08-18-2004, 06:44 PM
jaf
A 36-year-old man presents to his physician complaining of right scrotal swelling. He states that the swelling has been present for 1 week. He initially noticed the swelling shortly after moving furniture for his new living room. He denies any nausea, vomiting, change in bowel habits, abdominal pain, or urinary tract symptoms. He has no other significant medical or surgical history. On examination, he has an enlarged right hemi-scrotum with a mass that appears to be originating at the level of the external inguinal ring. With the patient completely relaxed, the physician is able to reduce the mass by pushing it back through the external inguinal ring. With the mass reduced, the physician instructs the patient to perform a Valsalva maneuver, upon which a protrusion is felt at the external inguinal ring. Once the mass is reduced, the testicle appears normal in size and consistency.
Question 1 of 4
Which of the following is the most likely diagnosis?
A. Hydrocele
B. Femoral hernia
C. Inguinal hernia
D. Testicular cancer
E. Varicocele
Question 2 of 4
Which of the following nerves travels along the spermatic cord within the inguinal canal and may be damaged during a surgical procedure to
correct this patient's condition?
A. IIiohypogastric
B. IIioinguinal
C. Lateral femoral cutaneous
D. Obturator
E. Pudendal
Question 3 of 4
If a segment of terminal ileum becomes strangulated as a consequence of his condition, it may become infarcted and necrotic due to occlusion of a branch of which of the following vessels?
A. Celiac trunk
B. Inferior mesenteric artery
C. Middle colic artery
D. Right colic artery
E. Superior mesenteric artery
Question 4 of 4
Which of the following pathological processes might cause the patient's underlying condition to occur in an infant?
A. Defect in the floor of the inguinal canal
B. Defect in the internal inguinal ring
C. Defect in the linea semilunaris
D. Patent processus vaginalis
E. Persistent lumen of the tunica vaginalis
A 36-year-old man presents to his physician complaining of right scrotal swelling. He states that the swelling has been present for 1 week. He initially noticed the swelling shortly after moving furniture for his new living room. He denies any nausea, vomiting, change in bowel habits, abdominal pain, or urinary tract symptoms. He has no other significant medical or surgical history. On examination, he has an enlarged right hemi-scrotum with a mass that appears to be originating at the level of the external inguinal ring. With the patient completely relaxed, the physician is able to reduce the mass by pushing it back through the external inguinal ring. With the mass reduced, the physician instructs the patient to perform a Valsalva maneuver, upon which a protrusion is felt at the external inguinal ring. Once the mass is reduced, the testicle appears normal in size and consistency.
Question 1 of 4
Which of the following is the most likely diagnosis?
A. Hydrocele
B. Femoral hernia
C. Inguinal hernia
D. Testicular cancer
E. Varicocele
Question 2 of 4
Which of the following nerves travels along the spermatic cord within the inguinal canal and may be damaged during a surgical procedure to
correct this patient's condition?
A. IIiohypogastric
B. IIioinguinal
C. Lateral femoral cutaneous
D. Obturator
E. Pudendal
Question 3 of 4
If a segment of terminal ileum becomes strangulated as a consequence of his condition, it may become infarcted and necrotic due to occlusion of a branch of which of the following vessels?
A. Celiac trunk
B. Inferior mesenteric artery
C. Middle colic artery
D. Right colic artery
E. Superior mesenteric artery
Question 4 of 4
Which of the following pathological processes might cause the patient's underlying condition to occur in an infant?
A. Defect in the floor of the inguinal canal
B. Defect in the internal inguinal ring
C. Defect in the linea semilunaris
D. Patent processus vaginalis
E. Persistent lumen of the tunica vaginalis