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  #1  
Old 12-13-2013
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Question Hard non-tender Testicular Mass

An 18 year old man comes for an examination prior to participation in school sports. He states that he has a dull ache in scrotum since being hit in that area during basket ball game 2 months ago. Examination showed 2 cm hard non tender mass in right testicle. The mass does not transilluminate or change in size when patient is placed in supine position. Which of the is the most likely cause ?

a- Cystic dilation of efferent ductules
b- Dilated pampiniform venous plexus
c- Fluid accumulation within tunica vaginalis
d- Germinal cell tumor
e- Vascular trauma
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  #2  
Old 12-13-2013
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i think ddddddddd
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  #3  
Old 12-13-2013
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wats the answer d?
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  #4  
Old 12-13-2013
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My answer: D
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Old 12-13-2013
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history of trauma,.. maybe vascular trauma, collection of blood or some fluid.. not sure though
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Old 12-13-2013
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E-vascular trauma (H/o trauma and since then symptoms) not sure though
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  #7  
Old 12-14-2013
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It's a tumor. NBME 6 question.
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  #8  
Old 12-14-2013
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Quote:
Originally Posted by neuromat View Post
It's a tumor. NBME 6 question.
i swear to god its not nbme 6 , its was on offline nbme 1 but i guess u are sure of your answer ,, as i wasn't sure so i put the Q ,, thanks
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Old 12-14-2013
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i actually not sure of the answer ,, i was between vascular injury and tumor ,, but i looked up the internet to differentiate between them and i guess if it was hematoma it will be painful but the PAINLESS that go more with tumor ,, actually when i saw the Q for first time i got it wrong but it doesn't matter as we still studying not exam
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Old 12-15-2013
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My NBME 6 tomorrow will already be not accurate thanks
I also would go for tumor. Hemorrhage would be long gone. Or if complicated painful.
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  #11  
Old 12-15-2013
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This is a part of nbme 6..if u dont know nbme 6 is just revised version of nbme 1...i don't want to give away the answer..
@mentallah elgohary q's that u hv been posting for the past couple of days are all part of nbme 4 or 6..which is copyright infringement.. And even against the policy of this forum.
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  #12  
Old 12-15-2013
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Its D.. Painless solid doesnt changed with position mean there is not fluid so only choice is tumor..
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Old 10-03-2014
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the direct link to the traumatic event is SUPER misleading tho (if D really is the right answer)
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Old 02-06-2015
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Correct Answer

Yes, its testicular tumor
PAINLESS TESTICULAR MASS THAT DOESNT TRANSILLUMINATE = CANCER until proven otherwise.
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