Urology (TESTICULAR DISORDER)

Question 1

Undescended testes is more common at which side

Answer 1

It is more common on right side, because descent occurs later on the right side

Question 2

What is cryptorchidism?

Answer 2

Testis is arrested bilaterally along normal path of descent (right >left)

Question 3

Most common site for cryptorchidism is?

Answer 3

Inguinal canal

Question 4

Right and left testicular rain drains into

Answer 4

Right testicular vein drains into IVC and left testicular vein drains into left renal vein

Question 5

Spontaneous decent of testees can occur during which age

Answer 5

4 to 5 months

Question 6

What is the investigation of choice for the intra-abdominal testis?

Answer 6

Diagnostic laparoscopy 

Question 7

Name the three techniques of orchidopexy

Answer 7

Stephen fowler technique
Keetley Torek procedure
silbar procedure

Question 8

What is the most common complication of orchidopexy?

Answer 8

Indirect, inguinal hernia

Question 9

On doppler with sign is seen in torsion of cyst of morgagni

Answer 9

Blue dot sign

Question 10

High investment of Tunica vaginalis which is the most common predisposing factor of torsion of testes is known as

Answer 10

Bell clapper, testes

Question 11

What are the three signs to differentiate torsion and epididymo orchitis

Answer 11

Prehan sign,
Deming sign
Angel sign

Question 12

Most common organism in epididymo orchitis for age less then 40 year is

Answer 12

Chlamydia

Question 13

Most common organism in epididymo orchitis for age greater than 40 to 45 year is

Answer 13

E. coli (secondary to UTI)

Question 14

What is hydrocele?

Answer 14

Fluid accumulation in Tunica vaginalis

Question 15

What is the most common type of hydrocele?

Answer 15

Vaginal hydrocele

Question 16

Name the four types of hydrocele

Answer 16

Vaginal hydrocele
infantile hydrocele
congenital hydrocele
hydrocele of the cord

Question 17

MCC OF secondary vaginal hydrocele

Answer 17

Epididymo orchitis

Question 18

Which sign is positive in a hydrocele

Answer 18

Fluctuations sign

Question 19

Which surgery is done for large hydrocele?

Answer 19

Jaboulay’s procedure :eversion of the sac

Question 20

What is the most common procedure done for the hydrocele?

Answer 20

Jaboulay’s procedure

Question 21

Which surgery is done for small hydrocele

Answer 21

Lord’s plication

Question 22

Chinese lantern pattern (transilllumination) crystal clear fluid is seen in ?

Answer 22

Epididymal cyst

Question 23

In a vaginal hydrocele if it’s possible to get above the, swelling what does it indicate?

Answer 23

It is a scrotal swelling

Question 24

What is vericocele

Answer 24

Dilated tortuous, pampiniform plexus of veins (LEFT&raquo_space;RIGHT)

Question 25

Bag of worms appearance is seen in

Answer 25

Varicoele

Question 26

In hydrocele surgery retroperitoneal route approach is known as

Answer 26

Palmo’s procedure (high ligation of veins)

Question 27

What is Fournier’s gangrene

Answer 27

Necrotizing fasciitis involving the perineal region It is synergistic gangrene (aerobic + anaerobic)

Question 28

If fourneir’s gangrene extend to abdominal wall it is known as

Answer 28

Meleney’s gangrene

Question 29

What is the most common testicular tumor overall?

Answer 29

Seminomatous germ cell tumor

Question 30

What is the most common testicular tumor in children?

Answer 30

yolk, sac, tumors

Question 31

What is the most common testicular tumor in elders?

Answer 31

Lymphomas

Question 32

What is the most common bilateral testicular tumor?

Answer 32

Lymphomas

Question 33

What is the most common clinical presentation of testicular tumor?

Answer 33

Painless, testicular mass

Question 34

What is Hurricane tumor

Answer 34

It is very aggressive choriocarcinoma Median survival period: 6 months It’s grow so quickly that it out grow it’s blood supply Mets to other organ

Question 35

Which testicular tumor is present with the feature of feminization

Answer 35

Sertoli cell tumor

Question 36

Which tumor is present with the feature of masculinization

Answer 36

Leydig cell tumor(gynaecomastia)

Question 37

Translate scrotal biopsy/FNAC is not done in testicular cancer, because

Answer 37

There’s a chance of risk to upstaging the tumor

Question 38

Which manoeuvre is done in suspected case of testicular tumor

Answer 38

Chevassu Manoeuvre

Question 39

Tumor markers of testicular cancer are

Answer 39

 Beta hCG LDH AFP

Question 40

What value is never raised in pure seminomatous tumor

Answer 40

AFP

Question 41

Inhibin is raised in which tumor

Answer 41

Leydig/sertoli cell tumor

Question 42

In seminomas which lab value raised ?

Answer 42

Placental ALP

Question 43

HPE of non seminimatous germ cell tumor shows

Answer 43

Schiller-duval bodies

Question 44

Seminomatous tumours are highly _____ and Non Seminomatous tumours are highly ______

Answer 44

Radiosensitive Chemosensitive

Question 45

BEP regime of chemotherapy includes

Answer 45

Bleomycin Etoposide Cisplatin

Question 46

Signs of tubercular epididymo orchitis

Answer 46

Beaded vas Firm enlargement of the epididymis

Question 47

Which tumor contains both germ, cell and sex code Stromal elements

Answer 47

Gonadoblastoma

Question 48

AFP is never raised in

Answer 48

Pure seminomas and Pure choriocarcinoma

Question 49

What is the most common site for ectopic testis?

Answer 49

Superficial inguinal pouch

Question 50

RF for developing testicular carcinoma

Answer 50

Undescended testis Klinfleltor syndrome H/o c/l testicular tumor Shale oil expose

Question 51

Left sided testicular tumor metastasis to which lymph nodes?

Answer 51

Left para-aortic nodes

Question 52

Right sided testicular tumor metastasis to which lymph nodes?

Answer 52

Interaortocaval nodes

Question 53

Ideal timing to do orchidoexy

Answer 53

6-12 months

Question 54

Primary vaginal Hydrocele?

Answer 54

Defective Absorption of Fluid ; Tense swelling ; Testis is not palpable Clear fluid (Transilluminant)

Question 55

Sexondary varicocele is seen in

Answer 55

RENAL CELL CARCINOMA