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UROLOGY - CMII EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS!!
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UROLOGY - CMII EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS!!
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UROLOGY - CMII EXAM1 QUESTIONS WITH
COMPLETE
SOLUTIONS!!
CMII
Evatee 10/20/24 CMII
,UROLOGY - CMII EXAM 1 QUESTIONS WITH
COMPLETE SOLUTIONS!!
When are hernias emergent? Answer - If they are strangulated (compromised
blood supply)
OR incarcerated (not reducible)
Most hernias present with only a mild sense of ___________ upon straining
Answer - dullness
What are some more significant symptoms with a hernia? Answer - Fever
Constipation
Peritoneal tenderness
In females, ALWAYS evaluate the ___________ _____________ as femoral
hernias are far ore common in women than in men, AND they are more likely
to ______________ than inguinal hernias! Answer - femoral canal; strangulate
Key physical exam points for inguinal hernias Answer - -Examine your Pt. both
standing and lying.
-For males, use your 2nd or 3rd finger to invaginate the scrotum into the
inguinal canal and feel for pressure while the Pt. coughs.
-For females place two to three fingers over the inguinal canal and try to elicit a
bulge with valsalva.
what is the most common benign scrotal mass? Answer - hydrocele
,most common cause of a hydrocele in children Answer - congenital continued
patency of the tunica vaginalis with the abdominal cavity
causes of an acute hydrocele in adults Answer - -local injury
-Infection - epididymitis, orchitis, gonorrhea,
-lymph obstruction, germ cell testicular tumor or after radiation therapy
Hydroceles always __________________ Answer - transilluminate
In newborns, hydroceles often resolve __________________ Answer -
spontaneously
Which imaging diagnostic would you use for hydrocele? Answer - ultrasound
_______________ hydroceles usually arise over a long period of time and are
most common. Answer - Idiopathic
Clinical manifestations of hydrocele on children Answer - palpable cystic mass
on PE
Clinical manifestations of hydrocele on adults Answer - History
-Scrotal "heaviness"
-Back pain
PE
-Palpable cystic mass
-Transillumination
, -a dense mass that does not illuminate should be differentiated from a
testicular tumor
A dense mass that does not illuminate should be differentiated from a
________________ ______________ Answer - testicular tumor
Tx of hydrocele in children Answer - -Majority close spontaneously
-Not repaired before 1 year of age
-Surgical management if persists beyond 18 months of age
Tx of hydrocele in adults Answer - -Usually benign
-Surgical repair - painful or cosmetically undesirable
*Fluid can be aspirated (then replaced with a sclerosing agent) for a temporary
fix
*Surgical removal can be used for persistent or symptomatic hydrocele
(usually do nothing)
Almost NEVER operate on a hydrocele unless it is seriously affecting
_____________________ ___________ ____________ Answer - quality of life
Do hydroceles usually recur? Answer - yes
Accumulation of sperm within a cyst within the epididymis Answer -
Spermatocele
A spermatocele may occur as a result of _______________, trauma or
vasectomy Answer - epididymitis
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