PAEA Surgery End Of Rotation (EOR) Practice Exam

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What are the common symptoms associated with testicular carcinoma?

Painful swelling in the scrotum
Painless firm mass inside the testis
Lower abdominal pain
Swollen lymph nodes in neck

The correct answer is: Painless firm mass inside the testis

Testicular carcinoma often presents as a painless firm mass within the testis, which is a key characteristic of this type of cancer. These tumors are typically not associated with pain in the early stages, which can sometimes lead to delayed diagnosis. The inability to feel discomfort makes it especially important for individuals to perform regular self-examinations in order to notice any unusual changes or lumps. While painful swelling in the scrotum can indicate various other conditions, such as epididymitis or trauma, it is not a common symptom directly associated with testicular carcinoma. Lower abdominal pain may be present; however, it is not a primary or defining symptom of testicular cancer itself and can arise from other issues. Similarly, swollen lymph nodes in the neck can occur but are often signs of metastasis or advanced disease rather than initial presentation, therefore not representing the common symptoms of testicular carcinoma.