WlwG Male Genitalia

Question 1

Calcified plaqes in penis

Answer 1

Peyronies

Question 2

Fracture of penis involves which layers?

Answer 2

Corpus cavernosa and tunica albuginea

Question 3

Penis cancer type?

Answer 3

Squamous cell ca

Question 4

Prostatic urethra divertivulum?

Answer 4

Prostatic utricle cyst

Question 5

Prostate transition zone is inner or outer? And T1/T2?

Answer 5

Inner-most, T1/T2-hypo

Question 6

Prostate periperal zone is inner or outer? And T1/T2?

Answer 6

Outer-most, T1-hypo, T2-hyper

Question 7

Prostate T1-hyper dx?

Answer 7

Haemorrhage

Question 8

Prostate T2-heterogeneous in transitional zone dx?

Answer 8

BPH

Question 9

Location and appearance of prostate Ca?

Answer 9

Peripheral zone > transitional zone
US-hypo, T2-hypo, DR, Enhancing

Question 10

Prostate diffuse T2-hypo, hypoechoic nodules dx?

Answer 10

Granulomatous prostatitis

Question 11

Prostate MRI sequences?

Answer 11

3-plane: T2
Axial: DWI, Pre-con T1, Post-con T1

Question 12

PIRADS 1-5 meaning?

Answer 12

P1 = normal
P2 = indeterminate but unlikely
P3 = Equivocal, mild DR or T2-hypo, do Dynamic contrast enhancement
P4 = suspicious, moderate DR or T2-hypo
P5 = very suspicious, P4 and 1.5+ cm or extra-prostatic extension (broken through capsule)

Question 13

Prostate Dynamic contrast enhancement curve types

Answer 13

Type 1 = progressive (mildly upslope)
Type 2 = Plateua (moderate upslope then flatten)
Type 3 = Wash in wash out (steep upslope then downslope

Question 14

Prostate PSA/Gleason management?

Answer 14

PSA <10 and Gleason <6 = low risk, MRI pelvis
PSA 10-20 OR Gleason 7 = moderate risk, MRI pelvis with bone scan, kiv surgery/RT
PSA 20+ or Gleason 8+ = high risk, MRI pelvis with bone scan and CTTAP, kiv surgery/RT

Question 15

Testes conditions: No testes

Answer 15

Cryptorchidism

Question 16

Testes conditions: Painless enlargement

Answer 16

Hydrocele

Question 17

Testes conditions: Painful arterial

Answer 17

Epididymo-Orchitis

Question 18

Testes conditions: Painful venous

Answer 18

Varicocele

Question 19

Testes conditions: Painful with reduced arterial flow

Answer 19

Torsion

Question 20

Testes conditions: Anechoic simple cyst

Answer 20

Epididymal cyst/Tunica albuginea (surrounding testes) cyst

Question 21

Testes conditions: Multiple tubular cysts with internal echoes in testes

Answer 21

Tubular ectasia

Question 22

Testes conditions: Multiple cysts with internal echoes in epidermis

Answer 22

Spermatocele

Question 23

Testes conditions: Non-vascular cyst with ‘onion-skin’ alternating rings of hyper and hypo

Answer 23

Epidermoid cyst

Question 24

Testes cancer: Child, raised AFP, no focal mass

Answer 24

Yolk sac

Question 25

Testes cancer: Child, normal AFP, focal mass with calcs

Answer 25

Teratoma

Question 26

Testes cancer: Adult, homogeneous with bHCG

Answer 26

Seminoma

Question 27

Testes cancer: Adult, heterogeneous with bHCG, mets ++

Answer 27

ChorioCa

Question 28

Testes cancer: Bilateral testes, peutz-jeghers

Answer 28

Sertoli cell

Question 29

Testes cancer: Multiple/bilateral testes

Answer 29

Lymphoma

Question 30

Testes cancer: Paratesticular scrotal mass in child

Answer 30

RhabdoMyoSarcoma

Question 31

Causes of Epididymitis vs Orchitis vs EO

Answer 31

Epididymitis: STI (chlamydia/gonorrhoea) or UTI (E. coli) Orchitis: Mumps EO: STI/UTI as above, TB

Question 32

Testes microlithiasis conditions?

Answer 32

Downs, Klinefelters, cancer

Question 33

Testes conditions: Left or Right varicocele to do US Kidney?

Answer 33

Right varicocele

Question 34

Necrotising fasciitis in perineum/scrotum?

Answer 34

Fournier gangrene

Question 35

Elevated AFP/bHCG, mass in sacro-coccygeal region

Answer 35

Sacro-coccygeal teratoma

Question 36

Different causes of membranous vs short bulbous vs long bulbous urethral strictures

Answer 36

Membranous urethra stricture (IDC/Radiotherapy) Short bulbous stricture (Trauma eg cycling) Long bulbous stricture (infn/gonococcus)

Question 37

Cyst extending outside prostate, no urethra communication

Answer 37

Mullerian duct cyst (Compare cyst communicating with prostatic urethra = Prostatic utricle cyst)

Question 38

Cyst communicating with prostatic urethra

Answer 38

Prostatic utricle cyst (Compare cyst extending outside prostate, no urethra communication = Mullerian duct cyst)