WlwG Male Genitalia Flashcards

1
Q

Calcified plaqes in penis

A

Peyronies

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2
Q

Fracture of penis involves which layers?

A

Corpus cavernosa and tunica albuginea

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3
Q

Penis cancer type?

A

Squamous cell ca

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4
Q

Prostatic urethra divertivulum?

A

Prostatic utricle cyst

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5
Q

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

A

Inner-most, T1/T2-hypo

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6
Q

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

A

Outer-most, T1-hypo, T2-hyper

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7
Q

Prostate T1-hyper dx?

A

Haemorrhage

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8
Q

Prostate T2-heterogeneous in transitional zone dx?

A

BPH

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9
Q

Location and appearance of prostate Ca?

A

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

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10
Q

Prostate diffuse T2-hypo, hypoechoic nodules dx?

A

Granulomatous prostatitis

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11
Q

Prostate MRI sequences?

A

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

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12
Q

PIRADS 1-5 meaning?

A

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)

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13
Q

Prostate Dynamic contrast enhancement curve types

A

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

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14
Q

Prostate PSA/Gleason management?

A

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

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15
Q

Testes conditions: No testes

A

Cryptorchidism

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16
Q

Testes conditions: Painless enlargement

A

Hydrocele

17
Q

Testes conditions: Painful arterial

A

Epididymo-Orchitis

18
Q

Testes conditions: Painful venous

A

Varicocele

19
Q

Testes conditions: Painful with reduced arterial flow

A

Torsion

20
Q

Testes conditions: Anechoic simple cyst

A

Epididymal cyst/Tunica albuginea (surrounding testes) cyst

21
Q

Testes conditions: Multiple tubular cysts with internal echoes in testes

A

Tubular ectasia

22
Q

Testes conditions: Multiple cysts with internal echoes in epidermis

A

Spermatocele

23
Q

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

A

Epidermoid cyst

24
Q

Testes cancer: Child, raised AFP, no focal mass

A

Yolk sac

25
Q

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

A

Teratoma

26
Q

Testes cancer: Adult, homogeneous with bHCG

A

Seminoma

27
Q

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

A

ChorioCa

28
Q

Testes cancer: Bilateral testes, peutz-jeghers

A

Sertoli cell

29
Q

Testes cancer: Multiple/bilateral testes

A

Lymphoma

30
Q

Testes cancer: Paratesticular scrotal mass in child

A

RhabdoMyoSarcoma

31
Q

Causes of Epididymitis vs Orchitis vs EO

A

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

32
Q

Testes microlithiasis conditions?

A

Downs, Klinefelters, cancer

33
Q

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

A

Right varicocele

34
Q

Necrotising fasciitis in perineum/scrotum?

A

Fournier gangrene

35
Q

Elevated AFP/bHCG, mass in sacro-coccygeal region

A

Sacro-coccygeal teratoma

36
Q

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

A

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

37
Q

Cyst extending outside prostate, no urethra communication

A

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

38
Q

Cyst communicating with prostatic urethra

A

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