I. ABDOMINAL REVIEW - 13. The Male Pelvis

18. 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

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

A

3. 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

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

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

B

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

B

5. 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

24. 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 the tunica albuginea

C

26. 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

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

34. You have been asked to perform a study to rule out Cryptorchidism. The term Cryptorchidism denotes: a. One or both of the testicles has 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

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 Cysts d. Adrenal Rest

C

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

C

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

D

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

D

1. Which of the following is not a component of the spermatic cord? a. Epididymis b. Testicular Artery c. Cremaster Muscle d. Lymph Node

A

38. 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 the abscess but not around it

A

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

A

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

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

A

12. 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

14. 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

16. 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

6. Enlargement of the prostate in older men is most often caused by: a. Prostatitis b. Prostate Cancer c. BPH d. Klinefelter Syndrome

C

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

D

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

D

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

D

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

A

22. 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

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. Within the Testis

B

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

B

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

A

32. 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

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

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

D

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

D

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

D

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

10. 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

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