APEA questions with correct answers

When examining the scrotum in a young male child, test the cremasteric reflex by: Answer scratching the medial aspect of the thigh A 33 year old male presents for examination because of a scrotal complaint. The exam reveals the presence of 2 testicles and palpable tissue resembling a "bag of worms" over the left testicle. When in the supine position with the scrotum elevated, the "bag of worms" disappears. This condition is suggestive of a: Answer varicocele of the spermatic cord During assessment of a 3-month-old, an incomplete descent of the left testicles into the scrotum is noted. The practitioner understands that: Answer testicles should descend by 6 months of age A 40-year-old male states that he felt "something" above his left testis. On examination, a painless cyst is noted above the left testicle. Transillumination is consistent with a: Answer spermatocele of the epididymis When screening for bladder cancer in a primary care setting, the test that would be LEAST appropriate is: Answer cystoscopy When the scrotum is transilluminated in a 4-month-old boy, it lights up brightly. This finding may be consistent with: Answer a hydrocele The prostate is assessed by: Answer a digital rectal examination (DRE) Undescended testicle(s) in a young male is termed: Answer cryptorchidism