Options For Questions 1 - 6
A. Hydrocele
B. Epididymal cyst
C. Varicocele
D. Inguinal hernia
E. Epididymo-orchitis
F. Testicular cancer
Match the typical presentation to the most likely diagnosis:
1. Large soft mass in the scrotum, separate from the testicle. It disappears when the patient lies flat and becomes more prominent on standing.
2. Hot and very tender testicular swelling, most prominent at the superior pole and at the back of the testicle.
3. Non-tender, hard, irregular lump.
4. Non-tender, soft, fluctuant lump at the superior pole of the testicle that is separate from the testicle itself. It transilluminates with light.
5. Mildly tender, soft and irregular lump separate from the testicle.
6. Non-tender, soft, fluctuant lump around the testicle that transilluminates with light.
Options For Questions 7 - 14
A. Renal cell carcinoma
B. Prostate cancer
C. Bladder cancer
Match the risk factor to the type of cancer:
7. Exposure to aromatic amines
8. Von Hippel-Lindau disease
9. Anabolic steroid use
10. Schistosomiasis
11. Obesity
12. Tall stature
13. End-stage renal failure
14. Black African or Caribbean origin
Options for Questions 15 - 20
A. Suprapubic catheter
B. Tunnelled cuffed catheter
C. Simple catheter
D. Coudé tip catheter
E. Three-way catheter
F. Foley catheter
Select the type of catheter most likely to be used in the following situations:
15. Intermittent self-catheterisation for neurogenic bladder
16. Intravesical medication for bladder cancer
17. Prostatic hypertrophy where there is difficulty inserting a two-way catheter
18. Urethral obstruction that prevents urethral catheterisation
19. An elective operation under a general anaesthetic
20. Regular long term haemodialysis
Options for Questions 21 - 29
A. Trimethoprim for 7 days
B. Cefalexin for 7 days
C. Gentamycin for 7 days
D. Nitrofurantoin for 3 days
E. Ofloxacin for 2 weeks
F. Trimethoprim for 6 weeks
G. Amoxicillin for 3 days
H. Nitrofurantoin for 4 weeks
Select the course of antibiotics that would be most suited to the scenario (subject to local guidelines):
21. 60 year old man with chronic prostatitis for the past 4 months
22. 32 year old woman with pyelonephritis and currently systemically well
23. 38 year old man with an uncomplicated lower urinary tract infection
24. 30 year old woman with pyelonephritis and signs of sepsis
25. 67 year old woman with a catheter-associated urinary tract infection and systemically well
26. 21 year old woman with an uncomplicated lower urinary tract infection
27. 27 year old woman who is 12 weeks pregnant with a lower urinary tract infection
28. 45 year old man at low risk of STIs with epididymo-orchitis
29. 57 year old man with acute bacterial prostatitis
- Large soft mass in the scrotum, separate from the testicle that disappears when the patient lies flat and becomes more prominent on standing. D. Inguinal hernia
- Hot and very tender testicular swelling, most prominent at the superior pole and at the back of the testicle. E. Epididymo-orchitis
- Non-tender, hard, irregular lump. F. Testicular cancer
- Non-tender, soft, fluctuant lump at the superior pole of the testicle that is separate from the testicle itself. It transilluminates with light. B. Epididymal cyst
- Mildly tender, soft and irregular lump separate from the testicle. C. Varicocele
- Non-tender, soft, fluctuant lump around the testicle that transilluminates with light. A. Hydrocele
- Exposure to aromatic amines. C. Bladder cancer
- Von Hippel-Lindau disease. A. Renal cell carcinoma
- Anabolic steroid use. B. Prostate cancer
- Schistosomiasis. C. Bladder cancer
- Obesity. A. Renal cell carcinoma
- Tall stature. B. Prostate cancer
- End-stage renal failure. A. Renal cell carcinoma
- Black African or Caribbean origin. B. Prostate cancer
- Intermittent self-catheterisation for neurogenic bladder. C. Simple catheter
- Intravesical medication for bladder cancer. E. Three-way catheter
- Prostatic hypertrophy where there is difficulty inserting a two-way catheter. D. Coudé tip catheter
- Urethral obstruction that prevents urethral catheterisation. A. Suprapubic catheter
- An elective operation under a general anaesthetic. F. Foley catheter
- Regular long term haemodialysis. B. Tunnelled cuffed catheter
- 60 year old man with chronic prostatitis for the past 4 months. F. Trimethoprim for 6 weeks
- 32 year old woman with pyelonephritis and currently systemically well. B. Cefalexin for 7 days
- 38 year old man with an uncomplicated lower urinary tract infection. A. Trimethoprim for 7 days
- 30 year old woman with pyelonephritis and signs of sepsis. C. Gentamycin for 7 days
- 67 year old woman with a catheter-associated urinary tract infection and systemically well. A. Trimethoprim for 7 days
- 21 year old woman with an uncomplicated lower urinary tract infection. D. Nitrofurantoin for 3 days
- 27 year old woman who is 12 weeks pregnant with a lower urinary tract infection. B. Cefalexin for 7 days
- 45 year old man at low risk of STIs with epididymo-orchitis. E. Ofloxacin for 2 weeks
- 57 year old man with acute bacterial prostatitis. E. Ofloxacin for 2 weeks
Maximum score = 29
Your % = your score x 3.45
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