Sexual Flashcards

1
Q

Signs of testicular torsion

A

High-riding testicle
Absent cremasteric reflex
Scrotal pain that doesn’t resolve with elevation (negative Prehn sign)
Swollen, erythematous scrotum without transillumination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which side is varicocele more common?

A

Left - left renal vein is vulnerable to compression where it passes between superior mesenteric artery and aorta

Right is rare and should raise suspicion for thrombosis or malignant compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is suggested by a varicocele that doesn’t decompress when supine, is on the right side and is in a prepubertal boy?

A

Secondary varicocele - perform abdominal ultrasound to evaluate for cause

  1. Extrinsic compression (renal [Wilms tumor] or retroperitoneal mass) of IVC
  2. Venous thrombus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is purpose of testing cremasteric reflex?

A

Absent with testicular torsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Positive Prehn sign (relief of pain with elevation of scrotum)

A

Epididymitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Appendix testis torsion vs testicular torsion

A

Appendix testis torsion has localized, tender mass with possible blue discoloration
Doppler ultrasound would show normal or increased blood flow

Treat with pain management and scrotal elevation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Breast mass - FNA, core, or excisional biopsy?

A

FNA: small or cystic
Core: solid, acellular
Excisional: large, suspicious

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hydrocele appearance on US

A

Uniform fluid without vascularity anterior to testis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Testicular cancer - where does it metastasize?

A

Retroperitoneal LN, lungs, liver

Watch out for this in young man

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What nerves regulate erection?

A

Sympathetic: T11-T12
Parasympathetic: S2-S4
Reflex erection: S2-S4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which testicular cancer is in 40-50s (vs 15-30 yo)?

A

Seminoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What testicular cancer should involve retroperitoneal lymph node dissection?

A

Non-seminomatous germ cell tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

bHCG is seen from which testicular cancers?

A

Primarily choriocarcinoma
Possibly teratoma (which can also have AFP)

Rarely seminoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Do Sertoli cell tumors produce anything?

A

No - Leydig cell tumors produce testosterone and estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly