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? |
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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? |
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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___ |
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Definition
Two layers of the tunica vaginalis |
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Term
Benign Prostatic hyperplasia (BPH) originates from the : |
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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: |
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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% ___ |
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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? |
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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__ |
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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? |
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Definition
Peristalsis, blood in stool |
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Term
Technique will help to dx of testicular infarct is__ |
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Definition
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Term
What is normal size of testis? |
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Definition
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Term
The testicle is surrounded by a fibrous capsule this is ___ |
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Definition
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Term
Sonographically it is seen as a highly echogenic line extending longitudinally within the testis what is this? |
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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___ |
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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__ |
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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? |
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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?
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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? |
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Definition
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Term
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Definition
This normal scrotal variant is a remnant of the Mullerian duct |
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Term
Is LUTS a prostatic or testicular condition? |
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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? |
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Definition
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Term
This scrotal pathology is filled with flaky, cheesy, white keratin. |
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Definition
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Term
This prostatic condition is associated with the hormonal changes of aging, & a weight over 40g. what is this? |
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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. |
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Definition
Incorrectabel cause of male infertility is not true |
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Term
Symptoms of this scrotal condition are bloody stool & peristalsis. What is this? |
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Definition
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Term
epididymitis (or epididymo-orchitis) & torsion of the spermatic cord are 2 causes of what? |
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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. |
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Definition
Usually caused by STD in men >35 and UTI in men <35 yrs is not true (STD<35 and UTI>35) |
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Term
This scrotal condition is the most common condition that causes acute scrotal pain in postpubertal men. what is this condition? |
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Definition
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Term
This scrotal condition is associated with scrotal pain/pain during rest and appears sonographically as |
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Definition
Acute scrotal torsion (this is image question, in left) |
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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? |
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Definition
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Term
PSA seccreted by Prostate ducts and liquefies ejaculate has: |
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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). |
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Term
Normal size of scrotum is__ |
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Definition
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Term
BPH is condition that____
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|
Definition
related to hormonal changes with aging, weight over 40g |
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Term
Left testicular vein drains into what vein? |
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Definition
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Term
Which structure would you image posterior to the prostate gland? |
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Definition
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Term
How to determine if this is the esophagus or nodule? |
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Definition
Have the patient swallow while scanning the area |
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