A 60-year-old man presents a with 2-year history of a left scrotal mass. He says he occasionally notes some intermittent mild pain in his left scrotum. He denies trauma, dysuria, haematuria, or urinary urgency. Physical examination indicates a mass posterior to his left testicle. It does not transilluminate. Scrotal ultrasound shows hypoechoic cysts that measure 4 cm in diameter associated with the left epididymis. What is the most likely diagnosis?Question 41Select one:a.Scrotolithb.Hydrocelec.Spermatoceled.Varicocelee.Seminoma

You are a general surgeon in a rural community hospital with surgical capabilities. The emergency physician calls you at 1:00 am and says that a 12-year-old boy has come in with sudden-onset right-sided scrotal pain, which started at 8:00 pm. The child and parents deny trauma, haematuria, or dysuria. Physical examination shows generalized tenderness on palpation of the right scrotum with a high-riding testicle; it is difficult to palpate the contours of the testicle. Although there is an ultrasound machine, the radiology technician is not in house and needs about 30 minutes to come in and set up the machine. What is the next step?Question 12Select one:a.Doppler ultrasound to diagnosis testicular torsion prior to interventionb.Surgical detorsion of the right testicle, orchiopexy of the left testicle, and orchiopexy of the right testicle if viablec.Transfer of the patient to the nearest hospital with a urologist on calld.Right orchiectomye.Surgical detorsion of the right testicle and orchiopexy of the right testicle if viable

Which of the following statements about scrotal and testicular problems is true?Question 7Select one:a.Torsion of the testis is most common between 20-30 years of age.b.Epididymal cysts always occur in the tail of the epididymis.c.Hydrocele is diagnosed by transillumination if any part transilluminates then malignancy is excluded.d.A right sided varicocele is slightly less common than a left sided one.e.A painless testicular mass in a 20–35-year-old man is the most common presentation of a testicular tumour.

Where will the pain from an infection of the right testis most likely be felt?Group of answer choicesRight scrotumRight T10-L1 dermatomeMidline T10-L1 dermatomeRight S2-S4 dermatomeMidline S2-S4 dermatome

The scrotum contains which of the following structures?Group of answer choicesTestesProstate glandEpididymisTestes and epididymis

A 23-year-old woman comes to the emergency room complaining of low abdominal pain and a fever. As she walks into the examination room, she is slightly stooped over and says that even walking is painful. She indicates that intercourse has been painful for the past week and evidence of purulent vaginal discharge is noted during a pelvic exam. What is the most likely diagnosis?