CM - Men's Health Testicular Conditions
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Questions and Answers

What is the most common cause of sexually transmitted epididymitis in men under 35?

  • Chlamydia trachomatis (correct)
  • E. coli
  • Neisseria meningitidis
  • Staphylococcus aureus

Which group of men is more likely to experience non-sexually transmitted epididymitis?

  • Men under 30
  • Men between 35-50
  • Men above 35 (correct)
  • Men between 30-35

What is a possible route of infection leading to epididymitis?

  • Urethra to ejaculatory duct to vas deferens to epididymis (correct)
  • Via the bloodstream
  • From the bladder to the scrotum
  • From the testicles to the urethra

Which medication has been associated with self-limited epididymitis in a dose-dependent manner?

<p>Amiodarone (D)</p> Signup and view all the answers

What clinical manifestation is commonly associated with epididymitis?

<p>Scrotal swelling and tenderness that goes into the abdomen (D)</p> Signup and view all the answers

Which sign, although suggestive, is not entirely reliable in diagnosing epididymitis?

<p><em>Prehn</em> sign (A)</p> Signup and view all the answers

How does epididymitis commonly present in patients?

<p><em>Testicular pain that radiates into abdomen</em> (D)</p> Signup and view all the answers

What is a common etiology associated with orchitis?

<p>Mumps virus (C)</p> Signup and view all the answers

Which diagnostic modality can be used to differentiate orchitis from torsion or abscess?

<p>Ultrasound (C)</p> Signup and view all the answers

What is a common presentation of orchitis in terms of testicular involvement?

<p>Unilateral swelling initially (B)</p> Signup and view all the answers

What is the underlying cause of a hydrocele?

<p>Incomplete closure of the inguinal ring (B)</p> Signup and view all the answers

Which condition may be secondary to a hydrocele?

<p>Torsion of appendix testis (A)</p> Signup and view all the answers

What is a common presenting symptom of hydroceles?

<p>Painless swelling anterior to the testes (A)</p> Signup and view all the answers

What is the typical presentation of varicocele?

<p>Feeling of a 'Bag of worms' in the testicle with a dull ache (A)</p> Signup and view all the answers

Which side of the body is a varicocele more commonly found on?

<p>Left side (B)</p> Signup and view all the answers

What risk factor can contribute to the development of a varicocele?

<p>Increased inter abdominal pressure (A)</p> Signup and view all the answers

What is a common diagnostic finding associated with testicular torsion?

<p>Unilateral absence of the cremaster reflex (B)</p> Signup and view all the answers

What characterizes the typical presentation of testicular cancer?

<p>Asymptomatic testicular mass with firmness or induration (D)</p> Signup and view all the answers

What is the most common type of primary testicular tumor?

<p>Germ Cell / Seminoma (B)</p> Signup and view all the answers

The diagnosis of a hydrocele is readily made by transillumination.

<p>True (A)</p> Signup and view all the answers

Engorgement of the internal spermatic veins above the testis is called

<p>Varicocele (D)</p> Signup and view all the answers

Testicular torsion is also called a bell clapper deformity

<p>True (A)</p> Signup and view all the answers

Patient with _______ will presents with the complaint of acute onset, severe lower abdominal, inguinal or testicular pain

<p>testicular torsion (B)</p> Signup and view all the answers

Patients with suspected testicular torsion need to be evaluated by a urologist within 4-6 hours as this is a medical emergency

<p>True (A)</p> Signup and view all the answers

Testicular cancer is staged using the TNM system created based on extent of cancer in the testis, status of regional lymph nodes, the presence of metastases in distant lymph nodes or other viscera, and serum levels of tumor markers

<p>True (A)</p> Signup and view all the answers

Diagnosis of testicular cancer is always by

<p>inguinal orchiectomy (C)</p> Signup and view all the answers

Screening for testicular cancer by self-examination or clinician examination is unlikely to offer meaningful health benefits and could potentially cause harms include false-positive results, anxiety, and harms from diagnostic tests or procedures

<p>True (A)</p> Signup and view all the answers

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