Male Pelvis Penny

What lab value can be assessed as a tumor marker to evaluate a pt for testicular malignancy? a. serum bilirubin b. amylase c. alpha-fetoprotein d. adrenocorticotropic hormone

AFP

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

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

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

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

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. cystadenoccarcinoma b. adenocarcinoma c. follicular carcinoma d. squamous cell carcinoma

squamous cell carcinoma

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

>2mm

Enlargement of the prostate in older men is most often caused by: a. prostatitis b. prostate cancer c. benign prostatic hypertrophy d. klinefelter syndrome

BPH

Which of the following would most likely resemble a solid intratesticle and be associated with cushing syndrome? a. choriocarcinoma b. epidermoid cyst c. intratesticular varicocele d. adrenal rest

adrenal rest

The lack of 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

All of the following houses the male urethra? a. corpus spongiosum b. buck fascia c. bulbourethral gland d. corpus cavernosum

corpus spongiosum

Which of the following is a benign intratesticular mass that typically has a whorled or onion skin sonographic appearance? a. seminoma b. teritoma 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

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 feature of testicular abscess? a. hyperemic flow around the abscess but not within it b. onion skin 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 is the most common sonographic appearance of a seminoma? a. hyperechoic b. anechoic c. heterogeneous with calcifications d. hypoechoic

hypoechoic

Secondary varicoceles are associated with all of the following except: a. left sided location b. right sided location c. hepatomegaly d. renal mass

left sided location

All of the following are sonographic findings consistent with torsion of the testicular appendage except: a. no intratesticular flow b. small hyperechoic mass adjacent to the testis c. reactive hydrocele d. scrotal wall thickening

no intratesticular flow

You have been asked to perform a study to rule out crytorchidism. The term cryptorchidism denotes: a. one or both of the testicles has a malignancy b. the patient lacks the normal fixation of the testis to the posterior scrotal wall c. one or both of the testicles has not descended into the scrotum d. the patient has been kicked in the scrotum

one or both of the testicles has 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 pt presents 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

What is the most common malignancy of the testicle? 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. AFP d. sperm

sperm

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. AFP d. sperm

testosterone

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

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 benign prostatic hypertrophy is the: a. peripheral zone b. transitional zone c. central zone d. verumontanum

transitional zone

During a sonographic exam 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 techniques is useful at 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 ultrasound department with a history of infertility. Which of the following is associated with male infertility? a. spermatocele b. choriocarcinoma c. varicocele 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 are within the pampiniform plexus? a. testicular carcinoma b. testicular microlithiasis c. testicular torsion d. varicocele

varicocele

A dilated group of veins found within the scrotum is defined as a :a. varicocele b. spermatocele c. seminoma d. hydrocele

varicolele