Male Genital Pathology Flashcards

1
Q

MC birth defect of male genitalia

A

Cryptorchidism, absence of one or both testes from scrotum

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2
Q

Epispadias vs Hypospadias

A

Epispadias: urethra opens on dorsum of penis
Hypospadias: urethra opens on ventral surface of penis

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3
Q

What is a varicocele?

How is it described?

A

Abnormal enlargement of scrotal veins

“Bag of worms”

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4
Q

What is a hydrocele?

A

Accumulation of fluids around testicle

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5
Q

Testicular torsion definition

MC anatomical etiology

A

Spermatic cord twists, cutting off blood supply.

“Bell clapper deformity”

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6
Q

MC cause of non-gonococcal urethritis

A

Chlamydia

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7
Q

Patient with urethritis presents with systemic inflammation, especially in the joints. You think:

A

Reactive arthritis: triad of conjunctivitis, urethritis, and arthritis.
Can’t see, can’t pee, can’t dance with me.

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8
Q

_____ causes most genital herpes while ______ causes most oral lesions.

A

HSV-2 causes most genital herpes

HSV-1 causes most oral lesions

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9
Q

MC cause of penile cancer (?)

MC type of penile cancer

A

HPV is MC cause (?)

SCC is MC type

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10
Q

MC solid malignant tumor in men 15-35

A

Primary testicular cancer

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11
Q

Seminoma

  • Labs
  • Micro appearance
A
  • placental alk phos (50%), mb hCG, NOT alpha fetoprotein

- lobules of neoplastic cells, fibrous septae with lymphocytic infiltrate

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12
Q

Embryonal carcinoma

  • Labs
  • Micro appearance
A
  • hCG, alpha fetoprotein, NOT placental alk phos

- sheets of cells forming primitive tubules

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13
Q

T/F: a teratoma contains normal tissue from all three germ layers.

A

T: the tissue types are totally normal, but they are in the wrong place and don’t resemble surrounding tissue.
The germ layers are: mesoderm, endoderm, ectoderm.

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14
Q

Is BPH hyperplasia or hypertrophy? What’s the difference?

A

BPH is hyperplasia (inc # of cells), not hypertropy (inc size of cells)

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15
Q

What is the main concern with BPH?

A

Bladder obstruction.

**does not increase risk of cancer

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16
Q

MC cancer among males

A

Prostate cancer

17
Q

MC type of prostate cancer

A

Adenocarcinoma

18
Q

T/F: all men should receive PSA screening for prostate cancer

A

False: not recommended in the absence of symptoms

19
Q

Phimosis vs Paraphimosis

A

Phimosis: foreskin is narrowed and cannot be retracted
Paraphimosis: foreskin is trapped behind the corona