lower GU and Male genital system- chapter 21

Question 1

what is epispadias due to

Answer 1

abnormal positioning of genital tubercle

Question 2

what is the major characteristic with condyloma acuminatum

Answer 2

koilocytic change

Question 3

what is the term for necrotizing granulomatous inflammation of inguinal lymphatics and lymph nodes

Answer 3

lymphogranuloma venereum

Question 4

what STD is associated with lymphogranuloma venereum

Answer 4

chlamydia trachoma’s

Question 5

what is the term for failure of the testicle to descend into scrotal sac

Answer 5

cryptoorchism

Question 6

what side is most common for varicocele

Answer 6

Left

Question 7

what type of cancer is associated with varicocele

Answer 7

renal cell carcinoma

Question 8

where does the fluid accumulation with hydrocele

Answer 8

tunica vaginalis

Question 9

how does hydrocele present

Answer 9

scrotal swelling that can be transluminated

Question 10

what age group do germ cell testicular cancers typically occur

Answer 10

15-40

Question 11

what are the major risk factors for developing testicular germ cell tumors

Answer 11

crytoorchidism and klinefelter syndrome

Question 12

describe seminoma of testicles

Answer 12

malignant with large cells with clear cytoplasm and central nuclei

Question 13

what is seminoma of the testicles similar to in females

Answer 13

dysgerminoma in ovary

Question 14

what can be elevated with embryonal carcinoma of testicles

Answer 14

AFP and/or beta-hCG

Question 15

what is the most common testicular tumor in kids

Answer 15

yolk sac tumor

Question 16

what is characteristically elevated with yolk sac tumor

Answer 16

AFP

Question 17

what testicular cancer is associated with schiller douval bodies

Answer 17

yolk sac tumor

Question 18

how do choriocarcinomas of the testicles spread to early

Answer 18

via blood

Question 19

what causes the characteristic beta-hCG increase with choriocarcinoma

Answer 19

syncytiotrophoblasts

Question 20

what do leydig cell tumors typically produce

Answer 20

androgen

Question 21

what occurs with leydig cell tumors in kids and adults

Answer 21

in kids causes precocious puberty; in adults causes gynecomastia

Question 22

what is characteristically seen on histo of leydig cell tumor

Answer 22

reinke crystals

Question 23

what are sertoli cell tumors composed of

Answer 23

tubules

Question 24

what is the most common cause of testicular mass in men over 60

Answer 24

lymphoma

Question 25

where does BPH typically occur

Answer 25

periurethral zone

Question 26

where does prostate adenocarcinoma typically occur

Answer 26

posterior periphery

Question 27

What is the most common cause of hydropnephrosis in infants and children

Answer 27

Ureteropelvic junction obstruction

Question 28

What is the origin of most small benign tumors or ureters

Answer 28

Mesenchymal origin

Question 29

What type of malignant tumor are most tumors of the ureter

Answer 29

Ureothelial carcinomas

Question 30

What is the term for when fistulous urinary tract connects the bladder with the umbilicus

Answer 30

Patent urachus

Question 31

What is the term for irritation to the bladder mucosa

Answer 31

Polyploid

Question 32

Who are papilloma of the bladder most commonly seen in

Answer 32

Younger patients

Question 33

How does embryonal rhabdomyosarcoma of the bladder present

Answer 33

Polypoid grape-like mass (sarcoma botryoides)

Question 34

What is the clinical triad associated with reactive arthritis

Answer 34

Arthritis, conjunctivitis, urethritis

Question 35

What is the most common cause of CIS in individuals 35+

Answer 35

Bowen disease

Question 36

What is the most common cause of CIS in sexually active adults

Answer 36

Bowenoid papulosis-multiple warty lesions due to HPV 16

Question 37

What is the usual course of GC infection in males

Answer 37

Posterior urethra to prostate, seminal vesicles and then to epididymis

Question 38

Where does TB in male genital tract typically begin

Answer 38

Epididymis

Question 39

What is associated with the bell clapper deformity

Answer 39

Testicular torsion

Question 40

What is the most common malignant paratesticular tumor in adults

Answer 40

Liposarcomas

Question 41

What are the 2 cells involved in choriocarcinoma

Answer 41

Syncytiotrophoblasts and cytotrophoblasts

Question 42

Describe the cells in teratoma

Answer 42

Heterogenous, helter-skelter collection of cells

Question 43

What is the most common benign prostatic disease in men 50+

Answer 43

BPH

Question 44

Describe the nodules that contain mostly glands involved in BPH

Answer 44

Yellow-pink and exude milky-white prostatic fluid

Question 45

Describe the nodules of fibromuscular stroma involved in BPH

Answer 45

Pale gray and tough (usually do not exude any fluid)

Question 46

What is the major clinical presentation with BPH

Answer 46

Urinary obstruction