GCU NUR 634 MIDTERM EXAM ACTUAL
QUESTIONS AND CORRECT ANSWERS
VERIFIED DETAILED RESPONSES
FREQUENTLY TESTED GRADED A+
⩥ direct inguinal hernia.
Answer: Bulge near the external inguinal ring
⩥ indirect inguinal hernia.
Answer: Bulge near the internal inguinal ring
⩥ scrotal hernia.
Answer: loop of bowel in scrotal sac; ask patient to lie down- if returns
to stomach it is a hernia
⩥ Hydrocele.
Answer: Sac of clear fluid in the scrotum; nontender, transluminates and
the examining fingers can palpate above the mass
⩥ incarcerated hernia.
Answer: When hernias contents cannot be returned to the abdominal
cavity
,⩥ stragulated hernia.
Answer: hernia that is constricted, cut off from circulation, and likely to
become gangrenous; suspect with tenderness, nausea, vomiting, &
consider surgical intervention
⩥ hypospadias.
Answer: Congenital displacement of the urethral meat is to the inferior
surface of the penis
⩥ scrotal edema.
Answer: tenderness; enlarged, reddened; taut w/pitting; probably unable
to feel scrotal contents
⩥ Peyronie's disease.
Answer: Palpable, nontender, hard plaques are found just beneath the
skin; usually along the dorsum of the penis. Patient complains of
crooked painful erections
⩥ cryptorchidism.
Answer: Poorly developed scrotum on one side or both side suggest
undescended testicles; testis is atrophied and lies outside the the scrotum
in the inguinal canal, abdomen, or near the pubic tubercle
,⩥ acute orchitis.
Answer: Testis are acutely inflammed, painful, tender, and swollen.
Scrotum may be reddened. Seen in mumps and other viral infections
⩥ spermatocele & cyst of the epididymis.
Answer: Painless moveable cyst just above the testis; both transluminate
⩥ Varicocele of the spermatic cord.
Answer: Gravity mediated varicose vein of the spermatic cord usually
found on the left. Feel like a "soft bag of worms" in the spermatic cord
above the testis
⩥ Torsion is the spermatic cord.
Answer: Painful, tender, swollen organ that is often retracted upward in
the scrotum. Cremasteric reflex is nearly always absent on the affected
side with testicular torsion
⩥ pelvic inflammatory disease.
Answer: -infection of the upper female genital tract-the cervix, uterus,
fallopian tubes, and ovaries; hallmark s/s Adnexal cervical and uterine
tenderness
⩥ Pap smear recommendations.
, Answer: Beginning at age 21; age 21-65 every 3 years; age 30-65 every
3 years plus HPV testing; age 65+ screening can stop
⩥ Guidelines for chlamydia & gonorrhea.
Answer: Annually for sexually active women ages <25 and older women
with risk factors
⩥ Natural Family Planning.
Answer: Fertility awareness/ periodic abstinence l, withdrawal, lactation
⩥ Barrier sexual prevention.
Answer: Make of female condom, diaphragm, cervical cap, sponge
⩥ Implantable sexual prevention.
Answer: IUD, Subdermal implant of levonorgestrel
⩥ Pharmacological/hormonal sexual prevention.
Answer: Spermicide, oral contraceptions, estrogen/progesterone,
emergency contraceptive
⩥ Surgical sexual prevention.
Answer: Tubal ligation, transcervical sterilization & vasectomy
QUESTIONS AND CORRECT ANSWERS
VERIFIED DETAILED RESPONSES
FREQUENTLY TESTED GRADED A+
⩥ direct inguinal hernia.
Answer: Bulge near the external inguinal ring
⩥ indirect inguinal hernia.
Answer: Bulge near the internal inguinal ring
⩥ scrotal hernia.
Answer: loop of bowel in scrotal sac; ask patient to lie down- if returns
to stomach it is a hernia
⩥ Hydrocele.
Answer: Sac of clear fluid in the scrotum; nontender, transluminates and
the examining fingers can palpate above the mass
⩥ incarcerated hernia.
Answer: When hernias contents cannot be returned to the abdominal
cavity
,⩥ stragulated hernia.
Answer: hernia that is constricted, cut off from circulation, and likely to
become gangrenous; suspect with tenderness, nausea, vomiting, &
consider surgical intervention
⩥ hypospadias.
Answer: Congenital displacement of the urethral meat is to the inferior
surface of the penis
⩥ scrotal edema.
Answer: tenderness; enlarged, reddened; taut w/pitting; probably unable
to feel scrotal contents
⩥ Peyronie's disease.
Answer: Palpable, nontender, hard plaques are found just beneath the
skin; usually along the dorsum of the penis. Patient complains of
crooked painful erections
⩥ cryptorchidism.
Answer: Poorly developed scrotum on one side or both side suggest
undescended testicles; testis is atrophied and lies outside the the scrotum
in the inguinal canal, abdomen, or near the pubic tubercle
,⩥ acute orchitis.
Answer: Testis are acutely inflammed, painful, tender, and swollen.
Scrotum may be reddened. Seen in mumps and other viral infections
⩥ spermatocele & cyst of the epididymis.
Answer: Painless moveable cyst just above the testis; both transluminate
⩥ Varicocele of the spermatic cord.
Answer: Gravity mediated varicose vein of the spermatic cord usually
found on the left. Feel like a "soft bag of worms" in the spermatic cord
above the testis
⩥ Torsion is the spermatic cord.
Answer: Painful, tender, swollen organ that is often retracted upward in
the scrotum. Cremasteric reflex is nearly always absent on the affected
side with testicular torsion
⩥ pelvic inflammatory disease.
Answer: -infection of the upper female genital tract-the cervix, uterus,
fallopian tubes, and ovaries; hallmark s/s Adnexal cervical and uterine
tenderness
⩥ Pap smear recommendations.
, Answer: Beginning at age 21; age 21-65 every 3 years; age 30-65 every
3 years plus HPV testing; age 65+ screening can stop
⩥ Guidelines for chlamydia & gonorrhea.
Answer: Annually for sexually active women ages <25 and older women
with risk factors
⩥ Natural Family Planning.
Answer: Fertility awareness/ periodic abstinence l, withdrawal, lactation
⩥ Barrier sexual prevention.
Answer: Make of female condom, diaphragm, cervical cap, sponge
⩥ Implantable sexual prevention.
Answer: IUD, Subdermal implant of levonorgestrel
⩥ Pharmacological/hormonal sexual prevention.
Answer: Spermicide, oral contraceptions, estrogen/progesterone,
emergency contraceptive
⩥ Surgical sexual prevention.
Answer: Tubal ligation, transcervical sterilization & vasectomy
