation for 2 months, lack of appetite. What is the diagnosis?

Options include: Pregnancy 4 weeks, Pregnancy 8 weeks

Correct Answer: Pregnancy 8 weeks (2 months of amenorrhea = approximately 8 weeks of pregnancy)

Q17. What imaging method is used to diagnose a double/duplicated kidney (duplex kidney)?

Options: Excretory urography doubling of ureter, CT with contrast, Cystography doubling of the ureter, Excretory urography double kidney, Retrograde urography double kidney

Correct Answer: Excretory (intravenous) urography - it demonstrates the double collecting system, double ureter, and duplicated kidney. CT urography is also highly accurate.

Q18. Increased peripheral vascular resistance causes:

Correct Answer: Hypertension - increased peripheral vascular resistance is the primary mechanism of essential hypertension and raises systolic/diastolic blood pressure.

Q19. What does cystoscopy of the bladder allow you to do?

Correct Answer: Direct visualization of the bladder interior, ureteral orifices, detection of tumors, stones, inflammation, strictures, and biopsy capability.

Q20. A patient with gynecological disease - what needs to be assessed/found?

Correct Answer: Urological evaluation (kidney function, urinary tract integrity) - gynecological conditions can affect/involve the urinary tract.

Q21. Excretory (secretory) urography is used to determine:

Correct Answer: The excretory function of the kidneys and the anatomy of the collecting system, ureters, and bladder.

Q22. A patient with pain in the lower abdomen, frequent urination, X-ray examination was performed. Diagnosis:

Options: Chronic prostatitis, Bladder rupture

Correct Answer: Chronic prostatitis - lower abdominal/pelvic pain with urinary frequency in a male patient is consistent with chronic prostatitis/chronic pelvic pain syndrome (CPPS). Bladder rupture would present acutely with trauma history.

Summary Table

#	Topic	Correct Answer
1	Trophoblastic tumor diagnosis	hCG + trophoblastic beta-globulin
2	Acute glomerulonephritis triad	Edema, Hypertension, Hematuria
3	34F: fever, back pain, leukocyturia	Acute pyelonephritis
4	29M: fever, lumbar pain, frequency	Acute pyelonephritis
5	30F: back pain, pollakiuria, stranguria	Antibiotics
6	Urine 400 mL/day	Oliguria / Renal failure
7	Male infertility frequency	30-40% of infertility cases
8	Scrotal enlargement + diaphanoscopy	Hydrocele
9	Urethral meatus on dorsal surface	Epispadias
10	62M: gradual scrotal enlargement	Testicular tumor
11	Scrotal ultrasound uses	Torsion, tumor, varicocele, hydrocele
12	24M: left scrotal pain with exertion	Varicocele
13	60M: HTN, weakness, dry mouth	CKD / Renovascular hypertension
14	Bladder stone diagnosis	X-ray, ultrasound, cystoscopy
15	Prevent CNS malformations	Folic acid supplementation
16	2 months amenorrhea	Pregnancy 8 weeks
17	Diagnose duplex kidney	Excretory urography
18	Increased peripheral resistance	Hypertension
19	Cystoscopy purpose	Direct bladder visualization
20	Gynecologic disease workup	Urological evaluation
21	Excretory urography purpose	Kidney excretory function
22	Lower abdominal pain + frequency + X-ray	Chronic prostatitis

Note: Your PDF is a very low-quality scanned document in mixed Kazakh/Russian/English with heavy noise. Some questions (especially pages 7, 10, 11, 14, 16, 21-22, 25-29, 31) were not fully legible in the OCR output. The answers above are based on the readable text combined with standard urology knowledge. If you can share clearer images of specific questions, I can give more precise answers for those.

Give this all questions pdf form with photo without skip any word

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Urology Questions With Answers

PDF Document · PDF

What's inside the PDF (29 MB, 33 pages):

Every single original page is embedded as a full-size photo — not one word or image is skipped
After each page, a blue highlighted box shows the correct answer in English, including:
- The question topic/number
- The correct answer with explanation
- Clinical reasoning (why that answer is correct)
- Differentials where relevant

Correct answers covered include:

Page	Topic	Answer
1	Fever + lumbar pain + frequency	Acute Pyelonephritis
2	Oliguria / Male infertility rate	400 mL = Oliguria / 30-40%
3	Scrotal swelling + diaphanoscopy	Hydrocele
4	62yo scrotal enlargement	Testicular Tumor
5	Left scrotal pain with exertion	Varicocele
6	Trophoblastic tumor markers	β-hCG + trophoblastic β-globulin
8	Classic glomerulonephritis triad	Edema, Hypertension, Hematuria
9	Dorsal urethral meatus	Epispadias
15	Prevent CNS malformations	Folic acid supplementation
17	2 months amenorrhea	Pregnancy 8 weeks
18-19	Duplex kidney imaging	Excretory (IV) Urography
20	Increased peripheral resistance	Hypertension
33	Lower abdominal pain + X-ray	Chronic Prostatitis

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