Block 15 Path Male Repro System

7 Questions | Total Attempts: 256

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Block 15 Path Male Repro System

"Yakubovskyy. Sample Questions. Pathology of Male Reproductive System"


Questions and Answers
  • 1. 
    A 55-year-old man presents with a fungating lesion on his penis. The gross and microscopic appearance of the lesion is shown for your evaluation. Which of the following is the most likely diagnosis?
    • A. 

      Primary syphilis

    • B. 

      Condyloma acuminatum

    • C. 

      Carcinoma in situ

    • D. 

      Verrucous carcinoma

    • E. 

      Squamous cell carcinoma

  • 2. 
    A 22-year-old Caucasian male presents with a scrotal mass, which does not trans-illuminate. Laboratory investigations reveal elevated serum levels of hCG and AFP. Orchidectomy is performed and the microscopic appearance of the lesion is shown for your evaluation. Which of the following is the most likely diagnosis?
    • A. 

      Seminoma

    • B. 

      Embryonal carcinoma

    • C. 

      Yolk sac tumor

    • D. 

      Sertoli cell tumor

    • E. 

      Leydig cell tumor

  • 3. 
    A male infant was examined and found not to have testes in his scrotum. If a malignant tumor develops, it will most likely metastasize to
    • A. 

      Lungs

    • B. 

      Bones

    • C. 

      Inguinal lymph nodes

    • D. 

      Retroperitoneal para-aortic lymph nodes

    • E. 

      Virchow lymph nodes

  • 4. 
    A 69-year-old African American male presents to the emergency room with difficulty urinating. The patient reports a long history of urinary frequency, nocturia, and dribbling. Rectal examination reveals enlarged prostate of wooden consistency. Transrectal prostate biopsy is performed and its microscopic appearance is shown for your evaluation.  Which of the following is the most likely diagnosis?
    • A. 

      Benign prostate hyperplasia

    • B. 

      Acute prostatitis

    • C. 

      Chronic bacterial prostatitis

    • D. 

      Chronic abacterial prostatitis

    • E. 

      Prostate carcinoma

  • 5. 
    A 45-year-old man presents with gynecomastia. Physical examination reveals a non-tender testicular mass and oriectomy is performed. Examination of the surgical specimen reveals a 2 cm well circumscribed brown mass built of large polygonal cells with homogenous eosinophilic cytoplasm. A few neoplastic cells contain elongated cytoplasmic crystals. Which of the following is the most likely diagnosis?
    • A. 

      Varicocele

    • B. 

      Cryptorchidism

    • C. 

      Yolk sac tumor

    • D. 

      Embryonal carcinoma

    • E. 

      Leydig cell tumor

    • F. 

      Sertoli cell tumor

  • 6. 
    A 65-year-old man complains of increased urgency to void. He cannot completely empty his bladder and felt “distended” and “irritated” all the time. Rectal digital exam reveals an enlarged, rubbery in consistency prostate. The biopsy discloses prostatic glands lined by slightly pleomorphic columnar epithelium surrounded by intact layer of basal cells. Which of the following is the most likely diagnosis?
    • A. 

      Acute bacterial prostatitis

    • B. 

      Chronic bacterial prostatitis

    • C. 

      Chronic abacterial prostatitis

    • D. 

      Benign prostate hyperplasia

    • E. 

      Prostate adenocarcinoma

  • 7. 
    A 51-year-old man presents with complaints of perineal pain and increased frequency of urination over the past six months. Rectal examination shows a mildly enlarged and tender prostate. Microscopic examination of prostatic secretions reveals the presence of leukocytes. No bacteria are isolated in cultures of expressed prostatic secretions. Which of the following is the most likely diagnosis?
    • A. 

      Acute bacterial prostatitis

    • B. 

      Chronic bacterial prostatitis

    • C. 

      Chronic abacterial prostatitis

    • D. 

      Benign prostate hyperplasia

    • E. 

      Prostate adenocarcinoma

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