Urology: renal cell carcinoma: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Urology: renal cell carcinoma

Sample item

A patient has intermittent painless hematuria, flank mass, weight loss, and varicocele that does not decompress when supine. What diagnosis is most likely?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Renal cell carcinoma

Renal cell carcinoma can cause hematuria, flank mass, constitutional symptoms, and a persistent varicocele from renal-vein involvement. Imaging and urologic assessment are required.

Option by option

  • A. Ureteric stone only

    Stones cause colic and hematuria but not a mass or venous obstruction pattern.

  • B. Uncomplicated cystitis

    Cystitis causes dysuria and frequency, not flank mass and persistent varicocele.

  • C. Benign prostatic hyperplasia

    BPH causes lower urinary tract symptoms, not flank mass.

  • D. Renal cell carcinoma (correct)

    Correct. This combination is a classic renal-cell-carcinoma presentation.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is D, Renal cell carcinoma. Renal cell carcinoma can cause hematuria, flank mass, constitutional symptoms, and a persistent varicocele from renal-vein involvement.

Why is "Ureteric stone only" not the answer?

Stones cause colic and hematuria but not a mass or venous obstruction pattern.

Why is "Uncomplicated cystitis" not the answer?

Cystitis causes dysuria and frequency, not flank mass and persistent varicocele.

Why is "Benign prostatic hyperplasia" not the answer?

BPH causes lower urinary tract symptoms, not flank mass.

What concept does this question test?

It tests Urology: renal cell carcinoma in General Surgery. Imaging and urologic assessment are required.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Urology: renal cell carcinoma?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.