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Systems Path II Final > Male Genital System & Lower Urinary Tract > Flashcards

Male Genital System & Lower Urinary Tract Flashcards

1
Q

T/F: Abnormal urethral orifices are quite common

A

True 1/300

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2
Q

Hypospadias vs Epispadias

A

Hypo ventral surface (bot) MC

Epi dorsal surface (top)

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3
Q

What is Balanitis

A

Inflam of the glans penis

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4
Q

What is Balanoposthitis

A

Inflam of the prepuce (foreskin)

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5
Q

What is phimosis

A

Inability to retract prepuce, MC acquired

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6
Q

95% of penile neoplasms are what type

A

SCC, <1% of male CA Dx

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7
Q

What is SCC in situ, solitary on shaft, 10% becoming invasive

A

Bowen Disease

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8
Q

Neoplasia of the scrotum is rare, but what type is MC

A

SCC

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9
Q

What is inc. serous fluid in tunica vaginalis, MC cause of scrotal enlargement, infxn, tumor idiopathic, Dx. transluminescence

A

Hydrocele

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10
Q

What is filariasis dealing with the scrotum

A

Elephantiasis (of the nuts, Randy Marsh) Wuchereria bancrofti

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11
Q

What is Cryptorchidism, Dx. at 1, 1% of live births 10% bilat

A

Failure of testicle to descend, MC idiopathic

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12
Q

Testicular atrophy and sterility will occur by what age in Cryptorchidism

A

5 years old

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13
Q

Crytorchidism inc. the risk for testicular CA by what fold

A

3-5x

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14
Q

What is orchitis

A

Inflam of the testis

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15
Q

What virus causes 20% of orchitis in adults

A

Mumps virus

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16
Q

Caseous granulomas are indicative of what

A

TB

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17
Q

What is testicular torsion

A

spermatic cord twisting (untwist within 6 hours!)

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18
Q

In adult testicular torsion, which is MC 12-18, what deformity is seen

A

Bell-clapper deformity

19
Q

If not resolved in 6 hrs. or not part of the 1/3 that spontaneously resolve what is the Tx for testicular torsion

A

Surgical repair

20
Q

What is Varicocele

A

Enlargement of the pampiniform venous plexus of the scrotum

21
Q

If there is Varicocele what should you consider

A

Abdominal malignancy, MC renal cell carcinoma

22
Q

This neoplasia is discovered between 15-34, MC CA in this group, 6/100,000, 5% lethal

A

Testicular neoplasia

23
Q

T/F: Having a brother with testicular CA inc your risk by 8-10x

A

True!

24
Q

What kind of tumors are benign, from sertoli (nurse) and Leydig (testost) cells

A

Sex Cord-Stromal Tumors

25
Q

What kind of tumors are malignant 95% postpubertal testicular tumors from intratubular germ cell neoplasia

A

Germ Cell Tumors (GCTs)

26
Q

Seminomas and Nonseminomatous GCTs are both types of what

A

GCTs

27
Q

Which type of GCT has a more favorable prognosis 30-40, soft mass, well demarcated, gray-white, large uniform round nuclei, few lymphocytes, late mets, radiosensitive

A

Seminomas

28
Q

Pathologies of the peripheral zone of the prostate are typically what

A

Carcinomas

29
Q

Pathologies of the transitional zone of the prostate are typically what

A

Hyperplasia

30
Q

Prostatitis is MCly what

A

Chronic nonbaterial 90-95% aka Chronic pelvic pain syndrome

31
Q

What condition: Hyperplasia, idiopathic, >40, 90% of males >70, 10% symptomatic, nocturia

A

Benign Prostatic Hyperplasia

32
Q

What are the side effects of Transurethral resection of the Prostate

A

Incontinence, erectile dysfunction

33
Q

What condition: 30% of all male CA Dx 10% of CA deaths, MC indolent, adenocarcinomas, 80% in peripheral zone, MC 65-75

A

Carcinoma of the prostate

34
Q

Prostate CA on Xray may look like what on the vertebral bodies

A

They may appear brighter

35
Q

What is Hydronephorsis

A

Dilation of the renal pelvis/calyces

36
Q

What is the MC cause of Hydronephrosis

A

Congenital: atresia in male infants

37
Q

Calcium oxalate is the MC cause of what

A

Renal Calculus (kidney stone)

38
Q

What inc. the risk for renal calculus

A

Dehydration, UTIs, dec vit A, gout,

39
Q

How are Staghorn Calculi different

A

MC from recurrent infxns, Mg ammonium phosphate

40
Q

Vomiting/wt. loss, Arthritis, HA, dizzines, Diplopia are all toxicity symptoms of what

A

Vit. A

41
Q

What is being described: Blind-ended pouch in bladder wall, MC acquired, MC small and asymp, infxn risk

A

Diverticulum

42
Q

What is being described: Inflamm of urinary bladder, Bacterial infxn, suprapubic pain, urinary freq, painful sex

A

Cystitis

43
Q

Urothelial carcinoma (90%) and SCC (5%) are the two primary types of what type of CA

A

Bladder CA (7% of CA in men)

44
Q

Painless hematuria with a high recurrence are both features of what

A

Bladder CA

Systems Path II Final (3 decks)

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