Penis, Testis and scrotum
General Surgery · Topic 30
Source: NMC CBME Curriculum 2024 · Volume III · General Surgery · Topic 30 · combined PDF page 412
Practice questions
- A patient with a scrotal lesion has equivocal ultrasonographic findings. According to the supplied review, what is the most appropriate role of MRI?
- A testicular lesion remains indeterminate after initial imaging, and the surgeon is considering a testis-sparing approach. Which potential contribution of MRI is specifically described in the supplied review?
- Which MRI measure is identified in the supplied review as a promising quantitative parameter for lesion characterization, while not being a stand-alone diagnosis?
- Which pairing of penile condition and MRI application is supported by the supplied review?
- A 26-year-old man has a painless, rapidly enlarging scrotal mass. Imaging shows a well-circumscribed cystic lesion displacing, but not infiltrating, adjacent testicular structures. Which diagnosis was confirmed in the supplied case report?
- In the reported intrascrotal epidermal inclusion cyst, what did histopathological examination establish?
- Which operative approach was used for the large intrascrotal epidermal inclusion cyst in the supplied report?
- A rapidly enlarging scrotal mass is found to be well circumscribed and to displace rather than infiltrate adjacent testicular structures. Which inference is most defensible from the supplied case report?
- Which statement best distinguishes testicular ectopia from a conventionally undescended testis, as described in the supplied report?
- MRI in a 37-year-old man showed each testis on the opposite side of the scrotum, with the spermatic cords crossing beneath the base of the penis. What unusual variant was diagnosed?
- In the reported case of left-right reversal of the testes, what was the palpable lesion thought retrospectively to represent?
- A 32-year-old man with delayed puberty had low testosterone and low luteinizing hormone, an impalpable left testis and an atrophic right scrotal testis. What endocrine diagnosis accompanied cryptorchidism in the reported case?
- In the adult cryptorchidism case associated with hypogonadotropic hypogonadism, what occurred after six months of hCG therapy?
- How should the reported spontaneous descent after hCG in one adult with hypogonadotropic hypogonadism be interpreted?
- A 65-year-old man has a large, non-tender, fluctuant scrotal swelling. In the supplied case report, the accumulated fluid of a hydrocele was located within which structure?
- Which imaging modality confirmed the diagnosis of gross hydrocele in the supplied case report?
- The patient with gross hydrocele also had a completely buried penis and urinary retention. Which operation was reported?
- Which statement best reflects the evidence from the supplied report of gross hydrocele with a buried penis?
- In the scrotal reconstruction report, which defect followed life-saving treatment for Fournier gangrene?
- What reconstructive concept was described in the 2022 report for creating a scrotum of natural size?
- Which flap was used for reconstruction in the reported patient with congenital scrotal absence and a hypoplastic contralateral scrotum?
- What distinction did the scrotal reconstruction report emphasize when considering the type of scrotal defect?
- A male infant has congenital absence of the penis, a 46,XY karyotype, a well-developed scrotum and bilaterally palpable testes. Which term describes the reported genital anomaly?
- Which observation in the aphallia case demonstrates that a 46,XY karyotype does not by itself establish normal external penile development?
- Which urinary finding was reported in the infant with aphallia?
- The aphallia case report proposed which developmental explanation as a possible mechanism?