Hypogonadism, Cryptochordism, Gynecomastia, and Testicular Cancer – Flashcards
30 test answers
Unlock all answers in this set
Unlock answers 30question
Normal testes during childhood that change in adolescence to fibrous or solid.
answer
Klinefelter's Syndrome
Unlock the answer
question
75% of patients with this develop gynecomastia; also may experience delayed speech, learning disabilities, and psychiatric disorders; physical signs include thinning body hair, and gain of adipose tissue.
answer
Klinefelter's Syndrome
Unlock the answer
question
Tests appropriate for investigating hypogonadism
answer
Morning serum testosterone and TSH
Unlock the answer
question
Serum testosterone is considered low when less than
answer
320ng/ml
Unlock the answer
question
Weight loss will increase testosterone levels. T/F
answer
True
Unlock the answer
question
Testosterone therapy is useful for men with low serum testosterone combined with...
answer
at least three symptoms of hypogonadism.
Unlock the answer
question
Absence of one or both testes
answer
Cryptorchism
Unlock the answer
question
Study used to differentiate cryptorchism from retractile testes
answer
MRI
Unlock the answer
question
Common condition in preterm or low birth weight male babies
answer
Cryptochism
Unlock the answer
question
Presence of glandular breast tissue in a male
answer
Gynecomastia
Unlock the answer
question
Gynecomastia is never considered a normal finding in a male. T/F
answer
False- up to 60% of boys have this at puberty, and it resolves spontaneously.
Unlock the answer
question
A palpable discoid tissue that extends 2-3cm under the areola
answer
Indicates breast tissue rather than adipose tissue.
Unlock the answer
question
Beta-HCG levels detected in male
answer
Suspicious for testicular, lung or liver cancer
Unlock the answer
question
Low levels beta-HCG in male (<5mu/ml)
answer
Indicative of hypogonadism-- f/u with serum LH, total and free testosterone to r/o primary hypogonadism. Also consider TSH, T4, and karyotype to r/o Klienfelter's syndrome.
Unlock the answer
question
Selective estrogen receptor modulator-- used to treat true gynecomastia.
answer
Raloxifene (Evista) and tamoxifen (Soltamox)
Unlock the answer
question
Aromatase inhibitor (Arimidex)
answer
6 mo treatment for gynecomastia that reduces glandular tissue.
Unlock the answer
question
Most common neoplasm in men between the ages of 20-35 years, but is a rare finding.
answer
Testicular cancer
Unlock the answer
question
The primary source of malignancy in testicular cancer
answer
Germ cell tumors
Unlock the answer
question
Testicular cancer incidence is slightly greater in the left testicle. T/F
answer
False
Unlock the answer
question
Painless enlargement of the testicle, usually found by the patient.
answer
Testicular cancer
Unlock the answer
question
Advanced testicular disease may manifest as
answer
abdominal mass or supraclavicular adenopathy
Unlock the answer
question
To determine if testicular mass is intra or extra-testicular, order a
answer
Scrotal US
Unlock the answer
question
If scrotal US indicates intra-testicular mass (cancer), next order
answer
CT of chest, abdomen, and pelvis
Unlock the answer
question
Survival rates for testicular cancer discovered and treated in early stages
answer
90-95%
Unlock the answer
question
Men with HIV have the same risk as other men for acquiring testicular cancer. T/F
answer
False-- They have higher risk
Unlock the answer
question
Pubertal gynecomastia
answer
resolves spontaneously within 12-24 mo
Unlock the answer