This page is dedicated to organizing various examples of standardized exam questions whose answer is a pilonidal cyst. While this may seem a odd practice, it is useful to see multiple examples of how pilonidal cyst will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a traditional question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 30 year old male come stoeckled the clinic with pain in the intergluteal region. This pain has been present for several weeks, and is a nuisance to the patient when he is sitting down. He has noticed that there is intermittent swelling in the region that has a mucoid discharge. Most recently the discharge is blood tinged. The patient’s bowel movements are regular, and he has no urinary symptoms. His medical history is significant for an appendectomy 10 years ago. He works as an office assistant. His vital signs are within normal limits, however his BMI is 33.5 kg/m². A Physical exam shows the presence of a tender mass near the tip of his coccyx that drains mucoid fluid upon applying pressure. He rest of the exam is unremarkable. what is the likely diagnosis in this patient?
Page Updated: 03.10.2017