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2253 Final Thyroid-Scrotum-prostate
Phuong
121
Other
Not Applicable
05/03/2011

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Cards

Term
Hormones produced and secreted by thyroid are:___
Definition
T3;T4; and Calcintonin
Term
Which gland secreted TSH (Thyroid stimulating hormones)?
Definition
Anterior Pituitary gland
Term
Which structure may extend superiorly from the isthmus?
Definition
Pyramidal lobe
Term
What is the size of the adult thyroid gland?
Definition
5 x 1.5 x 1.5 cm
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

Definition
Sternohyoid is not in relational anatomy
Term
Venous drainage into the ___
Definition
IJV (internal jugular vein)
Term

Clinical signs and symptoms of HYPERthyroidism all of these EXCEPT:

Weight loss, hair loss, increase appetite, palpitations, protruding eyes

Definition
Hair loss
Term

Clinical signs and symptoms of HYPOthyroidism all of these EXCEPT:

Weight gain,lethargy, heat tolerance, deep husky voice, constipation

Definition
Heat tolerance
Term
The correlative testing for thyroid function is ___
Definition
Nuclear Medicine (scintigraphy)
Term
How many parathyroid gland found in the majority of the population?
Definition
4, 2 superior and 2 inferior parathyroid glands
Term
Function of parathyroid glands are:
Definition
Maintain homeostasis of blood calcium levels or prevent hypocalcimia
Term

Which following is true about Grave's disease's characteristic?

Hypervascular (thyroid inferno)

Hypothyroidism

Hyperechogenicity

Definition
Hypervascular "thyroid inferno"
Term

Which following is associated with Hashimoto's thyroiditis?

Hyperthyroidism

Lymphoma

Graves's disease

Definition
Lymphoma
Term
Sonographic finding of Grave's disease are____
Definition

Hypervascular - Thyroid inferno

Diffusely hypoechoic

Inhomogeneous (many large vessels)

Term
What is the most common primary thyroid cancer?
Definition
Papillary carcinoma
Term
Thin peripheral, hypoechoic halo and eggshell calcifications  are indicative of a :
Definition
Hyperplastic nodules (Benign nodule)
Term

Which of the following conditions is most commonly associated with hypothyroidism?

Grave's disease

Hashimoto's disease

Addison disease

Definition
Hashimoto's disease
Term

Which of the following conditions is most commonly associated with hyperthyroidism?

Grave's disease

Caroli's disease

Hashimoto's disease

 

Definition
Grave's disease
Term

Which of the following is about sonographically normal thyroid parenchyma EXCEPT:

Homogenous

Medium level echoes

Inhomogenous texture

 

Definition
Inhomogenous texture
Term
Distant mets to lung and bone is more likely:
Definition
Follicular carcinoma
Term

This is the 2nd most common and 5-15% of thyroid cancers what is this?

a) papillary ca

b)follicular ca

c) adenoma

Definition
B
Term
Risk of malignant is increase with increase the number of multiple noduce? True or False
Definition
False
Term

All following are characterized of malignant except:

Irregular

Markedly hypoechoic

Hypoechoic

Poor defined margins

Definition
Hypoechoic
Term
Benign nodule present with characteristic of:
Definition
Peripheral shell "eggshell" calcification
Term
The most common cause of hyperparathyroidism is ___
Definition
Parathyroid adenoma
Term
Which is true about primary hyperparathyroidism?
Definition
Female 2-3 times more than male, usually after menopause and 50year or more, with high serum (PTH) level adn serum calcium level
Term
Parathyroid regulate___
Definition
blood calcium
Term
Secondary hyperparathyroidism is :__
Definition
Occurs in patient with chronic renal failure, elevated serum phosphates, decreased serum calcium, all 4 parathyroid glands enlarged
Term
Left common carotid artery and left subclavian artery originate from__
Definition
Aorta arch
Term
This associated with any age/adolescents with upper respiratory infection this is__
Definition
Thyroglossal duct cyst
Term
This located lateral to thyroid/ or on lateral neck this is__
Definition
Branchial cleft cyst
Term
This congenital lymphatic malformation, affected by chromosome trisomy 13 and 18 this is __
Definition
Cystic hygroma
Term
First branch of the ICA is____
Definition
The opthalmic artery
Term
First branch of ECA is___
Definition
Superior thyroid artery
Term
What is the % of population present of pyramidal lobe?
Definition
10-40% of normal pt
Term
Pyramidal lobe is more on___side?
Definition
On left
Term
Which size lobe of  thyroid is larger?
Definition
Right
Term
In NM a "hot" lesion is ____
Definition
Hyper functioning
Term
With NM __% of "hot" lesions are malignant?
Definition
1-4%
Term
With NM __% of "cold" lesions are malignant?
Definition
10-25%
Term
With NM "cold" lesion are ___functioning/__uptake/decrease
Definition
Non- Less
Term
Where is the sternocleidomastoid compared to the thyroid?
Definition
Anterolateral
Term
Where is the Longus colli muscle compared to the thyroid?
Definition
Posterior
Term
Where is the Internal jugular vein compared to the thyroid?
Definition
Lateral
Term
Where is the Trachea compared to the thyroid?
Definition
Midline
Term
What structure maintains homeostasis of blood calcium levels & prevents hypocalcemia?
Definition
Parathyroid gland
Term
What are the clinical symptoms of Grave's disease?
Definition
Prominent eyes, muscle atrophy, & weight loss
Term
What carcinoma of the thyroid sonographically has microcalcifications?
Definition
Papillary carcinoma
Term
Follicular carcinoma is ___
Definition
The 2nd most common & makes up 5-15% of thyroid cancers
Term
What thyroid cancer is more likely to metastasize to the lung & bone?
Definition
Follicular carcinoma
Term
Papillary carcinoma is more common in ___
Definition
Female 3rd-7th decade (20-60)
Term
Medullary carcinoma has what prevalent and percentage of all thyroid cancers?
Definition
Female=male; 5%
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
Term
Incident of thyroid lymphoma?
Definition
Older females
Term
This is 4% of all thyroid carcinoma what is this?
Definition
Lymphoma
Term
5 differentiation of thyroid disease are:____
Definition
Internal consistency, Echogenicity, Margination, Calcification, Peripheral sonolucent halo
Term
Present 10-15% of all thyroid nodules are:__
Definition
Calcification
Term
Which is intermediate low risk of malignancy?
Definition
Isoechoic nodule or peripheral sonolucent rim
Term
Which is more likely charateristic feature of benign nodules?
Definition

Peripheral shell like "eggshell" calcification

Large and coarse

Term
Clinical signs of parathyroid adenoma?
Definition
HTN, elevated PTH, Hypercalcemia, Excessive urinary calcium excretion
Term
Secondary hyperparathyroidism/Parathyroid hyperplasia occurs in patient with___
Definition
Chronic ERFD
Term
Which is lab values reflect a patient with Graves' disease?
Definition
Decrease TSH, increase T3 and T4
Term
How the Hashimoto's thyroiditis appear sonographically?
Definition
1-6mm micronodule; Variable vascularity, Cervical lymphadenopathy, Hypoechoic
Term
What is thyroglossal duct cyst?
Definition

Anterior mass palpable midline

Any age adolescents with upper resp infection

 

Term
The most common testicular tumor is __
Definition
Seminoma
Term
Anechoic lesions associated with the epididymis occur at the epidedymal head are___
Definition
Epididymal cysts and Spermatoceles
Term
Hydroceles can be defined as serous fluid accumulated at___
Definition
Two layers of the tunica vaginalis
Term
Benign Prostatic hyperplasia (BPH) originates from the :
Definition
Transitional zone and Periurethral zone
Term
Varicoceles are more commonly in the ___than the other side of scrotum?
Definition
Left
Term
Most ___masses are benign
Definition
Extratesticular
Term
Most ___masses are malignant
Definition
Intratesticular
Term
Which is the correct pathway of sperm from the testicle?
Definition
Seminiferous tubules, tubuli recti, rete testes, efferent ductules, epididymis vas deferens
Term
The largest percentage of cancers originate from which area of the prostate?
Definition
Peripheral zone
Term
Calcifications of the prostate are termed:
Definition
Corpora amylacea
Term
The seminal vesicles are located on which surface of the prostate?
Definition
The superior/posterior surface of prostate between the urinary bladder and the rectum
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

Definition
BPH does not increase PSA
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

Definition
The prostatic base is the caudal portion of the gland
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?
Definition
Verumontanum
Term
Surgical capsule is demarcation between____
Definition
The central and transitional zones (inner gland) and peripheral zone (outer gland)
Term

Surgical emergency salvage rate is 80-100% within___,

70% ___; 0-20% ___

Definition

5-6 hours

6-12 hrs

more than 12 hours

Term
Which stage of prostate cancer if palpable nodule confined to prostate?
Definition
T2
Term
Which is a common cause of infertility in men?
Definition
Varicoceles
Term
It is surface, focal cysts due to obstruction and usually <1 cm (less than) this is refer as:
Definition
Retention cysts
Term
Sonogram with large testicle decrease echogenicity, thickening wall, a hydrocele and no arterial flow this consistent with___
Definition
Torsion
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
Term
The most indicator of presence of prostate cancer is__
Definition
PSA=Prostate specific antigen
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
Term
Technique will help to dx of testicular infarct is__
Definition
Color flow Doppler
Term
What is normal size of testis?
Definition
3-5 x 2-3 x 2-3 cm
Term
The testicle is surrounded by a fibrous capsule this is ___
Definition
Tunica albuginea
Term
Sonographically it is seen as a highly echogenic line extending longitudinally within the testis what is this?
Definition
Mediastinum testis
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__
Definition
Germ cell seminoma
Term
This is peak in infancy, early childhood, dense echogenic foci are common (calcifications) this is___
Definition
Teratomas
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__
Definition
Choriocarcinoma
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
Term
This has not been proven whether this condition is benign or malignant what is this?
Definition
Microlithiasis
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?
Definition
Varicocele
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
Acute epididymitis
Term
Scrotal pain, pain during rest/sleep, heterogeneous and hypoechoic, absent/ reduce flow compare with other side what is this?
Definition
Acute torsion
Term
Appendix testis
Definition
This normal scrotal variant is a remnant of the Mullerian duct
Term
Is LUTS a prostatic or testicular condition?
Definition
Prostastic
Term

Which is not a prostatic cyst:

1. Retention cyst,

2. Wolffian cyst,

3. Utricle cyst,

4. mullerian duct cyst.

5. ejaculatory duct cyst

Definition
Wolffian cyst
Term
The testes begin descent from the level of the kidneys true or false?
Definition
True
Term
This scrotal pathology is filled with flaky, cheesy, white keratin.
Definition
Epidermoid cyst
Term
This prostatic condition is associated with the hormonal changes of aging, & a weight over 40g. what is this?
Definition
BPH (Benign Prostatic Hyperplasia)
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?
Definition
Prostate cancer
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

Definition
Hypoechoic
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.

Definition
This scrotal is the most common form of germ cell tumor is not true
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
Scrotal hernia
Term
epididymitis (or epididymo-orchitis) & torsion of the spermatic cord are 2 causes of what?
Definition
Acute scrotal pain
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
Acute epididymitis
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

Cryptorchidism

 

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
4x3x3cm
Term
BPH is condition that____
Definition
related to hormonal changes with aging, weight over 40g
Term
Left testicular vein drains into what vein?
Definition
Left renal vein
Term
Which structure would you image posterior to the prostate gland?
Definition
Rectum
Term
How to determine if this is the esophagus or nodule?
Definition
Have the patient swallow while scanning the area
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