Management of Communicating Hydrocele Quiz
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Questions and Answers

What is another name for cryptorchidism?

  • Inguinal hernia
  • Varicocele
  • Hypospadias
  • Undescended testicle (correct)

At what age is orchiopexy, a surgical procedure for cryptorchidism, usually performed?

  • Between 3-4 years
  • Between 18-24 months
  • Between 2-3 years
  • Between 6-18 months (correct)

What is a potential risk associated with cryptorchidism that needs to be addressed during education?

  • Hernia
  • Infertility (correct)
  • Enlarged prostate
  • Kidney stones

What is the assessment finding for epididymitis?

<p>Pain and tenderness in the scrotum (B)</p> Signup and view all the answers

What is the recommended non-pharmacologic management for phimosis?

<p>Dilatation and stretching of the foreskin (D)</p> Signup and view all the answers

What is the purpose of applying topical steroid ointment in the management of phimosis?

<p>To soften the tightened foreskin and facilitate retraction (C)</p> Signup and view all the answers

Why should the foreskin never be forcibly stretched?

<p>To prevent paraphimosis, which can lead to a medical emergency (A)</p> Signup and view all the answers

What is not a clinical indication for circumcision according to the text?

<p>Normal cleansing and gentle stretching of the foreskin (A)</p> Signup and view all the answers

What is the management approach for a communicating hydrocele in children until the age of one to two years?

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

When is elective surgical correction considered for a communicating hydrocele in children?

<p>If it's not closed by one to two years of age (C)</p> Signup and view all the answers

In what circumstances is no treatment required for non-communicating hydrocele in adults?

<p>If there's discomfort or other complications develop (C)</p> Signup and view all the answers

What is the recommended action if abnormal ultrasounds reveal hydrocele plus other pathology?

<p>Refer to a urologist (D)</p> Signup and view all the answers

What is the characteristic feature that distinguishes spermatocele from hydrocele on assessment?

<p>Location superior to the testicle (D)</p> Signup and view all the answers

What action should be taken if varicocele suddenly appears on the right side in an adult male?

<p>Evaluate for a renal tumor (A)</p> Signup and view all the answers

What is the primary presenting complaint associated with varicocele?

<p>&quot;Bag of worms&quot; appearance in the scrotum (C)</p> Signup and view all the answers

What is the common cause of spermatocele?

<p>Blockage of the epididymal ducts (D)</p> Signup and view all the answers

"Palpable painless, freely movable, cystic mass distinct from the testis" is a characteristic assessment finding of which condition?

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

When should patients be instructed to inform their primary care provider about any changes in spermatocele?

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

What is an important action for patients with spermatocele?

<p>Teach themselves testicular self-examination (B)</p> Signup and view all the answers

What is the most common causative agent for epididymitis in men less than 35 years of age?

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

What is the first-line treatment for epididymitis in sexually active adults less than 35 years of age?

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

What sign is present when lifting the scrotum results in relief from pain in epididymitis?

<p>Positive Prehn sign (C)</p> Signup and view all the answers

What should be given for moderate to severe pain in epididymitis if the patient can't tolerate NSAIDs?

<p>Acetaminophen with codeine (D)</p> Signup and view all the answers

What is a common risk factor for hydrocele in infants?

<p>Incomplete closure of processus vaginalis (D)</p> Signup and view all the answers

Which diagnostic test is typically not necessary for diagnosing hydrocele?

<p>Scrotal ultrasound (B)</p> Signup and view all the answers

What is the most common causative agent for epididymitis in men older than 35 years?

<p>E. coli (A)</p> Signup and view all the answers

In which type of hydrocele does the scrotum feel heavy and enlarged, especially after activity that increases intra-abdominal pressure?

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

"Lifting the scrotum results in an increase in pain" is indicative of which condition?

<p>(Incorrect) Torsion sign (B)</p> Signup and view all the answers

Which antibiotic class is associated with a black box warning for tendon rupture in the treatment of epididymitis?

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

What should be given to men greater than 35 years old not suspecting STD with enteric etiology as first-line treatment for epididymitis?

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

What other condition can a scrotal ultrasound differentiate from hydrocele?

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

What is the most appropriate initial management for testicular torsion?

<p>Ultrasound of the scrotum (A)</p> Signup and view all the answers

Which age group is most commonly affected by testicular torsion?

<p>10-20 years (A)</p> Signup and view all the answers

What is a classic finding in the assessment of hypospadias?

<p>Dorsally hooded foreskin (A)</p> Signup and view all the answers

What is the recommended age for surgical repair of hypospadias?

<p>6-12 months (C)</p> Signup and view all the answers

What is the characteristic feature of phimosis?

<p>Inability to retract the foreskin over the glans penis (A)</p> Signup and view all the answers

Which condition is suspected when a patient presents with a feeling of heaviness in the scrotum and testicular atrophy?

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

What investigation is needed to rule out renal tumor or venous obstruction in cases of varicocele?

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

In which grade of varicocele is referral to urology required to discuss possible surgical intervention?

<p>Grade 2 or 3 with greater than 20% size difference in the testes (A)</p> Signup and view all the answers

What is the most appropriate management for subclinical grade one varicocele?

<p>No treatment, just reassurance (C)</p> Signup and view all the answers

What diagnostic finding is characteristic of testicular torsion?

<p>Absence of irritative voiding symptoms (D)</p> Signup and view all the answers

What is the likely ideology behind hypospadias?

<p>Deformity rather than a malformation (C)</p> Signup and view all the answers

What characterizes primary phimosis?

<p>Present at birth due to incomplete separation of glans from epithelium (C)</p> Signup and view all the answers

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