Chapter 23

Tubular ectasia of the rete testis is associated with a(n): varicocele. hydrocele. inguinal hernia. epididymal cyst.

epididymal cyst.

A common cause of acute scrotal pain in adults is: an epididymal cyst. testicular torsion. epididymo-orchitis. a spermatocele.

epididymo-orchitis.

Sonographic characteristics of the normal testis include a(n): inhomogeneous pattern with dense internal echoes. inhomogeneous pattern with medium-level echoes. homogeneous pattern with low-level echoes. homogeneous pattern with medium-level internal echoes.

homogeneous pattern with medium-level internal echoes.

A seminoma of the testicle generally appears on ultrasound as a(n) __ mass. complex anechoic hyperechoic hypoechoic

hypoechoic

Compared with the testis, the epididymis typically appears: anechoic. homogenous. hyperechoic. hypoechoic.

hypoechoic.

A clinical history of a vasectomy is associated with: microlithiasis. varicoceles. sperm granulomas. testicular torsion.

sperm granulomas.

Intratesticular cysts have an association with: germ cell tumors. spermatoceles. hydroceles. microlithiasis.

spermatoceles

The epididymis courses __ to the testis. posterior and inferior superior and posterolaterally anterior and superior anterior and inferior

superior and posterolaterally

The primary source of blood flow to the testicles is via the __ arteries. testicular renal internal iliac centripetal

testicular

The most common cause of acute scrotal pain in the adolescent is: an inguinal hernia. epididymitis. testicular torsion. a varicocele.

testicular torsion.

The testes are covered by a fibrous capsule formed by the: tunica albuginea. cremaster muscle. dartos muscle. Cowper's fascia.

tunica albuginea.

The diameter of a varicocele measures more than __ millimeters (mm). 4 5 3 2

2

The testes measure: 4 cm long, 3 cm in diameter (AP), 3 cm wide. 2 cm long, 5 cm in diameter (AP), 5 cm wide. 5 cm long, 2 cm in diameter (AP), 2 cm wide. 6 cm long, 3 cm in diameter (anteroposteriorly [AP]), 3 cm wide.

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

Which one of the following facts about an undescended testis is false? An increased incidence of infertility exists. All undescended testes are found in the inguinal canal. An associated risk for testicular malignancy can develop. The testis originates in the retroperitoneum at the level of the fetal kidney.

All undescended testes are found in the inguinal canal.

Attached at the superior pole of the testis between the epididymis and the testis is which one of the following? Mediastinum testis Rete testis Spermatocele Appendix testis

Appendix testis

A spermatocele is always located in which portion of the epididymis? Tail Head Neck Body

Head

Which one of the following almost always transpires secondary to epididymitis? Orchitis Varicocele Spermatocele Hydrocele

Orchitis

Which one of the following statements about varicoceles is false? Secondary varicoceles develop from compression of the spermatic vein. Primary varicoceles result from incompetent valves in the spermatic vein. Varicoceles are more common on the right side of the scrotum. Varicoceles refer to dilated, serpiginous, and elongated veins of the pampiniform plexus.

Varicoceles are more common on the right side of the scrotum.

Follow-up examination of patients with microlithiasis is recommended: annually. every 5 years. semiannually. Follow-up is not recommended.

annually

The rete testis is located: in the epididymis. at the superior pole of the testis. at the hilum of the testis. at the inferior pole of the testis.

at the hilum of the testis.

Epididymo-orchitis most commonly results from a: virus. bladder infection. trauma. sexually transmitted disease.

bladder infection.

Microlithiasis of the testis is associated with a(n): malignant neoplasm. spermatocele. inguinal hernia. hydrocele.

malignant neoplasm.

A linear stripe of variable thickness and echogenicity running through the testis in a craniocaudal direction represents the: dartos muscle. Cowper's fascia. epithelial layer. mediastinum testis.

mediastinum testis.

Common causes of a hydrocele include all of the following except: trauma. microlithiasis. epididymo-orchitis. testicular torsion.

microlithiasis.

A hydrocele develops between the: scrotum and tunica albuginea. parietal and visceral layers of the tunica vaginalis. visceral and parietal layers of the tunica albuginea. tunica albuginea and tunica vaginalis.

parietal and visceral layers of the tunica vaginalis.