Pediatric Male GU Emergency Quiz

Ghazala Q. Sharieff, MD FAAEM

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  1. What percentage of newborns have full retractable foreskins:
  2. Your answer:
    70%
    4%
    24%
    94%


  3. A patient in whom you have a high index of suspicion for testicular torsion, should have the following diagnostic test performed:
  4. Your answer:
    Nuclear scan
    Color Doppler ultrasound
    Surgical exploration
    CT scan


  5. All of the following are causes of low-flow priapism except:
  6. Your answer:
    Papaverine injection
    Penile artery laceration
    Spinal cord trauma
    Sickle cell disease


  7. Estimated testicular salvage rates in patients with testicular torsion include all of the following except:
  8. Your answer:
    40% if detorsion occurs between 12 and 24 hours of symptom onset
    96% if detorsion occurs within 4 hours of symptom onset
    less than 10% with presentation greater than 24 hours after symptom onset
    60% if detorsion occurs between 8 and 12 hours of symptom onset


  9. The “blue dot” sign is pathognomonic for:
  10. Your answer:
    Epididymitis
    Hemorrhage into a testicular tumor
    Testicular torsion
    Torsion of the testicular appendage


  11. The lack of a cremasteric reflex in a patient with acute testicular pain, should raise the suspicion for which of the following:
  12. Your answer:
    Torsion of the testicular appendage
    Priapism
    Testicular torsion
    Paraphimosis


  13. A patient with recurrent episodes of Candidal balanoposthitis should be suspected of having which of the following:
  14. Your answer:
    Granulocytopenia
    Testicular cancer
    Diabetes mellitus
    Child abuse


  15. Treatment options for paraphimosis include all of the following except:
  16. Your answer:
    Manual reduction
    Referral to a urologist within 24 hours
    Dorsal slit procedure
    Foreskin needle puncture


  17. All of the following are true except:
  18. Your answer:
    Specific allergens leading to idiopathic scrotal edema have been identified
    Idiopathic scrotal edema is typically painless
    Most cases of idiopathic scrotal edema spontaneously resolve within 1 week
    Patients with idiopathic scrotal edema rarely present with a fever


  19. All of the following are true regarding varicoceles except:
  20. Your answer:
    Most varicoceles are right-sided
    Varicoceles are typically more pronounced in the upright position
    Patients with the sudden onset of a left or right varicocele should undergo further
    Incomplete drainage of the panpiniform plexus results in dilation of the spermatic


  21. All of the following are true except:
  22. Your answer:
    Most hydroceles are right sided
    Hydroceles can be reduced with steady, firm pressure
    Hydroceles are more common in the prepubertal male
    Hydroceles result from fluid accumulation within the tunica vaginalis



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