Question 1

What is the most common infectious cause of orchitis and one that usually affects postpubertal boys?

Accepted Answer

Of the options available,mumps is the most common infectious cause of orchitis and usually affects postpubertal boys.

Question 2

Which age group should be targeted for testicular cancer education and screening?

Accepted Answer

Overall,testicular cancers are rare,yet they are the most common form of cancer in young men between the ages of 15 and 35 years.

Question 3

What are the clinical manifestations of testicular cancer?

Accepted Answer

Of the options available,a firm,painless testicular enlargement is commonly identified as the first sign of testicular cancer.

Question 4

How does the epididymis become infected?

Accepted Answer

The pathogenic microorganisms usually reach the epididymis by ascending the vasa deferentia from an already infected urethra or bladder.Of the selections available,this is the only option that accurately describes how the epididymis becomes infected.

Question 5

What term is used to identify an inflammation of the glans penis?

Accepted Answer

Balanitis is the only term used to identify an inflammation of the glans penis

Question 6

Which statements are true regarding urethritis? (Select all that apply.)

Accepted Answer

Symptoms of urethritis include urethral tingling and itching or a burning sensation on urination (dysuria),frequency,and urgency.The individual may note a purulent or clear mucus-like discharge from the urethra.Nucleic acid detection amplification tests allow easy detection of Neisseria gonorrhoeae and Chlamydia trachomatis in first-void urine.Treatment consists of appropriate antibiotic therapy for infectious urethritis and an avoidance of future chemical or mechanical irritation.

Question 7

Which type of precocious puberty causes the child to develop some secondary sex characteristics of the opposite sex?

Accepted Answer

Mixed precocious puberty (i.e.,virilization of a girl or feminization of a boy)causes the child to develop some secondary sex characteristics of the opposite sex.This selection is the only option that accurately identifies the type of precocious puberty described.

Question 8

The risk of which cancer is greater if the man has a history of cryptorchidism?

Accepted Answer

The risk of testicular cancer is 35 to 50 times greater in men with cryptorchidism or in those with a history of cryptorchidism than it is for the general male population.This is not true of the other options.

Question 9

What is the first sign of puberty in boys?

Accepted Answer

The first sign of puberty in boys is an enlargement of the testes and a thinning of the scrotal skin.

Question 10

Which infection has clinical manifestations that include the sudden onset of malaise,low back pain,and perineal pain with high fever and chills,dysuria,nocturia,and urinary retention?

Accepted Answer

Bacterial prostatitis can exhibit common manifestations that include a sudden onset of malaise,low back and perineal pain,high fever (up to 40° C [104° F]),and chills,as well as dysuria,inability to empty the bladder,nocturia,and urinary retention.Myalgia and arthralgia also may occur.This selection is the only option that exhibits the symptoms described.

Question 11

Match the description with the disorder.
-Varicocele

Accepted Answer

Varicocele is the abnormal dilation of the vein within the spermatic cord.

Answer: A
 Spermatocele is a painless diverticulum of the epididymis located between the head of the epididymis and the testis.

Answer: B
 Hydrocele is the collection of fluid in the tunica vaginalis.

Answer: C
 Testicular torsion is the rotation of a testis, which twists blood vessels of the spermatic cord.

Question 12

Symptoms of benign prostatic hyperplasia (BPH)are a result of which pathophysiologic condition?

Accepted Answer

BPH becomes problematic as prostatic tissue compresses the urethra,where it passes through the prostate.Of the selections available,only this option accurately describes the pathophysiologic condition behind the symptoms of BPH.

Question 13

In the 95% of those with delayed puberty,the problem is caused by which condition?

Accepted Answer

In 95% of cases,delayed puberty is a physiologic delay; that is,hormonal levels are normal and the hypothalamic-pituitary-gonadal (HPG)axis is intact,but maturation is happening slowly.This selection is the only option that accurately describes 95% of those with delayed puberty.

Question 14

What term is used to identify a fibrotic condition that causes lateral curvature of the penis during erection,which is associated with a local vasculitis-like inflammatory reaction and decreased tissue oxygenation?

Accepted Answer

Peyronie disease (bent nail syndrome)is a fibrotic condition of the tunica albuginea of the penis,resulting in varying degrees of curvature and sexual dysfunction

Question 15

What is the reason breast cancer in men has such a poor prognosis?

Accepted Answer

Breast cancer is relatively uncommon in men,but it has a poor prognosis because men tend to delay seeking treatment until the disease is advanced.This selection is the only option that accurately identifies the reason breast cancer in men has a poor prognosis.

Question 16

Which are clinical manifestations of male breast cancer? (Select all that apply.)

Accepted Answer

The malignant male breast lesion is usually a unilateral solid mass located near the nipple.Because the nipple is commonly involved,crusting and nipple discharge are typical clinical manifestations.Other findings include skin retraction,ulceration of the skin over the tumor,and axillary node involvement.

Question 17

Which statements are true regarding prostate cancer? (Select all that apply.)

Accepted Answer

Prostate cancer is the most commonly diagnosed non-skin cancer in American men,and the incidence varies greatly worldwide.Possible causes include a genetic predisposition,environmental and dietary factors,inflammation,and alterations in levels of hormones (e.g.,testosterone,dihydrotestosterone,estradiol)and growth factors.Incidence is greatest among northwestern European and North American men (particularly African Americans)older than 65 years of age.

Question 18

Cryptorchidism can be defined as which of the following?

Accepted Answer

Cryptorchidism is a condition of testicular maldescent,the only option that accurately defines cryptorchidism.

Question 19

What term is used to identify a condition in which the foreskin cannot be retracted over the glans penis?

Accepted Answer

Phimosis is the only term used to identify the condition in which the foreskin cannot be retracted back over the glans.

Question 20

Priapism has been associated with the abuse of what substance?

Accepted Answer

Of the options available,priapism has been associated with cocaine use.

Quiz 25: Alterations of the Male Reproductive System