Download as pdf
Download as pdf
You are on page 1of 27
‘Ayer boy presents ta tho oe wih is mae, She states atthe patent has been complaining of in ns scrom wth sling, abdominal ain, ne nousea fr teas? of 3. day. On exam, the abdomen sft and nenender Palaton. The it sect sac mi nlargod witout eytoma, ond mas pated into right scrotal area. Th mass does not tansiluminato when apeniht Ir applied The patente lebear a wal sgn are table What te most sy ology of mis patents presentation? 1 Poser processus vaginalis 18, Exgagement ofthe parpisform plexus Colston fd nthe tne vagina ‘.intecton of ne epaayras Neoplasm ofthe testicle Bsc h e ‘Ayer boy presents ta tho oe wih is mae, She states atthe patent has been complaining of in ns scrom wth sling, abdominal ain, ne nousea fr teas? of 3. day. On exam, the abdomen sft and nenender Paton. The ight seta sacs my enlagod wihouteryoma. A tondor mass is palpated nth ght scrotal are, The mars docs not railamiste when @ penights ape. Theater alban al tale ara table, Wate he nos ely eclogy ofthis patent's presenaten? 1 Poet processus vaginalis 18, Exgogement ofthe parpiaform plexus © Collocton of ad inthe tunica vaginas ‘.intecton of tne epaayras gaga8 Neoplasm ofthe testicle Explanation: Covet answer Tipton peering with 3 congenial gui eri. During development te estes pass rough he processus vagal they descent abdomen inthe aot 90, Usual, the process \ogiatsobitortes and no communication lan between the abdomen and the scrotum, However nome cide the process remans open and a potion of mesentery or aloo of malintetine descends nto the scrotum fr labia is, mach oss oquonty ‘varsiluminets.Addtonal, hs patents complaints of abdominal pa are ‘siggestve an inguinal hems ‘Option B:Enaorgenent of the pamper plexus ecu varicocele. A ‘varicocele acute when venous tun slowed om the tstices casing letter, becae the lef test ven cris nt the lef renal vein. THE ‘ausesincieased turbulence. wich makes avaicocele moe key, The ight ‘este von dans det ino the rier vera env. Vaicocols can esa In rferity de wo creased temperature ct the ese, Tis most often cccurs In older men and has characte ‘bag o worms feoing on exants ‘eneaty no ssoctea wih tndomoss. Gs Related Videos: © Ween aen First Aid References: Fst Ad forthe USMLE Step 1 2019, 2h e364 Fst Ad fr the USMLE Step 12018, 28h oh: 364 Fst A forthe USMLE Step 1 2017, 27th 355 ‘OptonB:Engergament ofthe pampvianm pls occu im vaiocals A Fst A forthe USMLE Stop 12017, 27th ch 355 ‘varicocele aus when venous etn sowed om he ties casing ‘cngergement of the veins that eave the tests. This most often aces inthe causesincreased turbulence. wich makes avarcocel more key The riht testula v dains det into the nto vena cave Vaiocees canresut In rary de o neoased temperature the ase. This most oon eeu In older men and has achoracteistic ‘bog of worms feng on exams ‘generally not asrecltea wh tondemos. ‘Option c: parcel colton of aroun etna vagina which covert teste. This benign buy may havea mor insidious ctclegy ad may be ncatve ofan underhing seas. is charactrized by an rlarge teste which wi tansilminate on examination The patent resentation makes ts clagnosisunely due 1s pan ana lk of ‘Option D: Epaaymie intron of ho opis due to infection. The ‘most commen etiologies ar chlamydia and genorhen, Symptoms loge pa and swating ofthe ete, aswell as unary spon suchas dys Noninfectous for are possibe usualy due to gentournary abnermatis that cause efaof ine into the ecustory ts, This patent doesnot have ‘a sory of ese sbnarmaltios dot suspected of hang an action ‘th a seniny warsmted ection, ‘Opton: Tesi tors are uncommon in young men They ually prosont a5 sltary fem panossestculr mas that doesnot vaneiuminat. The ‘most commen typeof etic um fa gem cl ex, which is broady onseminoratous gor cal umes that are the most common form of B bsctto tt ‘Option: Hydrol 1s. colecton of serous fan te tunis vaginas which overs the teste. This aberign buy may have a moe isos tology and may be leave of an underivng seas. ie charactrzed by an ripe teste which wi tansilminate on examination Ths patent's resentation makes tis dlagnosis unity duet is pun and lack of ‘Option D: Easy intartin fo opis due to nection. The ‘most commen coogi are chlemyd and genorheo, Symptoms inclaée pal Sp swang ofthe eel, asa ae venary symptoms ch 96, ‘tequency,anurgony. may somaties be assocatod wi abcomina pa, Nonintechous forms ae possbe usualy diet gentournery abnormaltics ‘hat cause ef of rn i the pcs it.The patent dose not have ‘2 story of eae abnormal and ot suspected of having an infection ‘th semua wancmitied ection, ‘Option: Tosca ters re uncommen in young man They sual prosant a sltary fem ponessestculr mas that doesnot wanna. The ‘most commen typeof escolar tumor a germ cal unex, which i bready ‘onseminoratc ger cltumers tat re he most common form of ‘esteulatumernchiden. This patents fuse swoling of he scrotum makes 2 matgnancy untkay. Tho lack of asltary mass Sapgosts a dsease precoss ‘otter than neplosns. Loaring objective: Congenital hens os esocated wit patent process opiate which slows for portons of mesentery orloops of mal bone 0 Bsc ‘A Z2yoa.old woman presents ote gynecologist revision of amenennea ant <éepereuni, Tho pation tats that she rocent got mare and hss been word ‘about geting pregnant. The paint tates thet she has never had a peed ana that soxtes says boon pal, On examination, ho pation Tanna lage V wl ‘obvious developmental bronnaities. The vagina exam is ited secondary to Patent lscomfor. The vagal canals hypoplastic wit no salto ofthe cer, Whats me mos kel cause of is patents symptoms? 2 Hyparpetactmomia £8. Exposure t0 DES in tero Tuer synerome Mullion agenesis Bsc h e '8.22yoa-od woman presents toto gnocclgit or eveuation of amenexton ‘and dyspareri, The patont states hat sho recently got marie ae hae boon ‘wormed about geting pregnant. The pant tates that sha has never hed a pares td that sax has aay boon pail On examination, the patents Taner sago V wih 0 obvious developmertal abnormal. Tho vaginal ram tinted econ option comfort. The vaginal canals Hypopart math no \suatzation othe cor What the most hay cause of spain’ symptoms? A Hypecpratctnona x £8. Exposure t0 DES in tero ox Tuer synerome 8 © opcos * £ Malton spent 70% Explanation: Related Videos: Care sor Te dct aon ah srenrei Ws iietictlcairainn cia Seer | | O tna ft ce enone A coe ‘Cycslonond cea Mal de ena eo. First Aid References: Fst Ad forthe USMLE Step 12019, 2h ed: 63, 608 ad te First Aid forthe USMLE Step 1 (2018, 26th ed 604 vee y Fst Ad forthe USMLE Step 1 2017, 27th 589 eal} os rgyosson and obsraton of he Mulan dct 0 mage Dolow), First Aid References: a Fst Ad forthe USMLE Stop 12019, 28h od 53 605 =“—9 eee Fst Ad forthe USMLE Stop 12018, 25 oh: 604 ee v Fst Ad forthe USMLE Step 12017270 dh 589 Male Female Materion agenesis utrne abnormality cused by gene detects Ree Male Female -Muleton agenesis sa utrne abnormality caused by geno defects. ‘Mutesan ageness tests incomplete lek of Mullan ducts, whch Balanic/coronal eae} ‘Theo are diferent cassicaton systems for hypospadias which ao bosed onthe leeaton of Glandular Balanic/coronal Penile Penoscrotal Perineal orifice ‘ypospadiirarelyaescites with other urinary tract abnormal, co a orifice ‘ypospadis rarely associated wih other urinary rat abnormaltios. so ‘maging is used ony in cases which here igh eve of pcan tor ‘Trotmont i suricel, Suet parormes bath fr trcona and cosmetic reasons, Curent, axgey sperms icin >6 months of ge, Ey ‘reparuntl gander ident aes pefoned. Because of poycrosenual {evelopmor. mppospadis cvection should ial bo completed win 20 ‘months of fe There me > 200 vara of ssc pat some of which con be periomed on an eutpatent bas. ‘Option A: The opposta ni dermal ageisaocatd wh a higher Inetdonce of hypospadias. ther sk factors inch a amy istry of ypospadis, bith weit. win or tiple bits, mater fon supplements rmatiers whe soko cgaetes, fathers wth peste contac, and pregnancy ‘eh reproductive tecnlogyaetance, ‘Option: Genta swelings shoud us together to trm the scotum, ad ae patinpicate in ho paegeness of ypospadias ‘Option C: Surge completion, ncudng a urstroevanoous et, Incresing wt the age atthe tine of reat Surgical complications are minima before the age of yous ‘OptonD: Before the 1th week of ntauterne develo, the prin stucures are ndctngustablebetween males and femes, Sawa inal uta is acleved aher week 14 50 n hpoepades, poblens re “Traziont rial. Surgery performed both fr incona and commie reasons Cure, uxgey is pefomed in crausen >6 ments of ge. Ey ‘ropa uni gordonii aiesie preferred Gecauro af aycmorerl ‘evelopment. imporpadia corecton shoul aly be completed wih 30 ‘man o Me. There ae > 200 vats Of scl epa

You might also like