Male Genital Tract

Question 1

most common cause of infectious urethritis

Answer 1

N. gonorrhoeae

Question 2

most common common cause of non-infectious urethritis

Answer 2

chlamydia trachomatis, ureaplasma urealyticum

Question 3

most common cause of non-infectious urethritis

Answer 3

reactive arthritis (Reiter syndrome)

Question 4

[diagnosis]

inflamed granulation tissue covered with friable mucosa

may ulcerate and bleed

Answer 4

urethral caruncle

Question 5

[diagnosis: penis]

abnormal opening on the ventral shaft of the penis

Answer 5

hypospadia

Question 6

[[diagnosis]

abnormal opening on the dorsal shaft of the penis

Answer 6

epispadia

Question 7

[diagnosis]

foreskin orifice too small to permit normal retraction; favors infection and CA

Answer 7

phimosis

Question 8

[diagnosis]

infection of glans and prepuce

Answer 8

balanoposthitis

Question 9

[diagnosis]

single, multiple, sessile, pedunculated, red papillary excrescences, noted koilocytosis, papillomatosis, acanthosis with irderly maturation and no atypia rarely progresses to cancer

Answer 9

condyloma acuminatum

HPV 6 and 11

Question 10

[diagnosis]

associated with HPV 16, solitary, thickened, fgray-white, opaque plaque

shiny, red velvety plaque

Histo: dysplastic with large hyperchromatic nuclei, lack of orderly maturation, Basement membrane is intact

10% risk of penile SCCA

Answer 10

bowen disease

Question 11

erythroplasia of queyrat is see in ____

Answer 11

bowen disease

Question 12

[diagnosis]

associated with HPV 16, multiple, reddish-brown papules

Histo: dysplastic with large hyperchromatic nuclei, lack of orderly maturation, Basement membrane is intact

no risk of penile SCCA

Answer 12

bowenoid papulosis

Question 13

most common site of location of testis in cryptochordhism

Answer 13

inguinal canal

Question 14

most common phase of arrest in cryptochordism

Answer 14

inguinoscrotal

Question 15

what month of gestation in which the testis descends the abdomen at the inguinoscrotal level

Answer 15

4th to 7th month AOG

Question 16

gonorrhea and TB first affects this part of the male genital tract

Answer 16

epididymis

Question 17

syphilis first affects this part of the male genital tract

Answer 17

testis

Question 18

this part of the male genital tract is spared in syphilis infection

Answer 18

epididymis

Question 19

tender mass with or without fever, painless mass (mimics testicular tumor), non-caseating granulomas in spermatic tubules

Answer 19

granulomatous orchitis

Question 20

____ (tuberculous/non-tuberculous) diffuse caseating granulomas in testis confined to seminiferous tubules

Answer 20

tuberculous

Question 21

[diagnosis]

post-pubertal males, unilateral, occurs a week after parotitis,

Answer 21

mumps orchitis

Question 22

[diagnosis]

characteristics of mumps orchitis are not associated with infertility

Answer 22

unilateral, interstitial involvement, patchy and haphazard involvement

Question 23

golden period in testicular torsion

Answer 23

6 hours

Question 24

___ deformity associated with increased mobility of testis

Answer 24

bell-clapper deformity

Question 25

most common cause of painless testicular enlargement

Answer 25

testicular tumor

Question 26

most common type of testicular tumor

Answer 26

germ cell tumor

Question 27

most common method of metastasis of testicular tumor is via lymphatic spread via the ____ nodes

Answer 27

retroperitoneal para-aortic nodes

Question 28

peak age of seminoma

Answer 28

3rd decade

Question 29

[diagnosis: testis] large, polyhedral, with clear cytoplasm, central nuclei with one or two prominent nucleoli; moderate lymphatic infiltrate CD117 (c-kit), PLAP (+), AFP (-) (+) HCG

Answer 29

seminoma

Question 30

other term for yolk sac tumor

Answer 30

endodermal sinus tumor | infantile embryonal carcinoma

Question 31

[diagnosis] patient 20-30 years old, extend through tunica albuginea and epididymis gross: smaller than seminomas, poorly demarcated mass, punctuated with foci of hemorrhages cytology: large, anaplastic cells with indistinct borders, tumor giant cells and frequent mitosis CD30 (+) CD117 ckit (-)

Answer 31

embryonal carcinoma

Question 32

[diagnosis] patient is <3 years old gross: encapsulated, solid; homogenous, yellow-white, mucinous/gelatinous cut surface cytology: lace-like, reticular network; medium-sized cuboidal or flattened cells (+) AFP (highly charactestics)

Answer 32

yolk sac tumor

Question 33

[diagnosis] schiller-Duval bodies/glomeruloid (50%), hyaline-like globules (+) alpha 1 antitrypsin (+) AFP

Answer 33

yolk sac tumor

Question 34

[diagnosis] normal sized testis, small palpable nodule (+) HCG cyto: atypical cytotrophoblasts and syncitiotrophoblast without villi

Answer 34

choriocarcinoma

Question 35

[diagnosis] complex tumor, more than 1 germ cell later well-differentiated cells and organoid structures in a fibrous stroma

Answer 35

mature testicular teratoma

Question 36

[diagnosis] second most common testicular tumor in infants and children

Answer 36

teratoma

Question 37

most common form of testicular neoplasm in men >60 years old

Answer 37

testicular lymphoma

Question 38

[diagnosis] patient 20 years old, testicular swelling, gynecomastia, sexual precocity cyto: well-differentiated polygonal cells with abundant granular cytoplasm

Answer 38

leydig cell tumor produce androgen or estrogen

Question 39

[diagnosis] crystalloids of reinke

Answer 39

leydig cell tumor

Question 40

[diagnosis] patient 40 years old, testicular swelling, hormonally silent cyto: trabeculae, cords resemble semineferous tubules

Answer 40

sertoli cel tumor

Question 41

most common site of prostatic epithelial neoplasia and cancer

Answer 41

peripheral zone

Question 42

most common site of nodular prostatic hyperplasia

Answer 42

transitional zone (inner periurethral)

Question 43

most common cancer in males

Answer 43

prostate cancer

Question 44

[diagnosis] 65 year old male with urinary obstruction, prostate is fibromuscular and glandular lcoated in the transitional zone

Answer 44

nodular prostatic hyperplasia

Question 45

[diagnosis] fever, chills, dysuria, tender, boggy prostate prostatic secretion: >15/HPF without pyuria (+) cultrue

Answer 45

acute bacterial prostatitis

Question 46

[diagnosis] fever, chills, dysuria, tender, boggy prostate (+) E. coli on culture prostatic secretion: >15/HPF without pyuria

Answer 46

chronic bacterial prostatitis

Question 47

most common cause of chronic abacterial prostatitis

Answer 47

C. trachomatis M. hominis Trachomonas U. urealyticum

Question 48

[diagnosis] (-) history of recurrent UTI painful ejaculation fever, chills, dysuria, tender, boggy prostate prostatic secretion: >10/HPF negative culture

Answer 48

chronic abacterial prostatitis

Question 49

[diagnosis] dysuria, increased urinary frequency, complete urinary retention, hematuria, back or hip pain PSA is not so elevated

Answer 49

prostatic adeno CA

Question 50

most common site of bone metastasis of prostatic CA

Answer 50

lumbar

Question 51

predominant lesion of bone metastasis from prostatic CA

Answer 51

blastic lesion

Question 52

PSA is synthesized by what cell of the prostate gland

Answer 52

epithelial cell

Question 53

normal PSA value range is ____

Answer 53

0-4 ng/mL

Question 54

If free PSA is high, what is the diagnosis

Answer 54

BPH

Question 55

if complex PSA is high, what is the diagnosis

Answer 55

CA

Question 56

in gleason scoring, positive for this status is associated with a fatals outcome regardless of T

Answer 56

nodal status

Question 57

in gleason scoring, the best prognostic factors includes

Answer 57

grade and stage