Chapter 23: the scrotum (practice test)

The diameter of a varicocele measures more than _____ millimeters (mm).

A) 2

B) 3

C) 4

D) 5

2

The testes are covered by a fibrous capsule formed by the:

A) tunica albuginea

B) Cowper's fascia

B) cremaster muscle

D) dartos muscle

tunica albuginea

The testes measure:

A) 6 cm long, 3 cm in depth (anteroposterioroy [AP]), 3 cm wide

B) 4 cm long, 3 cm in diameter (AP), 2 cm wide

C) 2 cm long, 5 cm in diameter (AP), 5 cm wide

D) 4 cm long, 3 cm in diameter (AP), 3 cm wide

4 cm long, 3 cm in diameter (AP), 3 cm wide

Sonographic characteristic of the normal testis include a(n):

A) inhomogeneous pattern with dense internal echoes

B) homogeneous pattern with low-level internal echoes

C) homogeneous pattern with medium-level echoes

D) inhomogeneous pattern with medium-level echoes

homogeneous pattern with medium-level echoes

A linear stripe of variable thickness and echogenicity running through the testis in a craniocaudal direction represents the:

A) Cowper's fascia

B) mediastinum testis

C) epithelial layer

D) dartos muscle

mediastinum testis

The epididymis is located ______ to the testis.

a. anterior and inferior
b. anterior and superior
c. posterior and inferior
d. superior and posterolaterally

superior and posterolaterally

Which one of the following facts about an undescended testis is false?

A) the testis originates in the retroperitoneum at the level of the fetal kidney

B) all undescended testes are found in the inguinal canal

C) an associated risk for testicular malignancy can develop

D) an increased incidence of infertility exists

all undescended testes are found in the inguinal canal

The most common cause of acute scrotal pain in the adolescent is:

A) a varicocele

B) epididymis

C) testicular torsion

D) an inguinal hernia

testicular torsion

Common causes of hydrocele include all of the following except:

A) trauma

B) microlithiasis

C) epididymo-orchitis

D) testicular torsion

microlithiasis

Which one of the following statements about varicoceles is false?

A) varicoceles refer to dilated, serpiginous, and elongated veins of the pampinform plexus

B) varicoceles are more common on the right side of the scrotum

C) primary varicoceles result from incompetent valves in the spermatic vein

D) secondary varicoceles develop from compression of the spermatic vein

varicoceles are more common on the right side of the scrotum

A spermatocele is always located in which portion of the epididymis?

A) head

B) neck

C) body

D) tail

head

A common cause of acute scrotal pain in adults is:

A) an epidermal cyst

B) epididymo-orchitis

C) a spermatocele

D) testicular torsion

epididymo-orchitis

Which one of the following almost always transpires secondary to epididymitis?

A) orchitis

B) hydrocele

C) spermatocele

D) varicocele

orchitis

Tubular ectasia of the rete testis is associated with a(n):

A) hydrocele

B) varicocele

C) epididymal cyst

D) inguinal hernia

epididymal cyst

A seminoma of the testicle generally appears on Ultrasound as a(n) ______ mass.

A) hypoechic

B) complex

C) hyperechoic

D) anechoic

hypoechic

Epididymo-orchitis most commonly results from a:

A) trauma

B) virus

C) bladder infection

D) sexually transmitted

bladder infection

A clinical history of a vasectomy is associated with:

A) testicular torsion

B) sperm granulomas

C) microlithiasis

D) varicoceles

sperm granulomas

The primary source of blood flow to the testicles is via the _______ arteries.

A) renal

B) internal iliac

C) testicular

D) centripetal

testicular

Intratesticular cysts have an association with:

A) spermatocele

B) germ cell tumors

C) hydroceles

D) microlithiasis

spermatocele

Microlithiasis of the testis is associated with a(n):

A) hydrocele

B) inguinal hernia

C) spermatocele

D) malignant neoplasm

malignant neoplasm

Follow-up examination of patients with microlithiasis is recommended:

A) semiannually

B) annually

C) every 5 years

D) follow-up is not recommended

annually

Attached at the superior pole of the testis between the epididymis and the testis is which one of the following?

A) rete testis

B) mediastinum testis

C) appendix testis

D) spermatocele

appendix testis

A hydrocele develops between the:

A) visceral and parietal layers of the tunica albuginea

B) tunica albuginea and tunica vaginalis

C) parietal and visceral layers of the tunica vaginalis

D) scrotum and tunica albuginea

parietal and visceral layers of the tunica vaginalis

The rete testis is located:

A) at the hilum of the testis

B) in the epididymis

C) at the superior pole of the testis

D) at the inferior pole of the testis

at the hilum of the testis

Compared with the testis, the epididymis typically appears:

A) anechoic

B) hyperechoic

C) hypoechoic

D) homogeneous

hypoechoic