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Inguinoscrotal Pathologies Quiz

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

Qs. 12-year-old-boy, c/o: severe Left sided testicular pain, which started this morning while playing cricket. Next step?

a)

Book an Ultrasound at the radiology suite

b)

EMERGENCY shifting to the operation theater for exploration

c)

IV Antibiotics

d)

Wait & Watch

2.

Qs. In a neonate, noticed B/L testicular swelling. Testes aren't palpable separately, you can get above swelling. Next step?

a)

Urgent Surgery

b)

Ultrasound scrotum

c)

Testes elevation

d)

3.

Qs. 8-year-old c/o: nonreducible left sided inginoscrotal swelling, abdominal distention & bilious vomiting. best strategy?

a)

IV Antibiotics & Observe

b)

Re-try reduction attempt

c)

NPO, NG, Xray, HDU adm, Pediatric Surgery consult, Lab, PCV & Surgery

d)

NPO, NG, Xray, HDU adm, Pediatric Surgery consult, Lab workup & observe

4.

Qs. 15-year-old came w/ Hx of UTI, c/o: Left sided testicular pain& fever, no skin changes. What maneuver would you perform?

a)

Cremestric reflex

b)

Prehn's sign

c)

Both A and B

d)

Get above the swelling sign

5.

Qs. 2-year-old came with c/o of diffuse scrotal swelling + tenderness, no fever, US: Subcutaneous collection, Diagnosis?

a)

Epididymo-orchitis

b)

Idiopathic Scrotal Edema

c)

Testicular Torsion

d)

B/L Hydrocele

6.

Qs. Concern mother brought his 3-months-old son with absent left testes. What's your next best setup?

a)

US testes

b)

Reassurance & wait till 6 months. Otherwise surgery between 6-12 months

c)

Urgent surgery

d)

CT scan to locate the postion and size of testes

7.

Qs. Young girl with R-sided non reducible swelling for one day, mother reports that it was initially reducible. Next Setup?

a)

Watchful waiting

b)

US alone

c)

US & Urgent Surgery

d)

Never mind, it can just be a lymph node

8.

Qs. A premature baby has found to have Right sided inguinal hernia, what is the best approach?

a)

Operate after 6 months of age

b)

Cautious waiting & teach mother reduction & danger signs

c)

Urgent surgery to prevent obstruction

d)

Plan as per corrected conceptional age

9.

Qs. 6-month septic baby had a long-standing nappy rash. Mother noticed a small black dot which rapidly increased in a day. plan?

a)

HDU + antibiotics + Emergency surgical debridement

b)

Topical & IV Antibiotics

c)

Watchful waiting + Sitz bath

d)

Scrotal elevation

10.

Qs. Baby came to you with right side inguinoscrotal swelling, overlying skin red, excruciating pain. Suspected diagnosis?

a)

Obstructed inguinal hernia

b)

Strangulated inguinal hernia

c)

Incarcerated inguinal hernia

d)

Irreducible inguinal hernia