Which of the following statements is not correct?
An elevated alpha-fetoprotein is most likely not to be seen in which germ cell tumor?
A 35-year-old circumcised man attends the ER with complaints of sudden pain in his testicles that began roughly 3 hours ago. On palpation of the inner thigh, there is no motion in the testicles. When lifting the scrotum there is no alteration in the pain. There is no fever or any other sign of an infection. What is most likely to be the reason behind this condition?
A 28-year-old man shows up in the ER with complaints of scrotal pain for the last several pain. He states that the pain was mild in the beginning, but has increased steadily. On physical examination the cremasteric reflex is positive. Pain is relieved when lifting the scrotum gently. What is most likely to be the reason behind this condition?
A 19-year-old uncircumcised man presents to the ER with penis pain. While taking a shower today morning he retracted his foreskin and what not able to pull it back to the initial position. He thought it would resolve in a few hours. His penis became red and pain started to occur. The manual reduction was not successful. What is the best treatment for resolving the patient's condition?
Which of the following statements is not correct?
A 65-year-old male presents to the clinic with urinary complaints. He says that he wakes up to use the toilet at least twice everyday and that he often feels like he couldn’t completely empty his bladder. He doesn’t report dysuria or a history of recurrent urinary infections. His urinalysis is negative for leukocytes and his labs are unremarkable. His ultrasonography reports a prostate 30 gr in size, and is negative for urinary stones and hydronephrosis. Uroflowmetry shows a post void residual urine volume of 180 mL and a Qmax of 9 mL/sec. What is the best next step of managing this patient?
Which of the following is incorrect?
A 23-year-old presents to the ER with prolonged, painful erection starting 6 hours ago. He reports a history of sickle cell anemia, and denies having had a similar complaint before. On physical exam, his glans penis is soft while his penile body is rigid. Tenderness is also evident. The patient shows no improvement after hydration, alkalinization and analgesics. What is the most appropriate next step?
A 6-month old male is brought to the clinic for a general check-up. On physical exam, his left testis is palpable in the scrotum, while his right testis is nonpalpable anywhere. What is the recommended next step?
