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</p> Signup and view all the answers

    What is the recommended non-pharmacologic management for phimosis?

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

    What is the common cause of spermatocele?

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

    What is an important action for patients with spermatocele?

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

    What is a common risk factor for hydrocele in infants?

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

    Which diagnostic test is typically not necessary for diagnosing hydrocele?

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

    What other condition can a scrotal ultrasound differentiate from hydrocele?

    <p>Hernia</p> Signup and view all the answers

    What is the most appropriate initial management for testicular torsion?

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

    Which age group is most commonly affected by testicular torsion?

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

    What is a classic finding in the assessment of hypospadias?

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

    What is the recommended age for surgical repair of hypospadias?

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

    What is the characteristic feature of phimosis?

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

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

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

    What diagnostic finding is characteristic of testicular torsion?

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

    What is the likely ideology behind hypospadias?

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

    What characterizes primary phimosis?

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

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