This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
Testicular involvement wihtout epididymitis is a feature of- 
Select and explain. 
A. Gonorrhoea, B. Syphilis, C. Tuberculosis, D. Granuloma inguinale
B: Syphilis
Answer: B: Syphilis 
Explanation: Ans. is 'b' i.e., Syphilis o Inflammations are distinctly more common in the epididymis than in the testis. o Of the three major specific inflammatory states gonorrhea and TB almost invaribly arise in the epididymis, whereas syphilis affects the testis first. o In many cases of syphilitic architis is not accompanied by epididymitis.--------- Robbins 1040. o Granuloma inguinal usually affects the external genital organs (not testis or epididymis).