Chapter 13- The male pelvis. Penny book questions

What is not typically used as a tumor marker for testicular cancer?

FSH

What covers the corpora cavernosa and corpus spongiosum of the penis?

buck fascia

What is the dense fibrous layer of tissue that is closely applied to the testicle?

tunica albuginea

What is not a division of the epididymis?

neck

What is another name for the cowper gland?

bulbourethral gland

What performs venous drainage of the testicles?

pampiniform plexus

A heterogenous mass with calcifications is noted within the testicle. The mass was later determined to have cartilage, bone, and fibrotic tissue. What is most likely the diagnosis for this mass?

teratoma

What would most likely be associated with hematospermia and painful ejaculation?

prostatitis

A 16 year old patient presents to the sonography department for a scrotal sonogram with clinical features associated with Klinefelter syndrome. What is least likely to be associated with Klinefelter syndrome?

cryptorchidism

A patient presents to the sonography department with a history of vasectomy 10 years earlier. What are the sonographic changes that may be noted after vasectomy?

enlargement of the epididymis

What is the protein produced by the prostate that can be evaluated in cases of suspected BPH and prostate cancer?

PSA

What testicular tumors are found in younger patients and are associated with high levels of estrogen and gynecomastia?

sertoli cell tumor

Upon sonographic investigation of a patient complaining of testicular pain, you note multiple, small nonshadowing foci scattered throughout both testicles. What has been associated with these findings?

infertility

What is not a component of the spermatic cord?

epididymis

Epididymitis is associated with what?

chlamydia

What is the most common malignancy of the testicles?

seminoma

Secondary varicoceles are most likely not associated with:

left-sided location

The most common location of BPH is the:

transitional zone

During a sonographic examination of the right testis, you visualize multiple small cysts located along the mediastinum testis. What is the most likely diagnosis?

tubular ectasia of the rete testis

Enlargement of the prostate in older men is most often caused by:

BPH

What is a benign intratesticular mass that typically has a whorled or onion-skin sonographic appearance?

epidermoid cyst

What best describes a spermatocele?

a cyst, found within the head of epididymis, that may contain debris

A dilated group of veins found within the scrotum is called a:

varicocele

What would most likely resemble a solid intratesticular mass and be associated with cushing syndrome?

adrenal rest

Primary varicoceles are associated with all of the following except:

retroperitoneal mass

A common cyst most often seen in the head of the epididymis that contains nonviable sperm is the:

spermatocele

What scrotal abnormality is caused by incompetent valves with pampiniform plexus?

varicocele

What laboratory value can be assessed as a tumor marker to evaluate a patient for testicular malignancy?

alpha-fetoprotein

The blue-dot sign is indicative of:

torsion of the testicular appendage

What houses the male urethra?

corpus spongiosum

What is not a sonographic finding consistent with torsion of the testicular appendage?

no intratesticular flow

What is the most common correctable cause of male infertility?

varicocele

A simple fluid collection surrounding the testis is referred to as a:

hydrocele

What is the most common malignancy of the penis?

squamous cell carcinoma

A patient presents to the sonography department for a penile sonogram. He complains of a painful curvature of the penis and impotence. What is the most likely diagnosis?

peyronie disease

The exocrine function of the testicles is to produce:

sperm

The most common location of a hydrocele is:

Between the 2 layers of the tunica vaginalis

Acute onset of testicular pain at rest is a common clinical finding with:

testicular torsion

A 7 year old boy presents to the ER with acute testicular pain localized to the superior pole of his right testis. What is most likely the diagnosis?

torsion of the testicular appendage

Zinner syndrome consists of unilateral renal agenesis, ejaculatory duct obstruction, and:

seminal vesicles cysts

Dilated veins of a varicocele will measure:

greater than 2mm

The lack of normal fixation of the testisto the posterior scrotal wall is referred to as:

bell-clapper deformity

What technique is useful for providing sonographic evidence of a varicocele?

valsalva maneuver

The endocrine function of the testicles is to produce:

testosterone

What is not a sonographic finding thats consistent with the diagnosis of testicular torsion?

hyperemic flow within the testis

Spermatogenesis occurs within the:

seminiferous tubules

You have been asked to perform a study to rule out cryptorchidism. The term cryptorchidism denotes:

one or both of the testicles have not descended into the scrotum

The most common germ cell tumor of the testis is the:

seminoma

The most common location of a varicocele is:

The left side of the scrotum

The most common location of prostatic cancer is the:

peripheral zone

What is consistent with the sonographic features of testicular abscess?

hyperemic flow around the abscess, but not within it

What is the most common cancer found in men?

prostate cancer

What would be the most likely sonographic appearance of a seminoma?

hypoechoic