Epididymo-Orchitis MCQ Quiz | Urology

1. A 28-year-old sexually active male presents with acute scrotal pain and swelling. What are the most likely causative organisms?

2. A 65-year-old male with a history of benign prostatic hyperplasia (BPH) develops epididymo-orchitis. The most probable pathogens are:

3. A key clinical sign used to differentiate epididymo-orchitis from testicular torsion is Prehn’s sign. How is this sign described?

4. What is the most reliable initial imaging modality to distinguish acute epididymo-orchitis from testicular torsion?

5. A typical finding on a color Doppler ultrasound in a patient with acute epididymo-orchitis is:

6. Which of the following is the recommended first-line antibiotic regimen for a 30-year-old male with suspected bacterial epididymo-orchitis acquired through sexual transmission?

7. The primary route of infection for bacterial epididymitis is:

8. Which of the following is a potential long-term complication of severe or inadequately treated epididymo-orchitis?

9. Mumps orchitis typically presents with testicular swelling and pain:

10. The management of mumps orchitis is primarily:

11. A patient presents with chronic, low-grade scrotal pain for over 4 months. On examination, the epididymis is indurated but not acutely tender. This condition is best described as:

12. In tuberculous epididymitis, a classic physical examination finding is:

13. The absence of the cremasteric reflex is a highly sensitive sign for:

14. Which part of the epididymis is most commonly the initial site of inflammation in epididymitis?

15. A 70-year-old male on amiodarone for atrial fibrillation develops scrotal pain. The most likely diagnosis is:

16. Besides antibiotics, what is a crucial component of conservative management for acute epididymo-orchitis?

17. For an older male (>35 years) with epididymo-orchitis and suspected urinary tract source, a suitable oral antibiotic would be:

18. When is surgical intervention, such as incision and drainage, indicated in epididymo-orchitis?

19. A patient’s urinalysis in a case of bacterial epididymo-orchitis is most likely to show:

20. The term “orchitis” specifically refers to inflammation of the:

21. Which of these is LEAST likely to be a systemic symptom of acute epididymo-orchitis?

22. The standard duration of antibiotic therapy for uncomplicated acute bacterial epididymitis is typically:

23. A reactive hydrocele is a common associated finding in which condition?

24. In pediatric populations, epididymitis is often associated with:

25. A patient treated for epididymo-orchitis reports persistent pain and a firm mass after 3 weeks of antibiotics. What should be the next step?