Quizlet on Reproductive System Related

Review Quizlet on Reproductive System related questions and content

A 29 year old married computer programmer is c/o 'something strange' going on in his scrotum. Last month he felt a lump in his left testis, and it is still there. He has had some aching in the left testis but denies pain with urination or intercourse. Denies fever, malaise, night sweats. His PMH consisted of groin surgery as a baby and a tonsillectomy as an adolescent. He eats a healthy diet, exercises, denies tobacco or drugs. On exam the penis is circumcised with no lesions. No lymphadenopathy. Palpation of his scrotum is unremarkable on the right but indicates a large mass on the left. Placing a finger through the inguinal ring on the right, you have the patient bear down. Nothing is felt. You attempt to place your finger through the left inguinal ring but cannot get above the mass. On rectal exam, his prostate is unremarkable. What disorder of the tests is most likely the diagnosis?

  • A. Hydrocele
  • B. Scrotal hernia
  • C. Scrotal edema
  • D. Varicocele
Correct Answer: B

Rationale: The correct answer is B: Scrotal hernia. The patient's presentation with a lump in the left testis, aching, and a large mass on the left side of the scrotum, along with the inability to pass a finger above the mass through the left inguinal ring, suggests a scrotal hernia. This is further supported by the fact that bearing down does not reveal anything on the right side, ruling out hydrocele and varicocele. Scrotal edema would present with more generalized swelling in the scrotum rather than a localized mass. So, the key findings here point towards a scrotal hernia as the most likely diagnosis.