ARRT The Male Pelvis - Chapter 13 (Review Questions)

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

a. Varicocele

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

a. Corpus spongiosum

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 an abscess but not around it

a. 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)

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

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

a. Valsalva maneuver

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

a. Varicocele

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

a. epididymis

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

a. left-sided location

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

b. Peyronie disease

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 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

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

b. 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

b. Tubular ectasia of the rete testis

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

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

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

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

c. 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

c. 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

c. Benign prostatic hypertrophy

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

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

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

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

c. Varicocele

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

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

d. >2 mm

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

d. Adrenal rest

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

d. Hypoechoic

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

d. 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

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

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

The most common location 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

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

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