Male Issues

Question 1

How common is gynecomastia and normal teenage development?

Answer 1

Up to 50% of boys between the ages of 10 and 16

Question 2

At what Tanner stage would gynecomastia most often appear in males

Answer 2

Tanner stage

Question 3

True or false: normal mail gynecomastia often results in three years.

Answer 3

True, it usually doesn’t take longer than three years for this to normalize.

Question 4

A 17-year-old boy presents to your office with concern of gynecomastia. He has increased breast size on the left. His mother thinks he has had this for four years. Should you be concerned?

Answer 4

Yes. Benign gynecomastia in normally developing males should resolve by three years. Think of less common causes including Klinefelter, steroids, tumors of testicle, adrenal, or pituitary gland, and marijuana use.

Question 5

All of the following are true of hydroceles except:

A: hydroceles are painful
B: hydroceles transilluminate
C: hydroceles may be confirmed by ultrasound
D: hydroceles usually do not require treatment
E: the size of a hydrocele typically increases with standing and decreases when recumbent

Answer 5

A: hydroceles are usually NOT painful

Question 6

What would be an indication for correcting a varicocele surgically?

Answer 6

If the associated testicle is hypotrophic.

Question 7

Late one night, a 16-year-old boy arrives in the emergency department complaining of 45 minutes of severe right testicular pain. He feels nauseous. He has no history of trauma. His cream Oestreich reflexes absent. The most appropriate action is:

A: prescribed a 10 day course of antibiotics and analgesics after sending urethral and urine cultures.
B: call the ultrasound technician in from home for a Doppler ultrasound.
C: recommend scrotal elevation, application of an ice pack, and rest
D: arrange emergency urologic surgery

Answer 7

B: call the ultrasound tech in from home.

Question 8

He said-year-old male was seen in the emergency room for acute testicular pain. The ultrasound suggested a torsion of the appendix testis. How long will it take this condition to resolve?

Answer 8

10 days.

Question 9

True or false: treatment of torsion of the appendix testis requires antibiotics.

Answer 9

False

Question 10

Which of the following is true of adolescent male gynecomastia?

A: it occurs in less than 10% of boys
B: it usually occurs before age 10
C: the breast is usually somewhat tender
D: both breasts are usually involved
E: medications are indicated to reduce the gynecomastia

Answer 10

C: the breast is usually somewhat tender