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MMLU / A 22-year-old man comes to the physician for a routine health maintenance…

Problem

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question

A 22-year-old man comes to the physician for a routine health maintenance examination. He feels well. He has had a painless left scrotal mass since childhood. Examination shows a 6-cm, soft, nontender left scrotal mass that transilluminates; there are no bowel sounds in the mass. Examination of the testis shows no abnormalities. Which of the following is the most likely cause of the mass?

choices

  1. Accumulation of scrotal adipose tissue
  2. Cryptorchidism of the left testis
  3. Dilation of the pampiniform plexus of veins around the testis
  4. Persistence of a patent processus vaginalis

subject

professional_medicine

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