Cryptorchidism Flashcards

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1
Q

At what point in development do the testis descend

A

Between 8 weeks and full term

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2
Q

Where do the testis develop during organogenesis

A

the fetal abdomen

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3
Q

Through what structures do the testis descend during fetal development

A

Each testis descends from the abdomen into the inguinal canal through the deep inguinal ring. Each testis then passes anteromedially through the canal and enters the scrotum via the superficial inguinal ring

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4
Q

Through what structure do the testis enter the scrotum

A

The superficial inguinal ring

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5
Q

The superficial inguinal ring is a

A

physiologic opening in the external oblique muscle aponeurosis above the pubic tubercle.

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6
Q

The deep inguinal ring is

A

an opening in the transversalis fascia bounded laterally by the transversus abdominis muscle and medially by the inferior epigastric vessels.

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7
Q

The deep inguinal ring is an opening in the transversalis fascia bounded laterally by

A

the transversus abdominis muscle

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8
Q

The deep inguinal ring is an opening in the transversalis fascia bounded medially by the

A

inferior epigastric vessels

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9
Q

Cryptorchidism is

A

the failure of one or both testes to descend to the scrotum before birth.

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10
Q

Cryptorchidism occurs more commonly in

A

preterm neonates

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11
Q

Cryptorchidism is associated with a

A

significantly increased risk of testicular cancer and infertility

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12
Q

A testis that is palpable in the inguinal canal typically

A

descends spontaneously by age 6 months

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13
Q

Testes that have not descended by 6 months of age require

A

surgical intervention

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14
Q

Surgical repair of an undescended testicle lodged in the inguinal canal involves

A

moving the testis through the superficial inguinal ring and fixing it in the scrotum.

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15
Q

The superficial and deep inguinal rings are

A

physiologic openings in the external abdominal oblique aponeurosis and the transverse fascia respectively.

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16
Q

The rectus muscle sheath is formed by the

A

confluence of the aponeuroses of the external and internal oblique muscles and the transversus abdominis muscle

17
Q

The internal oblique muscle aponeurosis contributes to the

A

formation of the conjoint tendon and rectus muscle sheath

18
Q

The cremaster muscle originates from the

A

internal oblique muscle itself

19
Q

The femoral ring is a

A

physiologic opening between the abdominal cavity and the femoral cnaal.

20
Q

The femoral ring transmits

A

lymphatic vessels but not the spermatic cord

21
Q

The conjoint tendon is the

A

common tendon of the transversus abdominis and internal oblique muscles.

22
Q

The _______ _______ is the posterior wall of the inguinal canal

A

Conjoint tendon