Nurs 5432 module 4: men's health and
STDs exam Questions With Complete
Solutions
cryptorchidism - CORRECT ANSWERS undescended testicles
Cryptorchidism treatment - CORRECT ANSWERS orchiopexy typically at ages 6-18m
cryptorchidism risks later in life - CORRECT ANSWERS testicular cancer
epididymitis - CORRECT ANSWERS inflammation of the epididymis that is frequently caused
by the spread of infection from the urethra or the bladder
Epididymitis S/S - CORRECT ANSWERS o pain
o dysuria
o urgency/frequency
o low back pain/perineal pain
o fever/chills/malaise
o scrotal edema!!
Epididymitis treatment for sexually active men under age 35 - CORRECT ANSWERS doxy
100mg BID x 10 days AND ceftriaxone 500mg IM once
epididymitis treatment for men over age 35 and you do not suspect STD - CORRECT ANSWERS
Levfloxacin 500mg PO daily x 10 days OR Ofloxacin 300mg BID X 10 days
,Epididymitis treatment for men who have sex with men - CORRECT ANSWERS think they
need to cover gram negative bacteria... e. coli lives in the colon so that is the likely cause.
Ceftriaxone 500mg IM once AND Levofloxacin 500mg PO daily x 10 days
Epididymitis PE - CORRECT ANSWERS Prehn's sign is positive
normal cremasteric reflex
possible urethral discharge
enlarged and tender epididymis
epididymitis diagnosis - CORRECT ANSWERS Ultrasound: shows enlarged epidydimis and
increased testicular blood flow
STD testing
US if they have pyuria and/or hematuria
elevated CBC
CRP and sed rate will be elevated
hydrocele - CORRECT ANSWERS scrotal swelling caused by a collection of fluid
are hydroceles in infants communicating or non-communicating? - CORRECT ANSWERS
communicating
are hydroceles in adults communicating or non-communicating? - CORRECT ANSWERS non-
communicating
what is the connection between testicular cancer and hydrocele - CORRECT ANSWERS 10%
of testicular malignancies present with a hydrocele
, hydrocele assessment - CORRECT ANSWERS PAINLESS swelling
o Scrotum size will fluctuate with communicating hydrocele... because the opening is not closed...the
fluid has somewhere to go
o Scrotum feels heavy, especially after coughing, crying, and raising arms
o Noncommunicating hydroceles do NOT change shape with crying or straining
o Scrotum will transilluminate with both communicating and non-communicating
Hydrocele diagnostics - CORRECT ANSWERS none needed, but you have to do an ultrasound
to rule out a tumor!
Hydrocele management - CORRECT ANSWERS The majority of infants born with hydroceles
will have spontaneous resolution by the time they are 1 year old; thus reassurance and observation are
the most appropriate forms of management.
sx only if persist for >1 year
spermatocele - CORRECT ANSWERS · Benign, cystic scrotal mass along spermatic cord,
usually at head of epididymis. Measures over 2cm and may contain non-viable sperm
spermatocele assessment - CORRECT ANSWERS o Palpable, painless, freely moveable cystic
mass distinct from testis (pretesticular lesion)
o Intratesticular lesions always require further workup
o Size 2-5cm
o Usually asymptomatic
o Always located superior to testicle...hydrocele isn't. this is something that separates the 2 diagnosis
Spermatocele management - CORRECT ANSWERS none needed unless it is painful
aspiration will show non-viable sperm
STDs exam Questions With Complete
Solutions
cryptorchidism - CORRECT ANSWERS undescended testicles
Cryptorchidism treatment - CORRECT ANSWERS orchiopexy typically at ages 6-18m
cryptorchidism risks later in life - CORRECT ANSWERS testicular cancer
epididymitis - CORRECT ANSWERS inflammation of the epididymis that is frequently caused
by the spread of infection from the urethra or the bladder
Epididymitis S/S - CORRECT ANSWERS o pain
o dysuria
o urgency/frequency
o low back pain/perineal pain
o fever/chills/malaise
o scrotal edema!!
Epididymitis treatment for sexually active men under age 35 - CORRECT ANSWERS doxy
100mg BID x 10 days AND ceftriaxone 500mg IM once
epididymitis treatment for men over age 35 and you do not suspect STD - CORRECT ANSWERS
Levfloxacin 500mg PO daily x 10 days OR Ofloxacin 300mg BID X 10 days
,Epididymitis treatment for men who have sex with men - CORRECT ANSWERS think they
need to cover gram negative bacteria... e. coli lives in the colon so that is the likely cause.
Ceftriaxone 500mg IM once AND Levofloxacin 500mg PO daily x 10 days
Epididymitis PE - CORRECT ANSWERS Prehn's sign is positive
normal cremasteric reflex
possible urethral discharge
enlarged and tender epididymis
epididymitis diagnosis - CORRECT ANSWERS Ultrasound: shows enlarged epidydimis and
increased testicular blood flow
STD testing
US if they have pyuria and/or hematuria
elevated CBC
CRP and sed rate will be elevated
hydrocele - CORRECT ANSWERS scrotal swelling caused by a collection of fluid
are hydroceles in infants communicating or non-communicating? - CORRECT ANSWERS
communicating
are hydroceles in adults communicating or non-communicating? - CORRECT ANSWERS non-
communicating
what is the connection between testicular cancer and hydrocele - CORRECT ANSWERS 10%
of testicular malignancies present with a hydrocele
, hydrocele assessment - CORRECT ANSWERS PAINLESS swelling
o Scrotum size will fluctuate with communicating hydrocele... because the opening is not closed...the
fluid has somewhere to go
o Scrotum feels heavy, especially after coughing, crying, and raising arms
o Noncommunicating hydroceles do NOT change shape with crying or straining
o Scrotum will transilluminate with both communicating and non-communicating
Hydrocele diagnostics - CORRECT ANSWERS none needed, but you have to do an ultrasound
to rule out a tumor!
Hydrocele management - CORRECT ANSWERS The majority of infants born with hydroceles
will have spontaneous resolution by the time they are 1 year old; thus reassurance and observation are
the most appropriate forms of management.
sx only if persist for >1 year
spermatocele - CORRECT ANSWERS · Benign, cystic scrotal mass along spermatic cord,
usually at head of epididymis. Measures over 2cm and may contain non-viable sperm
spermatocele assessment - CORRECT ANSWERS o Palpable, painless, freely moveable cystic
mass distinct from testis (pretesticular lesion)
o Intratesticular lesions always require further workup
o Size 2-5cm
o Usually asymptomatic
o Always located superior to testicle...hydrocele isn't. this is something that separates the 2 diagnosis
Spermatocele management - CORRECT ANSWERS none needed unless it is painful
aspiration will show non-viable sperm
