The Male Pelvis

Question 1

What is an appendix vas?

Answer 1

The testicular appendage located between the body and tail of the epididymis

Question 2

Bell clapper deformity

Answer 2

The condition in which the patient lacks the normal posterior fixation of the testis and epididymis to the scrotal wall

Question 3

Blue dot appearance

Answer 3

The appearance of a torsed testicular appendage that can be observed as a blue dot just under the skins surface

Question 4

What muscle raises the testicles?

Answer 4

Cremaster

Question 5

What tube connects the epididymis to the seminal vessels?

Answer 5

Vas deferens

Question 6

What structure stores sperm?

Answer 6

Epididymis

Question 7

Where are hydroceles usually found?

Answer 7

Between the two layers of the tunica vaginalis

Question 8

Klinefelter syndrome:

Answer 8

A condition where a male has an extra X chromosome; characteristic features include small testicles, infertility, gynecomastia, long legs and abnormally low intelligence

Question 9

What structure separates the scrotum into 2 compartments?

Answer 9

Median raphe

Question 10

What’s the most common location for prostate cancer?

Answer 10

Peripheral zone

Question 11

Network of tubules that carry sperm from the seminiferous tubules to the epididymis?

Answer 11

Rete testis

Question 12

What structure is responsible for spermatogenesis?

Answer 12

Seminiferous tubules

Question 13

What’s the most common malignant neoplasm of the testicle?

Answer 13

Seminoma

Question 14

Most common site for BPH?

Answer 14

Transitional zone

Question 15

Innermost layer of the scrotum?

Answer 15

Tunica albuguinea

Question 16

Double layer serous coatings on the testis?

Answer 16

Tunica vaginalis

Question 17

Verumontanum

Answer 17

Area within the prostatic urethra at which the ejaculatory ducts meet the urethra

Question 18

Are testicles endocrine or exocrine glands:

Answer 18

Both

Question 19

Chronic testicular torsion is torsion for longer than

Answer 19

10days

Question 20

What’s the most common cause of acute pain in a prepubescent male?

Answer 20

Torsion of an appendix testicle

Question 21

Most common cause of (correctable) infertility?

Answer 21

Varicocele

Question 22

Primary vs secondary varicoles

Answer 22

Primary is on the left

Secondary is on the right and is associated with hydronephrosis, hepatomegaly or a neoplasm

Question 23

What’s the most common cause of acute testicular pain in adults?

Answer 23

Epididymitis

Question 24

What’s the most common cause of epididymitis in younger men?

Answer 24

Chlamydia

Question 25

Why may someone get a testicular abscess?

Answer 25

Usually if they leave epididymoorchitis untreated

Question 26

What does a testicular abscess appear as sonographically?

Answer 26

A complex intratesticular mass that has no internal flow centrally, but increased flow around it’s margins

Question 27

Most of the testicular malignancies are ______ _____ in origin.

Answer 27

Germ cell

Question 28

What are the 2 lab values that are helpful in differentiating malignant vs benign testicular masses?

Answer 28

AFP

hCG (usually seen 60% of the time with malignancies)

Question 29

What age range do we typically see seminomas?

Answer 29

30-50yrs of age

Question 30

What are the symptoms of prostate cancer?

Answer 30

Elevated PSA, enlarged prostate, blood in urine/semen, back/pelvic/hip/thigh pain, impotence, and decrease in the amount of ejaculated fluid

Question 31

Most common cancer found in men?

Answer 31

Prostate

Question 32

What’s the most common sonographic appearance of a seminoma?

Answer 32

Hypoechoic

no calcifications