Scrotal pain

Question 1

the most important cause of acute scrotal pain

Answer 1

Torsion of the testis

Question 2

is most common in males younger than 25 years

Answer 2

Torsion of the testis

Question 3

The clinical picture of epididymo-orchitis can mimic

Answer 3

Torsion of the testis

Question 4

diagnosis should be made only at surgical
exploration

Answer 4

Torsion of the testis

Question 5

the opposite testis should also be fixed to prevent

Answer 5

torsion (orchidopexy)

Question 6

reduce the chance of gangrene and loss of the testis

Answer 6

SURGERY

Question 7

if epididymo-orchitis does not settle

Answer 7

Suspect abscess formation

Question 8

examine the patient in the standing position

Answer 8

varicocele

Question 9

absence of the ipsilateral cremasteric reflex

Answer 9

testicular torsion

Question 10

testicular salvage rate is 90%

Answer 10

if detorsion occurs less than 6 hours

Question 11

pain in the groin accompanied by nausea and vomiting

Answer 11

testicular torsion

Question 12

usually begins with malaise and fever

Answer 12

epididymo-orchitis

Question 13

often associated with a urinary infection

Answer 13

epididymo-orchitis

Question 14

elevation and support of the scrotum usually relieves pain

Answer 14

Prehn sign

Question 15

tends to increase pain with a torsion

Answer 15

elevation and support of the scrotum

Question 16

useful in distinguishing a scrotal lump (hydrocele) from a
solid tumour

Answer 16

Doppler ultrasound

Question 17

can differentiate between the two conditions: in torsion the testis is avascular

Answer 17

technetium-99m scan

Question 18

hyperaemic in epididymo-orchitis

Answer 18

technetium-99m scan

Question 19

At surgery the testicle is untwisted and if viable an orchidopexy is performed.

Answer 19

testicular torsion

Question 20

acute epididymo-orchitis is usually caused by

Answer 20

sexually transmitted pathogens

Question 21

most commonly Chlamydia trachomatis Mycoplasma genitalium and Gonococcus

Answer 21

acute epididymo-orchitis

Question 22

Urine microscopy and culture

Answer 22

acute epididymo-orchitis

Question 23

sterile culture suggests the possibility of a chlamydial or
gonorrhoeal infection

Answer 23

acute epididymo-orchitis

Question 24

Chlamydia, Gonococcus, Mycoplasm genitalium

Answer 24

NAAT/PCR

Question 25

Elevation and support of the scrotum

Answer 25

acute epididymo-orchitis

Question 26

can occur at all ages but are more common in young men aged 20–30 years

Answer 26

Testicular neoplasm

Question 27

20–30 years
(teratoma) and 25–40 years (seminoma)

Answer 27

Testicular neoplasm

Question 28

All types of haematoceles require

Answer 28

surgical exploration

Question 29

strangulated inguinoscrotal hernia presenting as a

Answer 29

testicular torsion

Question 30

in infancy and adolescence should be regarded as torsion of
the testis until proved otherwise.

Answer 30

Acute scrotal pain