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NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 3/Question#4 (reveal difficulty score)
An 18-year-old man comes for an examination ...
Germinal cell tumor ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: repro DDX inc

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 +12  upvote downvote
submitted by โˆ—szsnikaa(28)

This patient has a testicular mass. Let's examine a few differentials as we go through the answer choices.

Germinal Cell Tumor (Testicular Tumor)

  • Usually painless but dull/achy/heavy sensation; palpation of SOLID mass
  • No change in size when supine
  • No transillumination

Dilated pampiniform venous plexus (Varicocele)

  • Usually painless; "Bag of worms"
  • Reduced swelling when supine
  • No transillumination

Cystic Dilation of the effect ductules (Spermatocele)

  • Typically painless; fluctuant swelling of upper testicular pole
  • No change in size when supine
  • Does transilluminate

Fluid accumulation within the tunica vaginalis testis (Hydrocele)

  • Often painless; fluctuant swelling of scrotum
  • May/May not change in size wrt position
  • Does transilluminate

Vascular Trauma (Hematocele/Ruptured Testis)

  • Extremely painful & tender; visible hematoma
  • May/May not change in size wrt position
  • No transillumination

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drdoom  your account has been upgraded to: ATTENDING +6
drmohandes  that's how you do an explanation. cheers m8 +4

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