What is the most likely diagnosis of an erectile dysfunction patient with low plasma testosterone and high prolactin levels?
pituitary adenoma
adrenal adenoma
Kallmann syndrome
Klinefelter syndrome
Correct Answer :
A. pituitary adenoma
hyperprolactinemia characterizes pituitary adenoma of the choice list.
Related Questions
Which of the following is false regarding zona glomeruloza?
the most superficial layer of the adrenal cortex
responses to increased potassium levels, renin or decreased renal blood flow
it causes pheochromocytoma
secretes aldosterone
What degrades semenogelin and determines the consistency of the seminal coagulum is:
spermine
acid phosphatase
PSA
semenoglobulin
Which statement is true about the female urethra?
harder to catheterize when compared to the male urethra
4 inch long
opens into the vestibule below the clitoris
gets wider at the post-menopausal age
In males, which of the following structure(s) can NOT be palpated during digital rectal examination?
pelvic floor muscles
seminal vesicles
anterior surface of the sacrum
median lobe of the prostate
How does estrogen prevent lower UTI in postmenopausal women?
increasing vaginal secretions
decreasing vaginal pH
increasing normal vaginal flora
decreasing bacterial adherence
What are the posterior relations of the kidneys?
quadratus lumborum and diaphragm
psoas and diaphragm
psoas and latissimus dorsi
transversus abdominus and paraspinous
Which of the following is NOT a component of the normal semen?
zinc
fructose
prostate-specific antigen
alkaline phosphatase
Which organ contributes most to the seminal fluid volume?
testes
prostate
seminal vesicles
bulbourethral glands
What is the function of PSA in semen?
increases semen volume
has antimicrobial activity
liquefies the seminal coagulum
decreases semen pH
What fascial layer(s) cover(s) the prostate?
Denonvilliers fascia
prostatic fascia
levator fascia
all of the above
At which week of gestation do the primordial germ cells migrate to form the genital ridges?
third
fourth
fifth
seventh
Which agent is most likely to cause hemorrhagic cystitis?
cisplatin
ifosfamide
phosphomycin
amphotericin B
Which of the following conditions could happen in chronic pancreatitis and malabsorption syndrome with steatorrhea?
hyperoxaluria
hypercalciuria
hyperuricosuria
hyperphosphateuria
What is false concerning the collecting system structures of a typical kidney?
the renal pelvis could be intra or extra renal
the renal pelvis divides into 2 or 3 major calyces
major calyces divide into 2 or 3 minor calyces
unlike lateral calyces, polar calyces are often paired
From where does the main parasympathetic efferent innervation to the pelvic plexus arise?
S1
S2-S4
T11-L2
L3-S1
What is the narrowest part of the ureter?
uretero-pelvic junction
uretero-vesical junction
where ureters cross the pelvic brim
where ureters cross the common iliac bifurcation
What do the specialized cells, at the juxtaglomerular apparatus, produce?
erythropoietin
renin
angiotensin I
angiotensinogen
During fluoroscopy, what is the main source of radiation hazards that urologists could be exposed to?
scattered radiation from the unleaded wall
scattered radiation from the patient
scattered radiation from the floor and ceiling
radiation from the primary beam
Which of the following lab results indicates prerenal failure?
serum BUN : creatinine > 20
urine [Na] < 30 mEq/L
Na excretion fraction < 1
all of the above
What could render red urine workup, false positive for hematuria?
dehydration
myoglobinuria
high doses of vitamin C
all of the above
Which statement is false concerning the epididymis?
each epididymis can be palpable at the postero-lateral surface of the testis
has 3 parts; head, body, and tail
new batches of sperms stay in the epididymis around 2 days for maturation
shares the same blood supply of the testis
Which group(s) of lymph nodes drain(s) the glans penis?
internal and external iliac
superficial inguinal
deep inguinal
superficial and deep inguinal
The commonest neoplasms that metastasize to kidneys come from:
breasts
thyroids
lungs
liver
Which hormone measures testicular germ cell function best?
LH
FSH
HCG
none of the above
Which organism is capable of proliferation in the urine and causing urethritis?
Ureaplasma urealyticum
Chlamydia trachomatis
E. coli
Neisseria gonorrhea
Regarding renal ectopia, usually, the adrenals:
are cross ectopic
are at their normal position
travel with the kidneys
undergo ischemic atrophy
Which zone of the prostate originates from the Wolffian duct tissue:
central zone
peripheral zone
transitional zone
periurethral glands
Which of the prostate medications could result in significant hypotension?
finasteride
prazosin
silodosin
vardenafil
Which of the following conditions could result in white urine?
chyluria
bacteriuria
phosphaturia
all of the above
Which statement is false concerning microhematuria?
malignancy is identified in patients presenting with microhematuria more than in patients presenting with gross hematuria
microscopic hematuria is defined as > 3 red blood cells per high powered field (RBC/hpf) on a single specimen
warrants full hematuria workup
history of cigarette smoking is of significance