Testicles

Question 1

When should paediatric referral be considered for cryptorchidism?

Answer 1

at 3 months if testicle remains undescended

Question 2

Bilateral gynaecomastia in a patient with a history of cryptorchidism…?

Answer 2

Possible B-HCG secreting testicular tumour

Question 3

Commonest causes of epididymo-orchitis?

a) viral
b) bacterial

Answer 3

a) mumps

b) chlamydia, gonorrhoea, coliforms

Question 4

What should always be considered in an adult presenting with suspected hydrocele?

Answer 4

Underlying tumour

Question 5

Varicocele may be a presenting symptom of…?

Answer 5

Ipsilateral renal cancer

Question 6

Two main types of testicular cancer?

Answer 6

Teratoma

Seminoma

Question 7

Which type of testicular cancer typically presents at an earlier stage?

Answer 7

Seminoma

Question 8

Management of epididymo-orchitis if history is suggestive of sexually transmitted disease?

Answer 8

once-off ceftriaxone 1g IM + doxy/ofloxacin for 10-14 days