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Retired NBME 19 Answers

nbme19/Block 3/Question#7 (reveal difficulty score)
A 29-year-old man has a left testicular mass. ...
Cryptorchidism 🔍 / 📺 / 🌳 / 📖
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submitted by surgerydoctorca_sgu(6)
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(FA 2021, Pg. 675)

This question is testing your knowledge on cryptorchidism.

This condition results in descent failure of one or both testes; impaired spermatogenesis (since sperm develop best at temperatures < 37°C); can have normal testosterone levels (Leydig cells are mostly unaffected by temperature); associated with increased risk of germ cell tumors. Prematurity increases risk of cryptorchidism. Decreased inhibin B, increased FSH, increased LH; testosterone decreased in bilateral cryptorchidism, normal in unilateral. Most cases resolve spontaneously; otherwise, orchiopexy performed before 2 years of age.

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