Epididymo-Orchitis MCQ Quiz | Urology

Welcome to this specialized multiple-choice quiz on Epididymo-Orchitis, designed for MBBS students. This module will test your understanding of the etiology, clinical presentation, diagnosis, and management of this common urological condition. Covering key differentiators from testicular torsion, pathogen profiles based on age, and appropriate antibiotic regimens, these 25 questions will help you solidify your knowledge. After submitting your answers, you will receive your score, and both correct and incorrect answers will be highlighted for review. For your convenience and future study, you can also download all the questions along with their correct answers in a PDF format. This tool is an excellent way to prepare for your examinations and reinforce crucial clinical concepts in 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?