Chapter 13 - Male Pelvis

Dilated veins of a varicocele will measure : a . > 8 mm b . > 4 mm c . < 2 mm d . > 2 mm

> 2 mm

Which of the following houses the male urethra ? a . Corpus spongiosum b . Buck fascia c . Bulbourethral gland d . Corpus cavernosum

Corpus spongiosum

A simple fluid collection surrounding the testis is referred to as a : a . Hematocele b . Hydrocele c . Varicocele d . Spermatocele

Hydrocele

Which of the following is consistent with the sonographic features of testicular abscess ? a . Hyperemic flow around the abscess but not within it b . Onion skin sonographic appearance and hyperemic epididymis c . Hyperemic flow within an anechoic mass d . Hyperemic flow within the abscess but not around it .

Hyperemic flow around the abscess but not within it

All of the following are sonographic findings consistent with the diagnosis of testicular torsion except : a . Hyperemic flow within the testis b . Hypoechoic testis c . Reactive hydrocele d . Decreased intratesticular flow ( as compared with the asymptomatic testis )

Hyperemic flow within the testis

What would be the most likely sonographic appearance of a seminoma ? a . Hyperechoic b . Anechoic c . Heterogeneous with calcifications d . Hypoechoic

Hypoechoic

Secondary varicoceles are most likely associated with all of the following except : a . Left - sided location b . Right - sided location c . Hepatomegaly d . Renal mass

Left - sided location

The most common location of a varicocele is : a . The right side of the scrotum b . The left side of the scrotum c . The inguinal canal d . Within the testis

The left side of the scrotum

Which of the following techniques is useful for providing sonographic evidence of a varicocele ? a . Valsalva maneuver b . Sitting position c . Pulsed Doppler d . Right lateral decubitus position

Valsalva maneuver

A 23 - year - old man presents to the sonography department with a history of infertility . Which of the following is associated with male infertility ? a . Spermatocele b . Choriocarcinoma c . Varicocele d . Hydrocele

Varicocele

A dilated group of veins found within the scrotum is called a : a . Varicocele b . Spermatocele c . Seminoma d . Hydrocele

Varicocele

What is the most common correctable cause of male infertility ? a . Varicocele b . Chlamydia c . Hydrocele d . Testicular torsion

Varicocele

What scrotal abnormality is caused by incompetent valves within the pampiniform plexus ? a . Testicular carcinoma b . Testicular microlithiasis c . Testicular torsion d . Varicocele

Varicocele

Which of the resemble a solid following would most likely intratesticular mass and be associated with Cushing syndrome ? a . Choriocarcinoma b . Epidermoid cyst c . Intratesticular varicocele d . Adrenal rest

Adrenal rest

What laboratory value can be assessed as a tumor marker to evaluate a patient for testicular malignancy ? a . Serum bilirubin b . Amylase c . Alpha - Fetoprotein d . Adrenocorticotropic hormone

Alpha - Fetoprotein

The lack of the normal fixation of the testis to the posterior scrotal wall is referred to as : a . Klinefelter syndrome b . Blue dot sign c . Bell - clapper deformity d . Cryptorchidism

Bell - clapper deformity

Enlargement of the prostate in older men is most often caused by : a . Prostatitis b . Prostate cancer c . Benign prostatic hypertrophy d . Klinefelter syndrome

Benign prostatic hypertrophy

The most common location of a hydrocele is : a . Superior to the testis b . Within the scrotal wall c . Between the two layers of the tunica vaginalis d . Between the tunica vaginalis and tunica albuginea

Between the two layers of the tunica vaginalis

Which of the following is a benign intratesticular mass that typically has a whorled or onion skin sonographic appearance ? a . Seminoma b . Teratoma c . Epidermoid cyst d . Adrenal rest

Epidermoid cyst

Which of the following is not a component of the spermatic cord ? a . Epididymis b . Testicular artery c . Cremaster muscle d . Lymph nodes

Epididymis

All of the consistent following with torsion are sonographic of the testicular findings appendage except: a . No intratesticular flow b . Small hyperechoic c . Reactive hydrocele mass adjacent to the testis d . Scrotal wall thickening

No intratesticular flow

You have been asked to perform a study to rule out cryptorchidism . The term cryptorchidism denotes : a . One or both of the testicles have a malignancy b . That the testicle has torsed c . One or both of the testicles have not descended into the scrotum d . The patient has been kicked in the scrotum

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

The most common location of prostatic cancer is the : a . Peripheral zone b . Transitional zone c . Central zone d . Verumontanum

Peripheral zone

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 ? a . Squamous cell carcinoma b . Peyronie disease c . Tinner syndrome d . Testicular fracture

Peyronie disease

What is the most common cancer found in men ? a . Testicular cancer b . Lung cancer c . Liver cancer d . Prostate cancer

Prostate cancer

Primary varicoceles are associated with all of the following except : a . Left - sided location b . Retroperitoneal mass c . Infertility d . Palpable extratesticular mass

Retroperitoneal mass

Zinner syndrome consists of unilateral renal agenesis , ejaculatory duct obstruction and a . Prostate cancer b . Seminoma c . Bulbourethral stones d . Seminal vesicle cysts

Seminal vesicle cysts

Spermatogenesis occurs within the : a . Tunica albuginea b . Rete testis c . Mediastinum testis d . Seminiferous tubules

Seminiferous tubules

The most common germ cell tumor of the testis is the : a . Yolk sac tumor b . Embryonal cell carcinoma c . Seminoma d . Teratoma

Seminoma

What is the most common malignancy of the testicles ? a . Embryonal cell carcinoma b . Seminoma c . Choriocarcinoma d . Spermatocele

Seminoma

The exocrine function of the testicles is to produce : a . Testosterone b . Human chorionic gonadotropin c . Alpha - Fetoprotein d . Sperm

Sperm

A common cyst most often seen in the head of the epididymis that contains nonviable sperm is the : a . Epididymal cyst b . Tunica albuginea cyst c . Spermatocele d . Seminoma

Spermatocele

What is the most common malignancy of the penis ? a . Cystadenocarcinoma b . Adenocarcinoma c . Follicular carcinoma d . Squamous cell carcinoma

Squamous cell carcinoma

Acute onset of testicular pain at rest is a common clinical finding with : a . Testicular carcinoma b . Hydrocele c . Testicular trauma d . Testicular torsion

Testicular torsion

The endocrine function of the testicles is to produce : a . Testosterone b . Human chorionic gonadotropin c . Alpha - Fetoprotein d . Sperm

Testosterone

A 7 - year - old boy presents to the emergency department with acute testicular pain localized to the superior pole of his right testis . What is the most likely diagnosis ? a . Testicular torsion b . Hydrocele c . Torsion of the testicular appendage d . Yolk sac tumor

Torsion of the testicular appendage

The blue dot sign is indicative of : a . Testicular torsion b . Epididymitis c . Orchitis d . Torsion of the testicular appendage

Torsion of the testicular appendage

The most common location of BPH is the : a . Peripheral zone b . Transitional zone c . Central zone d . Verumontanum

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 ? a . Epididymitis b . Tubular ectasia of the rete testis c . Multiple spermatoceles d . Epidermoid cysts

Tubular ectasia of the rete testis

Which of the following best describes a spermatocele ? a . The most common malignant neoplasm of the scrotum b . A benign intratesticular cyst c . A cyst , found within the head of epididymis that may contain debris d . A dilated group of veins found within the scrotum

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