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A) observation
B) simple drainage
C) Surgical repair
D) Antibiotics alone
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