lower GU and Male genital system- chapter 21 Flashcards

1
Q

what is epispadias due to

A

abnormal positioning of genital tubercle

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2
Q

what is the major characteristic with condyloma acuminatum

A

koilocytic change

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3
Q

what is the term for necrotizing granulomatous inflammation of inguinal lymphatics and lymph nodes

A

lymphogranuloma venereum

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4
Q

what STD is associated with lymphogranuloma venereum

A

chlamydia trachoma’s

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5
Q

what is the term for failure of the testicle to descend into scrotal sac

A

cryptoorchism

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6
Q

what side is most common for varicocele

A

Left

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7
Q

what type of cancer is associated with varicocele

A

renal cell carcinoma

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8
Q

where does the fluid accumulation with hydrocele

A

tunica vaginalis

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9
Q

how does hydrocele present

A

scrotal swelling that can be transluminated

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10
Q

what age group do germ cell testicular cancers typically occur

A

15-40

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11
Q

what are the major risk factors for developing testicular germ cell tumors

A

crytoorchidism and klinefelter syndrome

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12
Q

describe seminoma of testicles

A

malignant with large cells with clear cytoplasm and central nuclei

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13
Q

what is seminoma of the testicles similar to in females

A

dysgerminoma in ovary

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14
Q

what can be elevated with embryonal carcinoma of testicles

A

AFP and/or beta-hCG

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15
Q

what is the most common testicular tumor in kids

A

yolk sac tumor

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16
Q

what is characteristically elevated with yolk sac tumor

A

AFP

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17
Q

what testicular cancer is associated with schiller douval bodies

A

yolk sac tumor

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18
Q

how do choriocarcinomas of the testicles spread to early

A

via blood

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19
Q

what causes the characteristic beta-hCG increase with choriocarcinoma

A

syncytiotrophoblasts

20
Q

what do leydig cell tumors typically produce

A

androgen

21
Q

what occurs with leydig cell tumors in kids and adults

A

in kids causes precocious puberty; in adults causes gynecomastia

22
Q

what is characteristically seen on histo of leydig cell tumor

A

reinke crystals

23
Q

what are sertoli cell tumors composed of

A

tubules

24
Q

what is the most common cause of testicular mass in men over 60

A

lymphoma

25
Q

where does BPH typically occur

A

periurethral zone

26
Q

where does prostate adenocarcinoma typically occur

A

posterior periphery

27
Q

What is the most common cause of hydropnephrosis in infants and children

A

Ureteropelvic junction obstruction

28
Q

What is the origin of most small benign tumors or ureters

A

Mesenchymal origin

29
Q

What type of malignant tumor are most tumors of the ureter

A

Ureothelial carcinomas

30
Q

What is the term for when fistulous urinary tract connects the bladder with the umbilicus

A

Patent urachus

31
Q

What is the term for irritation to the bladder mucosa

A

Polyploid

32
Q

Who are papilloma of the bladder most commonly seen in

A

Younger patients

33
Q

How does embryonal rhabdomyosarcoma of the bladder present

A

Polypoid grape-like mass (sarcoma botryoides)

34
Q

What is the clinical triad associated with reactive arthritis

A

Arthritis, conjunctivitis, urethritis

35
Q

What is the most common cause of CIS in individuals 35+

A

Bowen disease

36
Q

What is the most common cause of CIS in sexually active adults

A

Bowenoid papulosis-multiple warty lesions due to HPV 16

37
Q

What is the usual course of GC infection in males

A

Posterior urethra to prostate, seminal vesicles and then to epididymis

38
Q

Where does TB in male genital tract typically begin

A

Epididymis

39
Q

What is associated with the bell clapper deformity

A

Testicular torsion

40
Q

What is the most common malignant paratesticular tumor in adults

A

Liposarcomas

41
Q

What are the 2 cells involved in choriocarcinoma

A

Syncytiotrophoblasts and cytotrophoblasts

42
Q

Describe the cells in teratoma

A

Heterogenous, helter-skelter collection of cells

43
Q

What is the most common benign prostatic disease in men 50+

A

BPH

44
Q

Describe the nodules that contain mostly glands involved in BPH

A

Yellow-pink and exude milky-white prostatic fluid

45
Q

Describe the nodules of fibromuscular stroma involved in BPH

A

Pale gray and tough (usually do not exude any fluid)

46
Q

What is the major clinical presentation with BPH

A

Urinary obstruction