A 26-year-old male admits to unprotected sexual activity with men. He complains of pain in the left scrotal region and burning on urination that started 2 days ago. The scrotum is swollen and tender to palpation.
A urethral discharge is evident. Pain decreases with elevation of the left scrotum. There is no pain on DRE. These are signs of:
A. Testicular torsion
B. Testicular cancer
C. Epididymitis
D. Prostatitis
Question 2A 7-year-old male presents with fever and swollen parotid glands. He is diagnosed with mumps. A complication that can occur with mumps in a male patient is:
A. Orchitis
B. Prostatitis
C. Testicular torsion
D. Varicocele
Question 3A 22-year-old male patient recently noticed swelling of the right testicle. He reports a feeling of heaviness and a dull ache in the testicle.
There is no history of recent trauma. Physical examination reveals enlargement of the affected testicle, which is firm. The right scrotum is erythematous, and inguinal lymph nodes are palpable. It is important to recognize these are signs and symptoms of:
A. Varicocele of the testes
B. Testicular cancer
C. Hematocele of the testes
D. Torsion of the testes
Question 4Which of the following is a biochemical marker for testicular cancer?
A. Carcinogenic antigen 125 (CA-125)
B. Alpha-fetoprotein (AFP)
C. Carcinoembryonic antigen (CEA)
D. Tumor necrosis factor (TNF)
Question 5A 35-year-old male patient recently noticed a nodular growth on the right testicle. He reports a feeling of pain and heaviness in the testicle. Physical examination reveals a smooth, firm nodule of 5 to 6 cm on the right testicle.
The right scrotum is erythematous, and inguinal lymph nodes are palpable. The clinician should order a(n) ____ to evaluate this finding.
A. Ultrasound of the scrotum
B. CT scan of the pelvis
C. Pelvic x-ray
D. Digital rectal exam
Question 6A 12-year-old boy accompanied by his mother reports sudden severe pain in the right lower abdomen and scrotum. There is no history of trauma. Upon physical examination, the right scrotum is extremely tender to touch. These are signs of:
A. Fournier's disease
B. Testicular cancer
C. Testicular torsion
D. Varicocele of the testes
Quick Reply
