Penny ch. 13 The Male Pelvis

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

a. Left-sided location

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

a. Valsalva maneuver

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)

a. hyperemic flow within the testis

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

a. no intratesticular flow

The most common location of prostatic cancer is the: a. peripheral zone b. transitional zone c. central zone d. verumontanum

a. peripheral zone

The endocrine function of the testicles is to produce: a. testosterone b. human chorionic gonadotropin c. alpha-fetoprotein d. sperm

a. testosterone

What is the most common correctable cause of male infertility? a. varicocele b. chlamydia c. hydrocele d. testicular torsion

a. varicocele

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

b. Seminoma

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

b. Transitional zone

A simple fluid collection surrounding the testis is referred to as a: a. hematocele b. hydrocele c. varicocele d. spermatocele

b. hydrocele

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

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

b. the left side of the scrotum

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 the epididymis, that may contain debris d. A dilated group of veins found within the scrotum

c. A simple-appearing cyst, found within the head of the epididymis, that may contain debris

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

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

c. between the two layers of the tunica vaginalis

You have been asked to perform a study to rule out cryptorchidism. 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

c. one or both of the testicles has not descended into the scrotum

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

c. spermatocele

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

c. varicocele

What is the most common cancer found in men? a. testicular cancer b. lung cancer c. liver cancer d. prostate cancer

d. prostate cancer

Spermatogenesis occurs within the: a. tunica albuginea b. rete testis c. mediastinum testis d. seminiferous tubules

d. seminiferous tubules

The exocrine function of the testicles is to produce: a. testosterone b. human chorionic gonadotropin c. alpha-fetoprotein d. sperm

d. sperm

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

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

a. varicocele

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

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

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

c. torsion of the testicular appendage

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

d. >2mm

What is the most common sonographic appearance of a seminoma? a. hyperechoic b. anechoic c. heterogeneous with calcifications d. hypoechoic

d. hypoechoic

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

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