Urology: spermatocele: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Urology: spermatocele

Sample item

A 35-year-old has a painless cystic swelling in the scrotum lying above and behind the testis, separate from it. It transilluminates and aspiration gives a milky fluid. What is the diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Spermatocele

A spermatocele is a cyst of the epididymal head lying above and behind the testis and separate from it, containing milky fluid. A hydrocele surrounds the testis and a varicocele feels like a bag of worms.

Option by option

  • A. Vaginal hydrocele

    A vaginal hydrocele envelops the testis so it cannot be felt separately.

  • B. Varicocele

    A varicocele is a collection of dilated veins that does not transilluminate.

  • C. Indirect inguinal hernia

    A hernia has a cough impulse and extends into the inguinal canal.

  • D. Spermatocele (correct)

    Correct. A separate cyst above and behind the testis is a spermatocele.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is D, Spermatocele. A spermatocele is a cyst of the epididymal head lying above and behind the testis and separate from it, containing milky fluid.

Why is "Vaginal hydrocele" not the answer?

A vaginal hydrocele envelops the testis so it cannot be felt separately.

Why is "Varicocele" not the answer?

A varicocele is a collection of dilated veins that does not transilluminate.

Why is "Indirect inguinal hernia" not the answer?

A hernia has a cough impulse and extends into the inguinal canal.

What concept does this question test?

It tests Urology: spermatocele in General Surgery. A hydrocele surrounds the testis and a varicocele feels like a bag of worms.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Urology: spermatocele?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.