3 QUESTIONS WITH 100% CORRECT
ANSWERS
-10-20 yrs
-14 years - correct answer- What is the most common
age range for testicular torsion and the peak age?
-Absence of cremasteric reflex
-Involved testicle higher in scrotum
-Small palpable lump on superior pole of testis - correct
answer- What are the objective clinical findings with
testicular torsion?
-Acute onset pain
-Swelling
-Usually unilateral
-Diaphoresis
-N/V
-Increased pain with elevation
,-Recent injury/trauma - correct answer- What are the
subjective clinical findings with testicular torsion?
-ATB coverage for chlamydia & Gonorrhea.
-rocephin & doxycycline
-Azithromycin if cant tolerate doxy - correct answer-
What is the treatment for epididymitis in patient's under the age
of 35 who are at risk for STI?
-Feeling of heaviness lower abdomen, scrotum, or perianal area
-Acute pain unlikely - correct answer- Subjective findings
associated with testicular cancer.
-Hard lump or nodule on testis
-Scrotal swelling
-Heaviness in scrotum/fullness
-Previously small testes enlarged to normal testis or the
contralateral testis. - correct answer- What are the
clinical findings noted with testicular cancer?
-Hard lump or nodule testis
,-Enlarged nodes (metastasis) - correct answer- What rae
the objective findings associated with testicular cancer?
-Large mass that is noticible when standing and relieved with
recumbency
-valsalva manuever - correct answer- What additional
findings are usually associated with variocele?
-Levoquin if can tolerate or Bactrim if not
-tx for e.coli - correct answer- What is the tx for
epididymitis in patient's 35 or older with low risk for STI?
-No tx unless complications present or you suspect a significant
underlying cause such as a tumor. - correct answer-
What is the treatment for hydrocele?
-outpatient tx 4-6 weeks antibiotic:
-ofloxacin 400 mg PO BID q 12 h
-Cipro 500 mg PO q 12 hr
-Norfloxacin-400 mg PO W 12 hrs - correct answer- How
will patient with no fever or other underlying complications be
treated for bacterial prostatiatis?
, -Tenasmus
-Pain
-Persistent desire to empty b/b accompanied by involuntary,
ineffective straining efforts.
-Obstuctive symptoms: Weak stream, incomplete bladder
emptying, terminal dribbling.
-Irritative symptoms - correct answer- Subjective clinical
findings associated with chronic prostatits?
-Trimethoprim and sulfamethoxazole (TMP-SMX), 160 mg/800
mg
-Bactrim, Septra, Cotrim, one double-strength (DS) tablet q12h
-Doxycycline (AK-Ramycin, AK-Ratabs, Doryx, Doxy-Caps,
Doxychel Hyclate, Doxy-Lemmon, Vibramycin, Vibra-Tabs,
doxycycline), 100 mg q12h - correct answer- Alernative
antibiotic treatments for outpatient bacterial prostatitis
treatment
"Bag of worms" - correct answer- Subjective finding with
variocele