Inguinal Region testes and scrotum

Question 1

A 4 month old infant is taken to see the physician as his mother is concerned about

an enlargement in his inguinal region (groin). After transillumination of the infant’s scrotum, the “red glow” of light being transmitted through the scrotum indicates the enlargement is most likely to be which of the following diagnoses?

A. Varicocele

B. Hydrocele

C. Hematocele

D. Indirect inguinal hernia

E. Direct inguinal hernia

F. Torsion of the spermatic cord

G. Testicular cancer

Answer 1

B

Question 2

A 66 year old man notices discoloration and painful sores on the skin of his

scrotum which do not seem to be healing. The physician orders a biopsy to

determine whether her diagnosis of skin cancer of the scrotum is correct and if it may be metastatic. Which lymph nodes will scrotal cancer cells most likely metastasize to first?

A. Deep inguinal

B. Superficial inguinal

C.Lumbar

D.Popliteal

Answer 2

B

Question 3

The Dartos fascia (tunica Dartos) covering the teste

s is derived from which

anterior abdominal wall layer?

A. External oblique muscle (and associated fascia)

B. Internal oblique muscle (and associated fascia)

C. Transversus abdominis muscle (and associated fascia)

D. Transversalis fascia

E. Camper’s fascia

F. Scarpa’s fascia

G. Rectus abdominis muscle (and associated fascia)

Answer 3

F

Question 4

Contraction of the striated muscle within the cremasteric fascia of the spermatic

cord is (i) innervated by which nerve that (ii) carries what type of axons?

A. Femoral branch of genitofemoral nerve-

General Visceral Efferent (GVE)

B. Femoral branch of genitofemoral nerve-

General Somatic Afferent (GSA)

C. Genital branch of genitofemoral nerve

-General Visceral Afferent (GVA)

D. Genital branch of genitofemoral nerve

-General Somatic Efferent (GSE)

Answer 4

D

Question 5

The floor (inferior boundary) of the inguinal canal is formed by the fibrous,

inferior margin of the aponeurosis of which anterior abdominal muscle?

A. Rectus abdominis

B. Transversus abdominis

C.Pyramidalis

D. Pectineus

E. External oblique

F. Iliopsoas

Answer 5

E

Question 6

The accompanying image is a diagram illustrating an inguinal hernia. (i) What artery is indicated by the tip of the yellow arrow, and (ii) What type of inguinal

hernia is shown?

A.Umbilical–Direct inguinal hernia

B.Umbilical–Indirect inguinal hernia

C.Internal iliac–Direct inguinal hernia

D.Internal iliac–Indirect inguinal hernia

E. Inferior epigastric–Direct inguinal hernia

F.Inferior epigastric–Indirect inguinal hernia

G.

Testicular–Direct inguinal hernia

H.

Testicular–Indirect inguinal hernia

Answer 6

F

Question 7

In the accompanying image, what anatomical structure is

A.

Efferent ductule

B.

Pampiniform plexus

C.

Artery to ductus (vas) deferens

D.

Seminiferous tubule

E.

Lobule

F.

Tail of the epididymis

G.

Testicular artery

H.

Rete testis

indicated by the tip of the yellow arrow?

Answer 7

A

Question 8

In the accompanying image, the 57 year

old patient is most likely presenting with

what type of abdominal abnormality?

A. Direct inguinal hernia

B. Epigastric hernia

C. Hiatal hernia

D. Meckel’s diverticulum

E. Caput medusa

F. Incisional hernia

G. Umbilical hernia

Answer 8

G