NSG 6020 WEEK 8 QUIZ
Jim is a 47-year-old man having difficulties with sexual function.
He recently separated from his wife of 20 years. He reports early
morning erections but otherwise cannot function. Which of the
following is alikely cause for his problem?
a) Abnormal hypogastric arterialcirculation
b) Psychological issues
c) Decreased testosterone levels
d) Impaired neural innervations
b) Psychological issues
A 12-year-old is brought to your clinic by his father. He was taught in
his health class at school to do monthly testicular self-examinations.
Yesterday, when he felt his left testicle, it was enlarged and tender. He
isn't sure if he has had burning with urination and he says he has never
had sexual intercourse. He has had a sore throat, cough, and runny
nose for the last three days. His past medical history is significant for a
tonsillectomy as a small child. His father has high blood pressure and
his mother is healthy. On examination, you see a child in no acute
distress. His temperature is 100.8 and his blood pressure and pulse are
unremarkable. On visualization of his penis, he is uncircumcised and
has no lesions or discharge. His scrotum is red and tense on the left
and normal appearing on the right. Palpating his left testicle reveals a
mildly sore swollen testicle. The right testicle is unremarkable. An
examining finger is put through both inguinal rings, and there are no
bulges with bearing down. His prostate examination is unremarkable.
Urine analysis is also unremarkable.
What abnormality of the testes does this child most likely have?
Acute orchitis
Acute epididymitis
Torsion of the spermatic cord
Prostatitis
Important techniques in performing the rectal examination include
which of the following?
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, Lubrication
Waiting for the sphincter to relax
Explaining what the patient should expect with each step before it occurs
CORRECT All of the above
Which of the following conditions involves a tight prepuce which,
once retracted, cannot be returned?
Phimosis
Paraphimosis
Balanitis
Balanoposthitisn
22-year-old unemployed roofer presents to your clinic,
complaining of pain in his testicle and penis. He states the pain began
last night and has steadily become worse. He states it hurts when he
urinates and he has not attempted intercourse since the pain began.
He has tried Tylenol and Ibuprofen without improvement. He denies
any fever or night sweats. His past medical history is unremarkable. He
has had four previous sexual partners and has had a new partner for
the last month. She is on oral contraceptives, so he has not used
condoms. His parents are both in good health. On examination, you
see a young man lying on his side. He appears mildly ill. His
temperature is 100.2 and his blood pressure, respirations, and pulse
are normal. On visualization of the penis he is circumcised, with no
lesions or discharge from the meatus. Visualization of the scrotal skin
appears unremarkable. Palpation of the testes shows severe
tenderness at the superior pole of the normal-sized left testicle. He also
has tenderness when you palpate the structures superior to the testicle
through the scrotal wall. The right testicle is unremarkable. An
examining finger is placed through each inguinal ring without bulges
being noted with bearing down. His prostate examination is
unremarkable. Urine analysis shows white blood cells and bacteria.
What diagnosis of the male genitalia is most likely in this case?
Acute orchitis
Acute epididymitis
Torsion of the spermatic cord.
Prostatitis
This study source was downloaded by 100000841848922 from CourseHero.com on 02-21-2022 13:34:20 GMT -06:00
https://www.coursehero.com/file/26434733/Week-8-quizdocx/
Jim is a 47-year-old man having difficulties with sexual function.
He recently separated from his wife of 20 years. He reports early
morning erections but otherwise cannot function. Which of the
following is alikely cause for his problem?
a) Abnormal hypogastric arterialcirculation
b) Psychological issues
c) Decreased testosterone levels
d) Impaired neural innervations
b) Psychological issues
A 12-year-old is brought to your clinic by his father. He was taught in
his health class at school to do monthly testicular self-examinations.
Yesterday, when he felt his left testicle, it was enlarged and tender. He
isn't sure if he has had burning with urination and he says he has never
had sexual intercourse. He has had a sore throat, cough, and runny
nose for the last three days. His past medical history is significant for a
tonsillectomy as a small child. His father has high blood pressure and
his mother is healthy. On examination, you see a child in no acute
distress. His temperature is 100.8 and his blood pressure and pulse are
unremarkable. On visualization of his penis, he is uncircumcised and
has no lesions or discharge. His scrotum is red and tense on the left
and normal appearing on the right. Palpating his left testicle reveals a
mildly sore swollen testicle. The right testicle is unremarkable. An
examining finger is put through both inguinal rings, and there are no
bulges with bearing down. His prostate examination is unremarkable.
Urine analysis is also unremarkable.
What abnormality of the testes does this child most likely have?
Acute orchitis
Acute epididymitis
Torsion of the spermatic cord
Prostatitis
Important techniques in performing the rectal examination include
which of the following?
This study source was downloaded by 100000841848922 from CourseHero.com on 02-21-2022 13:34:20 GMT -06:00
https://www.coursehero.com/file/26434733/Week-8-quizdocx/
, Lubrication
Waiting for the sphincter to relax
Explaining what the patient should expect with each step before it occurs
CORRECT All of the above
Which of the following conditions involves a tight prepuce which,
once retracted, cannot be returned?
Phimosis
Paraphimosis
Balanitis
Balanoposthitisn
22-year-old unemployed roofer presents to your clinic,
complaining of pain in his testicle and penis. He states the pain began
last night and has steadily become worse. He states it hurts when he
urinates and he has not attempted intercourse since the pain began.
He has tried Tylenol and Ibuprofen without improvement. He denies
any fever or night sweats. His past medical history is unremarkable. He
has had four previous sexual partners and has had a new partner for
the last month. She is on oral contraceptives, so he has not used
condoms. His parents are both in good health. On examination, you
see a young man lying on his side. He appears mildly ill. His
temperature is 100.2 and his blood pressure, respirations, and pulse
are normal. On visualization of the penis he is circumcised, with no
lesions or discharge from the meatus. Visualization of the scrotal skin
appears unremarkable. Palpation of the testes shows severe
tenderness at the superior pole of the normal-sized left testicle. He also
has tenderness when you palpate the structures superior to the testicle
through the scrotal wall. The right testicle is unremarkable. An
examining finger is placed through each inguinal ring without bulges
being noted with bearing down. His prostate examination is
unremarkable. Urine analysis shows white blood cells and bacteria.
What diagnosis of the male genitalia is most likely in this case?
Acute orchitis
Acute epididymitis
Torsion of the spermatic cord.
Prostatitis
This study source was downloaded by 100000841848922 from CourseHero.com on 02-21-2022 13:34:20 GMT -06:00
https://www.coursehero.com/file/26434733/Week-8-quizdocx/
