GU RISE 2022

Question 1

Most common primary testicular neoplasm in a 20-year old male (Brant)

Answer 1

Seminomas

Most (95%) are germ cell tumors. These are the most common neoplasm in males aged 15 to 44

Question 2

Most common testicular neoplasms (3) in males >50 years of age

Answer 2

Lymphoma, leukemia, metastases

Question 3

Most common malignancies (2) to metastasize to the testis

Answer 3

RCCA and prostate CA

Question 4

True about non-seminomatous tumors of the testis:
a. Less aggressive than than seminomatous
b. Most common of these are of mixed cell type
c. Less sensitive to radiation therapy
d. Consists of sheets of uniform cells with fibrous strands
e. Homogenous and hypoechoic on ultrasound

Answer 4

B. Most common of these are of mixed cell type

All others are characteristics of seminomatous GCT

Question 5

Main venous drainage of the epididymis and scrotal wall

Answer 5

Pampiniform plexus

Question 6

The left gonadal vein drains directly into ______

Answer 6

Left renal vein

Question 7

True about testicular neoplasm (Brant)
a. Hematogenous spread is early in choriocarcinoma of the testis
b. Lymphatic spread is the least common type of tumoral spread
c. MRI performed for indeterminate lesions on ultrasound will reliably differentiate benign from malignant tumors
d. Lymphatic spread initially follows the course of the internal iliac veins to the inferior vena cava

Answer 7

A

B. Most common
C. Neither US nor MRI
D. Gonadal > Testicular > Renal hilar

Question 8

The most common cancer that is associated with urethral stricture is ____ (Brant)

Answer 8

Squamous cell cancer (75%)

(Dunnick 5th, 343)

Question 9

Most common part of urethra (division) affected by
a. SCCA
b. TCCA

Answer 9

a. Anterior
b. Posterior

Question 10

Types of urethral injuries

Answer 10

Type I: Posterior urethra intact, but stretched (Colapinto and McCallum type I; Fig. 21.34)
Typell: Pureposteriorinjurywithtearofmembranousurethraabove the UGD-partial or complete (Colapinto and McCallum type ll; F~. 21.35 and 21.36)
Type Ill: Combined anterior/posterior urethral injury with disrup- tionoftheUGD-partialorcomplete(ColapintoandMcCallum type m; Figs. 21.37 and 21.38}
Type IV: Bladder neck injury with extension into the urethra (Fig. 21.39)
TypeIVA: Injuryofthebaseofthebladderwithperiurethralatrava- sation simulating a true type IV urethral injury (Fig. 21.40)
Type V: Pure anterior urethral injury-partial or complete (Fig. 21.41)

Question 11

Fracture of the penis

Answer 11

a. Rupture of the corpus cavernous + tunica albuginea +/- penile urethra
b. Most commonly occurs during strenuous sexual activity