The Male Pelvis ch 13 ARRT

Figure 13-12. (book pic) Acute Epididymo-Orchitis. A. The grayscale sonographic appearance of the testis revals a right (Rt) testicle that appears heterogeneous compared to the left (Lt) testicle. B. Color Doppler reveals hyperemia in the right (Rt) testicle compared to the left (Lt) testicle, which is consistent with diffuse right-sided Epididymo-Orchitis.

Color Doppler pic

3. Secondary Varicocele are most likely associated with all of the following except: a. Left-Sided Location b. Right-Sided Location c. Hepatomegaly d. Renal Mass

a. Left-Sided Location

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

a. Hyperemic flow around the abscess but not w/in it

32. All of the following are sonographic findings consistent w/ the diagnosis of testicular Torsion except: a. Hyperemic flow w/in the testis b. Hypoechoic testis c. Reactive hydrocele d. Decreased intratesticular flow ( as compared w/the asymptomatic testis)

a. Hyperemic flow w/in the testis

18. All of the following are sonographic findings consistent w/ 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

a. No intratesticular flow

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

a. Testosterone

30. 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

a. Valsalva Maneuver

19. What's the most common correctable cause of male infertility? a. Varicocele b. Chlamydia c. Hydrocele d. Testicular Torsion

a. Varicocele

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

a. Varicocele

24. The most common location of a Hydrocele is: a. Superior to the testis b. W/in the scrotal wall c. Between the two layers of the tunica vaginalis d. Between the tunica vaginalis & tunica albuginea

c. Between the two layers of the tunica vaginalis

7. 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

c. Epidermoid Cyst

34. 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

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

26. A 7-year-old boy presents to the emergency department w/ acute testicular pain localized to the Superior Pole of his right testis. What's the most likely diagnosis? a. Testicular Torsion b. Hydrocele c. Torsion of the testicular Appendage d. Yolk Sac Tumor

c. Torsion of the testicular Appendage

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

c. Varicocele

33. Spermatogenesis occurs w/in the: a. Tunica Albuginea b. Rete Testis c. Mediastinum Testis d. Seminiferous Tubules

d. Seminiferous Tubules

23. The exocrine fxn of the testicles is to produce: a. Testosterone b. Human Chorionic Gonadotropin c. Alpha-Fetoprotein d. Sperm

d. Sperm

21. What's the most common malignancy of the penis? a. Cystadenocarcinoma b. Adenocarcinoma c. Follicular Carcinoma d. Squamous Cell Carcinoma

d. Squamous Cell Carcinoma

25. Acute onset of testicular pain at rest is a common clinical finding with a. Testicular Carcinoma b. Hydrocele c. Testicular Trauma d. Testicular Torsion

d. Testicular Torsion

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

d. Torsion of the testicular appendage

13. What scrotal abnormality is caused by incompetent valves within the pampiniform plexus? a. Testicular Carcinoma b. Testicular Microlithiasis c. Testicular Torsion d. Varicocele

d. Varicocele

17. Which of the following houses the male Urethra? a. Corpus Spongiosum b. Buck Fascia c. Bulbourethral Gland d. Corpus Cavernosum

a. Corpus Spongiosum

1. Which of the following is not a component of the Spermatic Cord? a. Epididymis b. Testicular c. Cremaster muscle d. Lymph nodes

a. Epididymis

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

b. Hydrocele

22. A patient presents to the sonography department for a penile sonogram. He complains of a painful curvature of the penis & impotence. What's the most likely diagnosis? a. Squamous Cell Carcinoma b. Peyronie Disease c. Tinner Syndrome d. Testicular fracture

b. Peyronie Disease

2. What is the most common malignancy of the testicles? a. Embryonal Cell Carcinoma b. Seminoma c. Choriocarcinoma d. Spermatocele

b. Seminoma

36. 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. W/in the testis

b. The left side of the scrotum

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

b. Transitional Zone

5. During a sonographic examination of the right testis, you visualize multiple small cysts located along the mediastinum testis. What's the most likely diagnosis? a. Epididymitis b. Tubular ectasia of the rete testis c. Multiple Spermatoceles d. Epidermoid Cysts

b. Tubular ectasia of the rete testis

11. Primary varicoceles are associated with all of the following except: a. left-sided location b. retroperitoneal mass c. infertility d. palpable extratesticular mass

b. retroperitoneal mass

8. 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 w/in the head of epididymis, that may contain debris d. A dilated group of veins found w/in the scrotum

c. A cyst, found w/in the head of epididymis, that may contain debris

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

c. Alpha-Fetoprotein

29. 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

c. Bell-Clapper Deformity

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

c. Benign prostatic hypertrophy

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

d. >2 mm

10. Which of the following would most likely resemble a solid intratesticular mass & be associated w/ Cushing Syndrome? a. Choriocarcinoma b. Epidermoid Cyst c. Intratesticular Varicocele d. Adrenal Rest

d. Adrenal Rest

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

d. Hypoechoic

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

d. Prostate cancer

27. Zinner Syndrome consists of unilateral renal agenesis, ejaculatory duct obstruction, and: a. Prostate Cancer b. Seminoma c. Bulbourethral Stones d. Seminal Vesicle Cysts

d. Seminal Vesicle Cysts

Figure 13-12. (book pic) Acute Epididymo-Orchitis. A. The grayscale sonographic appearance of the testis revals a right (Rt) testicle that appears heterogeneous compared to the left (Lt) testicle. B. Color Doppler reveals hyperemia in the right (Rt) testicle compared to the left (Lt) testicle, which is consistent with diffuse right-sided Epididymo-Orchitis.

grey scale pic

35. The most common Germ Cell Tumor of the testis is the: a. Yolk Sac Tumor b. Embryonal Cell Carcinoma c. Seminoma d. Teratoma

c. Seminoma

12. A common cyst most often seen in the had of the Epididymis that contains nonviable sperm is the: a. Epididymal Cyst b. Tunica Albuginea Cyst c. Spermatocele d. Seminoma

c. Spermatocele

37. The most common location of Prostatic Cancer is the: a. Peripheral Zone b. Transitional Zone c. Central Zone d. Verumontanum

a. Peripheral Zone