@UrologyQuiz Quiz6 Follow-up MCQs: (ANSWERS BELOW!

) MCQ
1.When examining a scrotal mass all are TRUE EXCEPT: A) If it transilluminates it is almost always a Hydrocele (Hydrocoele) B) If you cannot get above it consider a hernia as a possible diagnosis C) If it is painful it is rarely cancer D) If scrotal masses are bilateral think hydroceles or scrotal oedema 2. Hydrocele management that is accepted as being reasonable generally includes A) observation B) simple drainage C) drainage but with injection of sclerosant into cavity D) drainage with injection of antibiotics into cavity 3. Successful treatment of hydroceles would be expected at: A. 50-70% all drainage related procedures and 70-80% of formal repair B. 30-50% all drainage related procedures and 80-95% of formal repair C. 70-85% all drainage related procedures and 80-95% of formal repair D. 30-50% all drainage related procedures and 80-95% of formal repair 4. One of the following IS TRUE regarding hydroceles: A) They all need to be drained or operated upon B) They may be associated with malignancy C) Should always have a confirmatory ultrasound D) Often cause severe pain 5) ALL are accepted reasonable treatments of primary hydroceles EXCEPT: A) Observation after reassurance B) Drainage +/- sclerosant C) Surgical repair D) Antibiotics alone 6) Hydrocele drainage has often been avoided: A) Because of perceived low rates of success B) The risk of introducing infection or haematoma C) Perception that it potentially makes definitive repair harder D) ALL OF THE ABOVE

ANSWERS

Q1 Answer C: testicular tumours are almost always unilateral and tender in around 10% which is not that rare! A) correct as in the quiz case, B) anatomy dictates this and D) logical and relatively common Q2 Answer B: drainage does better than we think but with sclerosants- drainage alone likely to re-accumulate. Rest A,C) and D) all reasonable given literature Q3 Answer C: drainage does better than we think but surgery probably best A), B) and D) less likely answers given literature Q4 Answer B: True- occasionally may be associated with malignancy but more often trauma ; A) incorrect; C) may need ultrasound if testicle not adequately palpable to exclude malignancy especially in younger men and D) rarely cause severe pain more often discomfort or cosmetic issues Q5 Answer D: Antibiotics only if true infection which would be less common and truly a secondary not primary hydrocele; A) Observation is an accepted first line option); B) and C) acceptable Q6 Answer D: All of the above. All A)B)C)true- rates of drainage success may be higher than we accept (however with surgery having best satisfaction rates) and indeed risk of infection etc. and making surgery harder theoretically

By @lawrentschuk Editor-in-Chief @UrologyQuiz Assoc. Professor Nathan Lawrentschuk, University of Melbourne AUSTRALIA