Chapter 23 - Scrotum

Question 1

The diameter of a varicocele measures more than 
A. 2
B. 3
C. 4
D. 5

Answer 1

A

Question 2

The testes are covered by a fibrous capsule formed by the 
A. tunica albunginea 
B. Cowpers fascia
C. Cremaster muscle
D. Dartos muscle

Answer 2

A

Question 3

The testes measure:

a. 6 cm long, 3 cm in diameter (anteroposteriorly [AP]), 3 cm wide.
b. 5 cm long, 2 cm in diameter (AP), 2 cm wide.
c. 2 cm long, 5 cm in diameter (AP), 5 cm wide.
d. 4 cm long, 3 cm in diameter (AP), 3 cm wide.

Answer 3

D

Question 4

Sonographic characteristics of the normal testis include a(n):

a. inhomogeneous pattern with dense internal echoes.
b. homogeneous pattern with low-level internal echoes.
c. homogeneous pattern with medium-level echoes.
d. inhomogeneous pattern with medium-level echoes.

Answer 4

C

Question 5

A linear stripe of variable thickness and echogenicity running through the testis in a craniocaudal direction represents the:

a. Cowper’s fascia.
b. mediastinum testis.
c. epithelial layer.
d. dartos muscle.

Answer 5

B

Question 6

The epididymis courses ________________ to the testis.

a. anterior and inferior
b. anterior and superior
c. posterior and inferior
d. superior and posterolaterally

Answer 6

D

Question 7

Which one of the following facts about an undescended testis is false?

a. The testis originates in the retroperitoneum at the level of the fetal kidney.
b. All undescended testes are found in the inguinal canal.
c. An associated risk for testicular malignancy can develop.
d. An increased incidence of infertility exists.

Answer 7

B

Question 8

The most common cause of acute scrotal pain in the adolescent is:

a. a varicocele.
b. epididymitis.
c. testicular torsion.
d. an inguinal hernia.

Answer 8

C

Question 9

Common causes of a hydrocele include all of the following except:

a. trauma.
b. microlithiasis.
c. epididymo-orchitis.
d. testicular torsion.

Answer 9

B

Question 10

Which one of the following statements about varicoceles is false?

a. Varicoceles refer to dilated, serpiginous, and elongated veins of the pampiniform plexus.
b. Varicoceles are more common on the right side of the scrotum.
c. Primary varicoceles result from incompetent valves in the spermatic vein.
d. Secondary varicoceles develop from compression of the spermatic vein.

Answer 10

B

Question 11

A spermatocele is always located in which portion of the epididymis? a. Head

b. Neck
c. Body
d. Tail

Answer 11

A

Question 12

A common cause of acute scrotal pain in adults is:

a. an epididymal cyst.
b. epididymo-orchitis.
c. a spermatocele.
d. testicular torsion.

Answer 12

B

Question 13

Which one of the following almost always transpires secondary to epididymitis?

a. Orchitis
b. Hydrocele
c. Spermatocele
d. Varicocele

Answer 13

A

Question 14

Tubular ectasia of the rete testis is associated with a(n):

a. hydrocele.
b. varicocele.
c. epididymal cyst.
d. inguinal hernia.

Answer 14

C

Question 15

A seminoma of the testicle generally appears on ultrasound as a(n) _____________ mass.

a. hypoechoic
b. complex
c. hyperechoic
d. anechoic

Answer 15

A

Question 16

Epididymo-orchitis most commonly results from a:

a. trauma.
b. virus.
c. bladder infection.
d. sexually transmitted disease.

Answer 16

C

Question 17

A clinical history of a vasectomy is associated with:

a. testicular torsion.
b. sperm granulomas.
c. microlithiasis.
d. varicoceles.

Answer 17

B

Question 18

The primary source of blood flow to the testicles is via the _____________ arteries.

a. renal
b. internal iliac
c. testicular
d. centripetal

Answer 18

C

Question 19

Intratesticular cysts have an association with:

a. spermatoceles.
b. germ cell tumors.
c. hydroceles.
d. microlithiasis.

Answer 19

A

Question 20

Microlithiasis of the testis is associated with a(n):

a. hydrocele.
b. inguinal hernia.
c. spermatocele.
d. malignant neoplasm.

Answer 20

D

Question 21

Follow-up examination of patients with microlithiasis is recommended:

a. semiannually.
b. annually.
c. every 5 years.
d. Follow-up is not recommended.

Answer 21

B

Question 22

Attached at the superior pole of the testis between the epididymis and the testis is which one of the following?

a. Rete testis
b. Mediastinum testis
c. Appendix testis
d. Spermatocele

Answer 22

C

Question 23

A hydrocele develops between the:

a. visceral and parietal layers of the tunica albuginea.
b. tunica albuginea and tunica vaginalis.
c. parietal and visceral layers of the tunica vaginalis.
d. scrotum and tunica albuginea.

Answer 23

C

Question 24

The rete testis is located:

a. at the hilum of the testis.
b. in the epididymis.
c. at the superior pole of the testis.
d. at the inferior pole of the testis.

Answer 24

A

Question 25

Compared with the testis, the epididymis typically appears:

a. anechoic.
b. hyperechoic.
c. hypoechoic.
d. homogenous.

Answer 25

C