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3 Written questions

3 Multiple choice questions

  1. "Sack of worms" feeling in one testicle. Generally not painful but may be tender with exercise. Occurs in 15% of males over 10 years old. Usually occurs on the left. May compromise fertility in which case surgery is indicated. Otherwise education and reassurance suffice.
  2. Often seen post strep infection. Common presentation is fatigue, cola-colored urine, and elevated blood pressure. Fluid intake should be restricted when oliguria is present.
  3. Accumulation of fluid in the tunica vaginalis around testicle. Transilluminates well. Small ones usually spontaneously resolve within a year. Larger ones may require surgery. Seen in 2% of male neonates.

2 True/False questions

  1. Anaphylactoid purpura/Henoch-Schonlein PurpuraPalpable purpura on extensor surfaces of extremities + edema, arthralgia/arthritis, colicky abdominal pain with GI bleeding, acute scrotal pain, and/or renal dysfunction.

          

  2. Alport syndromeMost common hereditary nephritis. Typical presentation is microscopic hematuria, especially after URI. 30 - 75% of cases are associated with progressive hearing loss. End stage renal failure is common by 20s - 30s. Usually x-linked. Ocular abnormalities may be seen, as well as rare leiomyomatosis of esophagus or respiratory tract.