L19 - Testicular Disorders UPDATED
ACTUAL Questions and CORRECT
Answers
What finding most strongly suggests hydrocele on exam? - CORRECT ANSWER - Painless, soft
scrotal swelling that transilluminates
What is the best test to distinguish hydrocele from a solid testicular mass? - CORRECT ANSWER -
Scrotal ultrasound
How are most hydroceles managed? - CORRECT ANSWER - Observation unless painful, very
large, or cosmetically bothersome
What is definitive treatment for symptomatic hydrocele? - CORRECT ANSWER - Hydrocelectomy
What is the classic physical exam description of varicocele? - CORRECT ANSWER - Bag of
worms
What side is varicocele most commonly found on? - CORRECT ANSWER - Left
How does a varicocele change with position? - CORRECT ANSWER - More prominent standing
and decreases/disappears when supine
What symptom pattern is typical of varicocele? - CORRECT ANSWER - Dull/achy scrotal pain
worse later in the day
What important fertility association exists with varicocele? - CORRECT ANSWER -
Subfertility/infertility
, How is symptomatic varicocele treated? - CORRECT ANSWER - Conservative management or
surgical ligation/sclerotherapy
What diagnosis must be assumed in an adolescent with sudden unilateral testicular pain? - CORRECT
ANSWER - Testicular torsion until proven otherwise
What is the classic onset of pain in testicular torsion? - CORRECT ANSWER - Acute sudden onset
What associated symptoms often accompany torsion? - CORRECT ANSWER - Nausea and
vomiting
What are the key exam findings in torsion? - CORRECT ANSWER - High-riding testicle,
horizontal lie, absent cremasteric reflex
What is the best diagnostic test for torsion? - CORRECT ANSWER - Doppler scrotal ultrasound
showing decreased blood flow
Is testicular torsion a surgical emergency? - CORRECT ANSWER - Yes
Can manual detorsion be attempted in torsion? - CORRECT ANSWER - Yes, but urgent urology
consultation is still mandatory
What time window offers best testicular salvage in torsion? - CORRECT ANSWER - Within 6
hours
What risk factor from this lecture is associated with torsion? - CORRECT ANSWER -
Cryptorchidism
What is the most common cause of orchitis in prepubescent boys? - CORRECT ANSWER -
Mumps
ACTUAL Questions and CORRECT
Answers
What finding most strongly suggests hydrocele on exam? - CORRECT ANSWER - Painless, soft
scrotal swelling that transilluminates
What is the best test to distinguish hydrocele from a solid testicular mass? - CORRECT ANSWER -
Scrotal ultrasound
How are most hydroceles managed? - CORRECT ANSWER - Observation unless painful, very
large, or cosmetically bothersome
What is definitive treatment for symptomatic hydrocele? - CORRECT ANSWER - Hydrocelectomy
What is the classic physical exam description of varicocele? - CORRECT ANSWER - Bag of
worms
What side is varicocele most commonly found on? - CORRECT ANSWER - Left
How does a varicocele change with position? - CORRECT ANSWER - More prominent standing
and decreases/disappears when supine
What symptom pattern is typical of varicocele? - CORRECT ANSWER - Dull/achy scrotal pain
worse later in the day
What important fertility association exists with varicocele? - CORRECT ANSWER -
Subfertility/infertility
, How is symptomatic varicocele treated? - CORRECT ANSWER - Conservative management or
surgical ligation/sclerotherapy
What diagnosis must be assumed in an adolescent with sudden unilateral testicular pain? - CORRECT
ANSWER - Testicular torsion until proven otherwise
What is the classic onset of pain in testicular torsion? - CORRECT ANSWER - Acute sudden onset
What associated symptoms often accompany torsion? - CORRECT ANSWER - Nausea and
vomiting
What are the key exam findings in torsion? - CORRECT ANSWER - High-riding testicle,
horizontal lie, absent cremasteric reflex
What is the best diagnostic test for torsion? - CORRECT ANSWER - Doppler scrotal ultrasound
showing decreased blood flow
Is testicular torsion a surgical emergency? - CORRECT ANSWER - Yes
Can manual detorsion be attempted in torsion? - CORRECT ANSWER - Yes, but urgent urology
consultation is still mandatory
What time window offers best testicular salvage in torsion? - CORRECT ANSWER - Within 6
hours
What risk factor from this lecture is associated with torsion? - CORRECT ANSWER -
Cryptorchidism
What is the most common cause of orchitis in prepubescent boys? - CORRECT ANSWER -
Mumps
