Term
| Hormones produced and secreted by thyroid are:___ |
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Definition
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Term
| Which gland secreted TSH (Thyroid stimulating hormones)? |
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Definition
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Term
| Which structure may extend superiorly from the isthmus? |
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Definition
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Term
| What is the size of the adult thyroid gland? |
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Definition
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Term
Which of the following is not a correct anatomic landmark in relation to the thyroid?
Longus colli muscle is posterior to thyroi
Strap muscles anterior to thyroid
Sternocleidomastoid anterolateral to thyroid
Trachea is midline
IJV is lateral
Sternohyoid is posterior |
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Definition
| Sternohyoid is not in relational anatomy |
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Term
| Venous drainage into the ___ |
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Definition
| IJV (internal jugular vein) |
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Term
Clinical signs and symptoms of HYPERthyroidism all of these EXCEPT:
Weight loss, hair loss, increase appetite, palpitations, protruding eyes |
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Definition
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Term
Clinical signs and symptoms of HYPOthyroidism all of these EXCEPT:
Weight gain,lethargy, heat tolerance, deep husky voice, constipation |
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Definition
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Term
| The correlative testing for thyroid function is ___ |
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Definition
| Nuclear Medicine (scintigraphy) |
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Term
| How many parathyroid gland found in the majority of the population? |
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Definition
| 4, 2 superior and 2 inferior parathyroid glands |
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Term
| Function of parathyroid glands are: |
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Definition
| Maintain homeostasis of blood calcium levels or prevent hypocalcimia |
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Term
Which following is true about Grave's disease's characteristic?
Hypervascular (thyroid inferno)
Hypothyroidism
Hyperechogenicity |
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Definition
| Hypervascular "thyroid inferno" |
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Term
Which following is associated with Hashimoto's thyroiditis?
Hyperthyroidism
Lymphoma
Graves's disease |
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Definition
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Term
| Sonographic finding of Grave's disease are____ |
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Definition
Hypervascular - Thyroid inferno
Diffusely hypoechoic
Inhomogeneous (many large vessels) |
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Term
| What is the most common primary thyroid cancer? |
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Definition
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Term
| Thin peripheral, hypoechoic halo and eggshell calcifications are indicative of a : |
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Definition
| Hyperplastic nodules (Benign nodule) |
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Term
Which of the following conditions is most commonly associated with hypothyroidism?
Grave's disease
Hashimoto's disease
Addison disease |
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Definition
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Term
Which of the following conditions is most commonly associated with hyperthyroidism?
Grave's disease
Caroli's disease
Hashimoto's disease
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Definition
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Term
Which of the following is about sonographically normal thyroid parenchyma EXCEPT:
Homogenous
Medium level echoes
Inhomogenous texture
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Definition
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Term
| Distant mets to lung and bone is more likely: |
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Definition
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Term
This is the 2nd most common and 5-15% of thyroid cancers what is this?
a) papillary ca
b)follicular ca
c) adenoma |
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Definition
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Term
| Risk of malignant is increase with increase the number of multiple noduce? True or False |
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Definition
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Term
All following are characterized of malignant except:
Irregular
Markedly hypoechoic
Hypoechoic
Poor defined margins |
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Definition
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Term
| Benign nodule present with characteristic of: |
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Definition
| Peripheral shell "eggshell" calcification |
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Term
| The most common cause of hyperparathyroidism is ___ |
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Definition
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Term
| Which is true about primary hyperparathyroidism? |
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Definition
| Female 2-3 times more than male, usually after menopause and 50year or more, with high serum (PTH) level adn serum calcium level |
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Term
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Definition
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Term
| Secondary hyperparathyroidism is :__ |
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Definition
| Occurs in patient with chronic renal failure, elevated serum phosphates, decreased serum calcium, all 4 parathyroid glands enlarged |
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Term
| Left common carotid artery and left subclavian artery originate from__ |
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Definition
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Term
| This associated with any age/adolescents with upper respiratory infection this is__ |
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Definition
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Term
| This located lateral to thyroid/ or on lateral neck this is__ |
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Definition
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Term
| This congenital lymphatic malformation, affected by chromosome trisomy 13 and 18 this is __ |
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Definition
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Term
| First branch of the ICA is____ |
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Definition
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Term
| First branch of ECA is___ |
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Definition
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Term
| What is the % of population present of pyramidal lobe? |
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Definition
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Term
| Pyramidal lobe is more on___side? |
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Definition
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Term
| Which size lobe of thyroid is larger? |
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Definition
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Term
| In NM a "hot" lesion is ____ |
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Definition
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Term
| With NM __% of "hot" lesions are malignant? |
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Definition
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Term
| With NM __% of "cold" lesions are malignant? |
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Definition
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Term
| With NM "cold" lesion are ___functioning/__uptake/decrease |
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Definition
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Term
| Where is the sternocleidomastoid compared to the thyroid? |
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Definition
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Term
| Where is the Longus colli muscle compared to the thyroid? |
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Definition
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Term
| Where is the Internal jugular vein compared to the thyroid? |
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Definition
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Term
| Where is the Trachea compared to the thyroid? |
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Definition
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Term
| What structure maintains homeostasis of blood calcium levels & prevents hypocalcemia? |
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Definition
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Term
| What are the clinical symptoms of Grave's disease? |
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Definition
| Prominent eyes, muscle atrophy, & weight loss |
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Term
| What carcinoma of the thyroid sonographically has microcalcifications? |
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Definition
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Term
| Follicular carcinoma is ___ |
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Definition
| The 2nd most common & makes up 5-15% of thyroid cancers |
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Term
| What thyroid cancer is more likely to metastasize to the lung & bone? |
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Definition
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Term
| Papillary carcinoma is more common in ___ |
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Definition
| Female 3rd-7th decade (20-60) |
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Term
| Medullary carcinoma has what prevalent and percentage of all thyroid cancers? |
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Definition
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Term
| Which type of thyroid carcinoma that is rare, in elderly and <2% of thyroid carcinoma is worse prognosis and most lethal about 6 month - 1 year lefe exectancy? |
|
Definition
| Anaplastic thyroid carcinoma |
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Term
| Incident of thyroid lymphoma? |
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Definition
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Term
| This is 4% of all thyroid carcinoma what is this? |
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Definition
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Term
| 5 differentiation of thyroid disease are:____ |
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Definition
| Internal consistency, Echogenicity, Margination, Calcification, Peripheral sonolucent halo |
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Term
| Present 10-15% of all thyroid nodules are:__ |
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Definition
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Term
| Which is intermediate low risk of malignancy? |
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Definition
| Isoechoic nodule or peripheral sonolucent rim |
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Term
| Which is more likely charateristic feature of benign nodules? |
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Definition
Peripheral shell like "eggshell" calcification
Large and coarse |
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Term
| Clinical signs of parathyroid adenoma? |
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Definition
| HTN, elevated PTH, Hypercalcemia, Excessive urinary calcium excretion |
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Term
| Secondary hyperparathyroidism/Parathyroid hyperplasia occurs in patient with___ |
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Definition
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Term
| Which is lab values reflect a patient with Graves' disease? |
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Definition
| Decrease TSH, increase T3 and T4 |
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Term
| How the Hashimoto's thyroiditis appear sonographically? |
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Definition
| 1-6mm micronodule; Variable vascularity, Cervical lymphadenopathy, Hypoechoic |
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Term
| What is thyroglossal duct cyst? |
|
Definition
Anterior mass palpable midline
Any age adolescents with upper resp infection
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Term
| The most common testicular tumor is __ |
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Definition
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Term
| Anechoic lesions associated with the epididymis occur at the epidedymal head are___ |
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Definition
| Epididymal cysts and Spermatoceles |
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Term
| Hydroceles can be defined as serous fluid accumulated at___ |
|
Definition
| Two layers of the tunica vaginalis |
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Term
| Benign Prostatic hyperplasia (BPH) originates from the : |
|
Definition
| Transitional zone and Periurethral zone |
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Term
| Varicoceles are more commonly in the ___than the other side of scrotum? |
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Definition
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Term
| Most ___masses are benign |
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Definition
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Term
| Most ___masses are malignant |
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Definition
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Term
| Which is the correct pathway of sperm from the testicle? |
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Definition
| Seminiferous tubules, tubuli recti, rete testes, efferent ductules, epididymis vas deferens |
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Term
| The largest percentage of cancers originate from which area of the prostate? |
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Definition
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|
Term
| Calcifications of the prostate are termed: |
|
Definition
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|
Term
| The seminal vesicles are located on which surface of the prostate? |
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Definition
| The superior/posterior surface of prostate between the urinary bladder and the rectum |
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Term
All of the answers are correct pertaining to PSA except this is false what is it?
PSA increase with volume/age
PSA increase by elevate calcium
Cancer increase PSA than BPH
BPH does not increase PSA |
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Definition
| BPH does not increase PSA |
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Term
Which of the following statements is FALSE?
The prostatic base is the caudal portion of the gland
The prostatic apex is the caudal portion of the gland
Ejaculatory ducts pass to central zone
Fibromuscular stoma is a nonglandular |
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Definition
| The prostatic base is the caudal portion of the gland |
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Term
| What structure marks the mid point of the prostatic urethra by a small elevation of the urethral crest in which the orifices of the ejaculatory ducts are on either side? |
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Definition
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Term
| Surgical capsule is demarcation between____ |
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Definition
| The central and transitional zones (inner gland) and peripheral zone (outer gland) |
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Term
Surgical emergency salvage rate is 80-100% within___,
70% ___; 0-20% ___ |
|
Definition
5-6 hours
6-12 hrs
more than 12 hours |
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Term
| Which stage of prostate cancer if palpable nodule confined to prostate? |
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Definition
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|
Term
| Which is a common cause of infertility in men? |
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Definition
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Term
| It is surface, focal cysts due to obstruction and usually <1 cm (less than) this is refer as: |
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Definition
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Term
| Sonogram with large testicle decrease echogenicity, thickening wall, a hydrocele and no arterial flow this consistent with___ |
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Definition
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Term
| In patient with cryptorchidism which is most likely occur? |
|
Definition
| Seminoma, 80% in inguinal canal; complications of infertility or cancer; increase risk of developing a malignancy in both the undescended testis and contralateral |
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Term
| The most indicator of presence of prostate cancer is__ |
|
Definition
| PSA=Prostate specific antigen |
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Term
| A scrotal hernia occurs when bowel protrudes through the inguinal canal into the scrotal sac, which is used to confirms this dx? |
|
Definition
| Peristalsis, blood in stool |
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Term
| Technique will help to dx of testicular infarct is__ |
|
Definition
|
|
Term
| What is normal size of testis? |
|
Definition
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Term
| The testicle is surrounded by a fibrous capsule this is ___ |
|
Definition
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Term
| Sonographically it is seen as a highly echogenic line extending longitudinally within the testis what is this? |
|
Definition
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Term
| This is peak in 4-5th decades, most common germ cell tumor in adults (40-50%), the most favorable prognosis due to sensitity to chemo and radiation therapy, and risk factor of this is cryptorchidism and in contralateral normally located teste this is__ |
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Definition
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Term
| This is peak in infancy, early childhood, dense echogenic foci are common (calcifications) this is___ |
|
Definition
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Term
| This is Rarest form of germ cell tumors, metastasized early by hematogenous routes and lymphatics, peak in 2nd-3rd decades, with clinical symptoms of hemotysis, hematemesis, and gynecomastia this is__ |
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Definition
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Term
| This is the most germ cell tumor in infants under age of 2, elevated AFP (95%) this is__ |
|
Definition
| Yolk sac or endodermal sinus tumor |
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Term
| This has not been proven whether this condition is benign or malignant what is this? |
|
Definition
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Term
| This is abnormally dilated, tortuous, elongated veins of pampiniform plexus, most common correctable cause of male infertility, more common on left, sonographic features (multiple, serpentine, anechoic structure >2mm) what is this? |
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Definition
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Term
This is usually caused by
STD in men <35 years,
UTI in men >35 years;
Peak 40-50 years;
Pain, fever, dysuria, urethral discharge and pyuria;
The most common condition that causes acute scrotal pain in postpubertal men
WHAT is this?
|
|
Definition
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Term
| Scrotal pain, pain during rest/sleep, heterogeneous and hypoechoic, absent/ reduce flow compare with other side what is this? |
|
Definition
|
|
Term
|
Definition
| This normal scrotal variant is a remnant of the Mullerian duct |
|
|
Term
| Is LUTS a prostatic or testicular condition? |
|
Definition
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|
Term
Which is not a prostatic cyst:
1. Retention cyst,
2. Wolffian cyst,
3. Utricle cyst,
4. mullerian duct cyst.
5. ejaculatory duct cyst |
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Definition
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Term
| The testes begin descent from the level of the kidneys true or false? |
|
Definition
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Term
| This scrotal pathology is filled with flaky, cheesy, white keratin. |
|
Definition
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Term
| This prostatic condition is associated with the hormonal changes of aging, & a weight over 40g. what is this? |
|
Definition
| BPH (Benign Prostatic Hyperplasia) |
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|
Term
| This prostatic condition is in men >50 years, there is a higher risk in African-Americans, & 20-40% of these men have a normal PSA. what is this? |
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Definition
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Term
Which of the following is NOT correct for Germ Cell Seminoma:
1. peaks in the 4th-5th decades
2.The most common germ cell tumor in adults
3. Most favorable prognosis due to sensitivity to chemo and radiation therapy
4. Is hypoechoic
5. Risk factors are cryptorchidism including the contralateral normally located teste |
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Definition
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Term
Which of the following is not true regarding choriocarcinoma:
1. This scrotal condition is the most common form of germ cell tumor,
2. metastasizes early by hematogenous routes and lymphatics,
3. & peaks in the 2nd -3rd decades,
4. Clinical symptoms include hemotysis, hematemesis, and gynecomastia. |
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Definition
| This scrotal is the most common form of germ cell tumor is not true |
|
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Term
Which is not true of varicocele:
1. abnormally dilated, tortuous, elongated veins of pampiniform plexus,
2. incorrectable cause of male infertility,
3. more common on the left,
4. appears sonographically as multiple, serpentine, anechoic structures > 2mm. |
|
Definition
| Incorrectabel cause of male infertility is not true |
|
|
Term
| Symptoms of this scrotal condition are bloody stool & peristalsis. What is this? |
|
Definition
|
|
Term
| epididymitis (or epididymo-orchitis) & torsion of the spermatic cord are 2 causes of what? |
|
Definition
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|
Term
Which of the following is not true of epididymitis
1. usually caused by STD in men > 35 years OR UTI in men < 35 years,
2. peak incidence is between 40 - 50 years old,
3. associated with pain, fever, dysuria, urethral discharge &/ or pyuria. |
|
Definition
| Usually caused by STD in men >35 and UTI in men <35 yrs is not true (STD<35 and UTI>35) |
|
|
Term
| This scrotal condition is the most common condition that causes acute scrotal pain in postpubertal men. what is this condition? |
|
Definition
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|
Term
| This scrotal condition is associated with scrotal pain/pain during rest and appears sonographically as |
|
Definition
| Acute scrotal torsion (this is image question, in left) |
|
|
Term
This condition is associated with an undescended testicle. 80% are in the inguinal canal.
Complications include infertility & cancer.
There is an increased risk of developing a malignancy in both the undescended testis and the contralateral testis (seminoma) What is this? |
|
Definition
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|
Term
| PSA seccreted by Prostate ducts and liquefies ejaculate has: |
|
Definition
Calcium can elevate this by as much as 10%, the normal level is less than 4.0 ng/mL (levels may be adjusted based on age or volume). |
|
|
Term
| Normal size of scrotum is__ |
|
Definition
|
|
Term
BPH is condition that____
|
|
Definition
| related to hormonal changes with aging, weight over 40g |
|
|
Term
| Left testicular vein drains into what vein? |
|
Definition
|
|
Term
| Which structure would you image posterior to the prostate gland? |
|
Definition
|
|
Term
| How to determine if this is the esophagus or nodule? |
|
Definition
| Have the patient swallow while scanning the area |
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|