testicle disorders

Question 1

most solid testicular masses are____, whereas most extratesticular masses are____

Answer 1

malignant; benign

Question 2

testicular torsion is when testes undergo_____ on the _____within the _____

Answer 2

when testes undergo medial rotation on the spermatic cord withing the tunica vaginalis

Question 3

testicular torsion is most common in what age grp?

Answer 3

adolescents

Question 4

what is the the bell clapper deformity?

Answer 4

inappropriatey high fixation of tunica vaginalis

Question 5

what does bell clapper deformity predispose someone to?

Answer 5

torsion

Question 6

how to tx testicular torsion

Answer 6

urgent surgery

Question 7

when is orchectomy done?

Answer 7

when the vascular supply has already died to that teste

Question 8

what is orchiopexy?

Answer 8

testicular fixation to overlying fascia

Question 9

when to perform contralateral orchioplexy?

Answer 9

when predisposing bell clapper deformity present

Question 10

how to tx blue dot sign

Answer 10

resolves with antiinflammatories

Question 11

in younger men, ___are likely cause of infectious epidydmitis, and in older men, it is____

Answer 11

STDs; bacterial GU infxn

Question 12

what should you do to confirm blood flow in epididymitis?

Answer 12

scrotal U/S

Question 13

fasciitis of scrotum, groin, perineum

Answer 13

fourniers gangrene

Question 14

fourniers gangrene is seen in what type of patients?

Answer 14

immunocompromised; diabetics

Question 15

diffuse enlargement of scrotum, thickening of wall, necrotic black patches, crepitus on palpation

Answer 15

fourniers gangrene

Question 16

fluid collection b/w parietal & visceral layers of the tunica vaginalis surrounding the testicle

Answer 16

hydrocele

Question 17

peritoneal fluid passes freely b/w peritoneal cavity and scrotum thru patent processus vaginalis

Answer 17

congenital or infant hydroceles

Question 18

tx of congenital or infant hydroceles

Answer 18

high ligation of the hernial sac

Question 19

tx of acquired or adult hydrocele

Answer 19

surgical drainage

Question 20

what type of hernia: loops of bowel in the scrotum

Answer 20

inguinal hernia

Question 21

painless cystic mass with spermatozoa in it

Answer 21

spermatocele

Question 22

abnormal dilation of veins in pampiniform plexus of the spermatic cord due to elevated venous pressure or incompetent valves

Answer 22

varicocele

Question 23

most common cause of male infertility

Answer 23

varicocele

Question 24

varicocele is most common on left or right side?

Answer 24

left side

Question 25

palpable bag of worms which incr with valsalva and reduces in supine position

Answer 25

varicocele

Question 26

indications for exploration after blunt trauma to testicles

Answer 26

disruption of tunica albuginea

Question 27

when should testicles be descended by?

Answer 27

6 months

Question 28

if cryptorchidism isn’t fixed,what can happen?

Answer 28

1. infertility

2. testicular cancer

Question 29

msot common solid tumor age 15-35

Answer 29

testicular cancer

Question 30

w/u of testicular cancer

Answer 30

scrotal U/S

Question 31

how to tx testicular cancer

Answer 31

inguinal approach radical orchinectomy