An 18 year old high school student presents to the office for evaluation of acute sudden onset of pain in his left testicle.
Question 1 An 18 year old high school student presents to the office for evaluation of acute sudden onset of pain in his left testicle. It is intermittent, sharp, and radiates into his left groin. What test should be done to help in the evaluation process?
Cremasteric reflex
Testicular reflex
Prostate exam
Murphy’s test
Question 2Which is a sign of benign prostatic hyperplasia?
Weight loss
Bone pain
Fever
Nocturia
Question 3A young man feels something in his scrotum and comes to you for clarification. On your examination, you note what feels like a “bag of worms” in the left scrotum, superior to the testicles. Which of the following is most likely?
Hydrocele of the spermatic cord
Varicocele
Testicular carcinoma
A normal vas deferens
Question 4You are examining a newborn and note that the right testicle is not in the scrotum. What should you do next?
Refer to urology
Recheck in 6 months
Tell the parent the testicle is absent but that this should not affect fertility
Attempt to bring down the testis from the inguinal canal
Question 5Frank is a 24-year-old man who presents with multiple burning erosions on the shaft of his penis and some tender inguinal adenopathy. Which of the following is most likely?
Primary syphilis
Herpes simplex
Chancroid
Gonorrhea
Question 6Which of the following would lead you to suspect a hydrocele versus other causes of scrotal swelling?
The presence of bowel sounds in the scrotum
Being unable to palpate superior to the mass
A positive transillumination test
Normal thickness of the skin of the scrotum
Question 7The most common cancer in young men aged 15-30 years old is:
Testicular
Penile
Prostate
Anus
Question 8Which of the following conditions involves a tight prepuce which, once retracted, cannot be returned?
Phimosis
Paraphimosis
Balanitis
Balanoposthitis
Question 9In males, which surface of the prostate gland is accessible by the DRE (digital rectal exam)?
median lobe
posterior
superior
anterior
Question 10What is the definition for Hypospadias?
Imflammation of the glans
Low hanging testicles
Tight prepuce that cannot be retraced over the glans
Ventral displacement of the urethra meatus on the penis
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