HA Chapter 23 Scrotum

Question 1

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

Answer 1

cremasteric muscle

Question 2

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

Answer 2

ejaculatory ducts

Question 3

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

Answer 3

epididymis

Question 4

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

Answer 4

mediastinum testis

Question 5

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

Answer 5

pampiniform plexus

Question 6

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

Answer 6

pudendal artery

Question 7

Sac containing the testis and epididymis

Answer 7

scrotum

Question 8

Reservoirs for sperm located posterior to the bladder

Answer 8

seminal vesicles

Question 9

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

Answer 9

septa testis

Question 10

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

Answer 10

spermatic cord

Question 11

Male gonad that produces hormones that include masculine features and spermatozoa

Answer 11

testicle

Question 12

Artery arising from the aorta just distal to each renal artery

Answer 12

testicular artery

Question 13

Inner fibrous membrane surrounding the testicle

Answer 13

tunica albuginea

Question 14

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

Answer 14

tunica vaginalis

Question 15

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

Answer 15

urethra

Question 16

Tube that connects the epididymis to the seminal vesicle

Answer 16

vas deferens

Question 17

Junction of the ejaculatory ducts with the urethra

Answer 17

verumontanum

Question 18

Terminal intratesticular arteries arising from the capsular arteries

Answer 18

centripetal artery

Question 19

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

Answer 19

cremasteric artery

Question 20

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

Answer 20

deferential artery

Question 21

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

Answer 21

recurrent rami

Question 22

Formed by the pampiniform plexus

Answer 22

testicular vein

Question 23

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

Answer 23

cryptorchidism

Question 24

Cyst filled with clear, serous fluid located within the epididymis

Answer 24

epididymal cyst

Question 25

Inflammation of the epididymis

Answer 25

epididymitis

Question 26

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

Answer 26

hematocele

Question 27

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

Answer 27

hydrocele

Question 28

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

Answer 28

pyocele

Question 29

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

Answer 29

rete testis

Question 30

Cyst in the vas deferens containing sperm

Answer 30

spermatocele

Question 31

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

Answer 31

varicocele

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 __.

Answer 33

rete testis

Question 34

The largest part of the epididymis is the ___, measuring 6-15mm 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 Dopller 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 exam 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 an ____ 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 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 considerd 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 vein.

Answer 55

Varicoceles

Question 56

Omental hernias appear ___ because of the 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

20-34

Question 59

Patients with ____ testes are 2.5-8 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 terms ___ or ___ describe a condition in which the testis have not descneded into the scrotum and cannot be brought into the scrotum with external manipulation.

Answer 61

undescended testis or cryptorchidism