Ch. 23

Question 1

Connect the seminal vesicle and the vas deferens to the urethra at the verumontanum

Answer 1

Ejaculatory ducts

Question 2

Reservoirs for sperm located posterior to the bladder

Answer 2

Seminal Vesicles

Question 3

Plexus of veins in the spermatic cord that drain into the right and left testicular veins

Answer 3

Pampiniform plexus

Question 4

Junction of the ejaculatory ducts with the urethra

Answer 4

Verumontanum

Question 5

Male gland that produces hormones that induce masculine features and spermatozoa

Answer 5

Testicle

Question 6

An extension of the internal oblique muscle that descends to the testis with the spermatic cord

Answer 6

Cremasteric muscle

Question 7

Membrane consisting of a viseral layer and a parietal layer lining the inner wall of the scrotum

Answer 7

Tunica vaginalis

Question 8

Partially supply the scrotal wall and epididymis and occasionally the lower pole of the testis

Answer 8

Pudendal artery

Question 9

Tube that connects the epididymis to the seminal vesicle

Answer 9

Vas deferens

Question 10

Anatomic structure formed by the network of the ducts leaving the mediastinum testis that combine into a single, convoluted epididymal tubule

Answer 10

Epididymis

Question 11

Artery arising from the aorta just distal to each renal artery

Answer 11

testicular artery

Question 12

Central linear structure formed by the convergence of multiple, thin septations within the testicle, which are invaginations of the tunica albuginea

Answer 12

Mediastinum testis

Question 13

Small membranous canal that extends from the bladder to the end of the penis

Answer 13

Urethra

Question 14

Multiple septa formed from the tunica albuginea that course toward the mediastinum testis and separate the testicle into lobules

Answer 14

Septa testis

Question 15

Inner fibrous membrane surrounding the testicle

Answer 15

Tunica albuginea

Question 16

Structure made up of vas deferens, testicular artery, cremasteric artery, and pampiniform plexus that suspends the testis in the scrotum

Answer 16

Spermatic cord

Question 17

Sac containing the testes and epididymis

Answer 17

Scrotum

Question 18

Small artery arising from the inferior epigastric artery, which supplies the peritesticular tissue, including the cremasteric muscle

Answer 18

Cremasteric artery

Question 19

Formed by pampiniform plexus.

Answer 19

testicular vein

Question 20

Arises from the vesicle artery and supplies the vas deferens and epididymis

Answer 20

deferential artery

Question 21

Terminal intratesticular arteries arising from the capsular arteries

Answer 21

Centripetal artery

Question 22

Terminal ends of the centripetal arteries that curve backward toward the capsule

Answer 22

Recurrent rami

Question 23

Dilated veins in the pampiniform plexus caused by obstruction of the venous return from the testicle

Answer 23

Varicocele

Question 24

Cyst filled with clear, serous fluid located in the epididymis

Answer 24

Epididymal cyst

Question 25

Fluid formed between the visceral and parietal layers of the tunica vaginalis

Answer 25

Hydrocele

Question 26

Cyst in the vas deferens containing sperm

Answer 26

Spermatocele

Question 27

Inflammation of the epididymis

Answer 27

Epididymitis

Question 28

Testicles remain with the abdomen or groin and fail to descend into the scrotal sac

Answer 28

Cryptorchidism

Question 29

Pus located between the visceral and parietal layers of the tunica vaginalis

Answer 29

Pyocele

Question 30

Network of the channels formed by the convergence of the straight seminiferous tubules in the mediastinum testis

Answer 30

Rete testis

Question 31

Blood located between the visceral and parietal layers of the tunica vaginalis

Answer 31

Hematocele

Question 32

The testes are symmetric, oval-shaped glands residing in the ______________.

Answer 32

scrotum

Question 33

The seminiferous tubules converge at the apex of each lobule and anastomose to form the _____________ in the mediastinum.

Answer 33

rete testis

Question 34

The largest part of the epididymis is the _____________, measuring 6 to 15 mm in width.

Answer 34

head

Question 35

The ductus epididymis becomes the _____________ and continues in the spermatic cord.

Answer 35

vas deferens

Question 36

The testis is completely covered by a dense, fibrous tissue termed the _______________.

Answer 36

tunica albuginea

Question 37

The ____________ supports the ducts coursing within the testis.

Answer 37

mediastinum

Question 38

The space between the layers of the tunica vaginalis is where _______________ can form.

Answer 38

hydroceles

Question 39

The __________ is a continuation of the ductus _____________.

Answer 39

vas deferens; epididymis

Question 40

The vas deferens dilates at the terminal portion near ____________.

Answer 40

seminal vesicles

Question 41

Right and left testicular arteries arise from the ____________ just below the level of the renal arteries.

Answer 41

abdominal aorta

Question 42

Venous drainage of the scrotum occurs through the veins of the ________________ plexus.

Answer 42

pampiniform

Question 43

Power Doppler is often used as a way to quickly get to a sensitive setting that will demonstrate ___________ flow.

Answer 43

slow

Question 44

The most important goal of the ultrasound examination in testicular trauma is to determine if _________ has occurred.

Answer 44

rupture

Question 45

An acute hematocele is ___________ with numerous, highly visible echoes that can be seen to float or move in real time.

Answer 45

echogenic

Question 46

The most common cause of acute scrotal pain in adults is ______________ infection of the epididymis and testis.

Answer 46

epididymo-orchitis

Question 47

The normal epididymis shows ________ flow with color doppler.

Answer 47

little

Question 48

With epididymitis, Doppler waveforms demonstrate _____________ velocities in both systole and diastole. A low resistance waveform pattern is present.

Answer 48

increased

Question 49

Hydroceles are found around the _____________ aspect of the testis.

Answer 49

anterolateral

Question 50

______________ of the spermatic cord occurs as a result of abnormal mobility of the testis within the scrotum.

Answer 50

Torsion

Question 51

The ____________ anomaly occurs when the tunica vaginalis completely surrounds the testis, epididymis, and distal spermatic cord, allowing them to move and rotate freely within the scrotum.

Answer 51

bell clapper

Question 52

Torsion is the most common cause of acute scrotal pain in _______________.

Answer 52

adolescents

Question 53

A(n) ______________ of perfusion in the symptomatic testis with normal perfusion demonstrated in the asymptomatic side is considered to be diagnostic of torsion.

Answer 53

absence

Question 54

Extratesticular cysts are found in the tunica ___________ or epididymis.

Answer 54

albuginea

Question 55

_______________ are usually caused by incompetent venous valves within the spermatic cord.

Answer 55

Varicoceles

Question 56

Omental hernias appear _____________ because of omental fat.

Answer 56

echogenic

Question 57

A(n) ____________ contains serous fluid and is the most common cause of painless scrotal swelling.

Answer 57

hydrocele

Question 58

Testicular cancer occurs most frequently between the ages of ______________ years.

Answer 58

20 to 34

Question 59

Patients with _____________ testes are 2.5 to 8 times more likely to develop cancer.

Answer 59

undescended

Question 60

These masses called ______________ are usually benign, whereas _______________ masses are more likely to be malignant.

Answer 60

extratesticular; intratesticular

Question 61

The term _______________ describes a condition in which the testis has not descended into the scrotum and cannot be brought into the scrotum with external manipulation.

Answer 61

undescended testis, cryptorchidism

Question 62

What anatomic structure does this arrow point to?

Answer 62

testis mediastinum

Question 63

Identify the abnormality in these images of the testes.

Answer 63

dilation of the rete testis

Question 64

What is the arrow pointing to?

Answer 64

Pointing to the stalk connecting the cyst to the epididymal head.

Question 65

Describe the sonographic findings on this image of the tunica vaginalis.

Answer 65

hydrocele