Deck 23: Scrotum

Question 1

Which one of the following almost always transpires secondary to epididymitis?

A) Orchitis
B) Hydrocele
C) Spermatocele
D) Varicocele

Answer 1

A

Question 2

Which one of the following facts about an undescended testis is false?

A) The testis originates in the retroperitoneum at the level of the fetal kidney.
B) All undescended testes are found in the inguinal canal.
C) An associated risk for testicular malignancy can develop.
D) An increased incidence of infertility exists.

Answer 2

B

Question 3

Sonographic characteristics of the normal testis include a(n):

A) inhomogeneous pattern with dense internal echoes.
B) homogeneous pattern with low-level internal echoes.
C) homogeneous pattern with medium-level echoes.
D) inhomogeneous pattern with medium-level echoes.

Answer 3

C

Question 4

The testes measure:

A) 6 cm long, 3 cm in diameter (anteroposteriorly [AP]), 3 cm wide.
B) 5 cm long, 2 cm in diameter (AP), 2 cm wide.
C) 2 cm long, 5 cm in diameter (AP), 5 cm wide.
D) 4 cm long, 3 cm in diameter (AP), 3 cm wide.

Question 5

Common causes of a hydrocele include all of the following except:

A) trauma.
B) microlithiasis.
C) epididymo-orchitis.
D) testicular torsion.

Question 6

A seminoma of the testicle generally appears on ultrasound as a(n) _____________ mass.

A) hypoechoic
B) complex
C) hyperechoic
D) anechoic

Question 7

A common cause of acute scrotal pain in adults is:

A) an epididymal cyst.
B) epididymo-orchitis.
C) a spermatocele.
D) testicular torsion.

Question 8

A clinical history of a vasectomy is associated with:

A) testicular torsion.
B) sperm granulomas.
C) microlithiasis.
D) varicoceles.

Question 9

Which one of the following statements about varicoceles is false?

A) Varicoceles refer to dilated, serpiginous, and elongated veins of the pampiniform plexus.
B) Varicoceles are more common on the right side of the scrotum.
C) Primary varicoceles result from incompetent valves in the spermatic vein.
D) Secondary varicoceles develop from compression of the spermatic vein.

Question 10

Epididymo-orchitis most commonly results from a:

A) trauma.
B) virus.
C) bladder infection.
D) sexually transmitted disease.

Question 11

The testes are covered by a fibrous capsule formed by the:

A) tunica albuginea.
B) Cowper's fascia.
C) cremaster muscle.
D) dartos muscle.

Question 12

The primary source of blood flow to the testicles is via the _____________ arteries.

A) renal
B) internal iliac
C) testicular
D) centripetal

Question 13

The most common cause of acute scrotal pain in the adolescent is:

A) a varicocele.
B) epididymitis.
C) testicular torsion.
D) an inguinal hernia.

Question 14

The epididymis courses ________________ to the testis.

A) anterior and inferior
B) anterior and superior
C) posterior and inferior
D) superior and posterolaterally

Question 15

A spermatocele is always located in which portion of the epididymis?

A) Head
B) Neck
C) Body
D) Tail

Question 16

Tubular ectasia of the rete testis is associated with a(n):

A) hydrocele.
B) varicocele.
C) epididymal cyst.
D) inguinal hernia.

Question 17

A linear stripe of variable thickness and echogenicity running through the testis in a craniocaudal direction represents the:

A) Cowper's fascia.
B) mediastinum testis.
C) epithelial layer.
D) dartos muscle.

Question 18

Microlithiasis of the testis is associated with a(n):

A) hydrocele.
B) inguinal hernia.
C) spermatocele.
D) malignant neoplasm.

Question 19

Intratesticular cysts have an association with:

A) spermatoceles.
B) germ cell tumors.
C) hydroceles.
D) microlithiasis.

Question 20

The diameter of a varicocele measures more than _____ millimeters (mm).

A) 2
B) 3
C) 4
D) 5

Question 21

Compared with the testis, the epididymis typically appears:

A) anechoic.
B) hyperechoic.
C) hypoechoic.
D) homogenous.

Question 22

Follow-up examination of patients with microlithiasis is recommended:

A) semiannually.
B) annually.
C) every 5 years.
D) Follow-up is not recommended.

Question 23

The rete testis is located:

A) at the hilum of the testis.
B) in the epididymis.
C) at the superior pole of the testis.
D) at the inferior pole of the testis.

Question 24

A hydrocele develops between the:

A) visceral and parietal layers of the tunica albuginea.
B) tunica albuginea and tunica vaginalis.
C) parietal and visceral layers of the tunica vaginalis.
D) scrotum and tunica albuginea.

Question 25

Attached at the superior pole of the testis between the epididymis and the testis is which one of the following?

A) Rete testis
B) Mediastinum testis
C) Appendix testis
D) Spermatocele