QUESTION 1
1. A 7-month-old male presents with a bulge in the scrotal sac. It is only found in the
scrotum and does not seem to bother the child. No difference in size is noted when
the child strains or cries. His scrotum’s size is normal in the morning but increases
as the day progresses. The scrotal mass is transilluminable and both testes are
located in the scrotal sac. You anticipate:
a. Emergent referral to a pediatric surgeon/urologist for repair
b Surgical repair of the above condition before age 1 to maintain testicular
. viability
c. Reassurance for the parents and observation of the condition with no need
for further intervention as long as the mass resolves by age 1
d Increased risk of testicular cancer with decreased fertility in later life
.
1 points
QUESTION 2
1. A 12-year-old boy awakes with onset of severe, unilateral scrotal pain, nausea, and
vomiting. He is afebrile. Inspection reveals a tender scrotum and marked scrotal
edema. The most likely cause is:
a. Scrotal trauma
b. Epididymitis
c. Testicular torsion
d. Testicular
malignancy
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