Lower Urinary Tract and Male Repro

Question 0

Uncommon cause of ureteral narrowing, idiopathic form is called ORMONDS DISEASE

Answer 0

Sclerosing retroperitoneal fibrosis

Question 1

Most common cause if hydronephrosis

Answer 1

Ureteropelvic junction obstruction

Question 2

Common coliforms causing cystitis

Answer 2

Proteus
E coli - most common
Enterobacter
Klebsiella

Question 3

Hunner ulcer

Answer 3

Interstitial cystitis (late or classic form)

Question 4

Michaelis Gutman bodies

Answer 4

Malakoplakia (chronic bacterial cystitis caused by e coli)

Question 5

Bladder inflammation due to prolonged indwelling catheters

Answer 5

Polypoid cystitis

Question 6

Brunn nests

Answer 6

Nests of transitional epithelium, in CYSTITIS GLANDULARIS (metaplastic epithelial lining) or in CYSTITIS CYSTICA (metaplastic cystic spaces)

Question 7

scattered malignant cells in an otherwise normal urothelium

Answer 7

Pagetoid spread in CIS (flat urothelial carcinoma)

Question 8

Two genetic pathways for bladder cancer formation

Answer 8

initiated by deletions of tumor suppressor genes on 9p and 9q

Or initiated by p53 mutations

Question 9

Painless hematuria

Answer 9

Bladder cancer

Question 10

Chromosome 9 monosomy or 9p/9q deletions

Answer 10

Bladder CIS

Question 11

Fibrous bands involving the corpus cavernosum

Answer 11

Peyronie disease

Question 12

Warts turning white on acetic acid test

Answer 12

Condyloma acuminata

Question 13

Characterized by koilocytosis and orderly maturation of epithelium

Answer 13

Condyloma acuminatum (hpv 6 and 11)

Question 14

Non specific infection of glans penis and prepuce, due to chronic accumulation of smegma

Answer 14

Balanoposthitis

Question 15

Thickened gray white or red shiny plaques over the penile shaft

Answer 15

Bowen disease

Question 16

Bowen disease vs bowenoid papulosis

Answer 16

BOTH cis malignant tumor of penis

Bowenoid papulosis

• occurs in less than 35
• do not become invasive
• multiple plaques

Question 17

Cause of unilateral testicular enlargement, autoimmune in origin

Answer 17

GRANULOMATOUS autoimmune orchitis

Question 18

Tuberculosis vs syphilis

Answer 18

Tuberculosis - epididymis first

Syphilis - orchitis first…with GUMMAS

Question 19

Sudden onset of testicular pain, testis has increased mobility, BELL CLAPPER ABNORMALITY

Answer 19

Adult torsion

Question 20

Most common risk factor for testicular tumor

Answer 20

CRYPTOCHORDISM
genetic
Testicular dysgenesis like klinefelter
Chromosome 12 abnormalities

Question 21

Classic vs spermatocytic seminomas

Answer 21

BOTH
germ cell tumors of the tstis

Spermatocytic

• larger
• mixed poppn of cells
• only in the testis (no dysgerminomas and germinomas)

Question 22

Embryonal carcinoma vs seminoma

Answer 22

Embryonal carcinoma
More aggressive,
invades tunica albuginea,
positive for afp

Question 23

Most common testicular neoplasm in infants and young children

Answer 23

Yolk sac tumor
Aka infantile embryonal carcionma
Or endodermal sinus tumor

Question 24

Schiller duvall bodies

Answer 24

Structures resembling primitive glomeruli in YOLK SAC TUMOR

Question 25

Highly malignant neoplasm of both cyto and syncytiotrophoblast elements

Answer 25

Choriocarcinoma

Question 26

Most commonly assayed for testicular cancer

Answer 26

Afp and hcg

Question 27

Testicular mass and changes referable to hormonal abnormalities

Answer 27

Leydig cell tumors

Question 28

Aka androblastoma

Answer 28

Sertoli cell tumors

Question 29

Most common testicular neoplasm in patients older than 60

Answer 29

Testicular lymphoma

Question 30

Common causes of acute bacterial prostatis

Answer 30

SEE Staph E coli Enterococcus

Question 31

Most common cause of prostatitis

Answer 31

Chronic abacterial prostatitis

Question 32

Most common cause of granulomatous prostatitis

Answer 32

Bcg installation for bladder cancer cure

Question 33

Site where prostatic enlargements arise

Answer 33

Transition zone aka periurethral region

Question 34

Proliferating glands Fibromuscular stroma Dual cell lining of glands - inner columnar and outer cuboidal

Answer 34

Bph