Author Question: A 14-year-old boy has been brought to the emergency department by his mother in excruciating pain ... (Read 47 times)

luminitza · **on:** Jun 25, 2018

A 14-year-old boy has been brought to the emergency department by his mother in excruciating pain that is radiating from his scrotum to his inguinal area.The boy's heart rate is 122 beats/minute, and he has vomited twice before arrival at the hospital. Examination reveals that his scrotum is reddened and slightly swollen, and the testes are firm to touch and tender, with extensive cremaster muscle contraction noted. What is the boy's most likely diagnosis?

A) Epididymitis
B) Hydrocele
C) Testicular torsion
D) Varicocele

Question 2

A 40-year-old woman has been identified to have a deficiency in estrogen. Which of the following physiological phenomena is most likely to remain unaffected?

A)
Parathyroid hormone antagonism and the rate of bone resorption
B)
The regulation of uterine endothelial development
C)
The maintenance of normal skin and blood vessel structure
D)
The synthesis and release of adrenal glucocorticoids

Carissamariew · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
C

Feedback:

The combination of the boy's age, signs, and symptoms is indicative of testicular torsion. Epididymitis normally lacks cremaster muscle involvement, and hydrocele is marked by massive distention of the scrotum. Varicocele is often asymptomatic or marked by heaviness in the scrotum.

Answer to Question 2

Ans:
D

Feedback:

Synthesis and release of adrenal glucocorticoids are not directly influenced by estrogen, unlike the processes of bone resorption, endothelial regulation, and the maintenance of skin and blood vessel structure.