NUR3065: final exam
"are you able to go shopping for yourself?" Correct Answers
screening for physical disability
3+ reflex Correct Answers slightly brisker than normal
A 15 month old is brought to you for a fever of 38.6 degrees
Celsius and fussiness.
The ear examination is as follows: external ear, normal
appearance and no tenderness with manipulation;
canal, normal diameter without evidence of inflammation;
tympanic membrane, bulging, erythematous, and opaque.
What do you think this could be? Correct Answers Otitis media
A 15 year old high school football player is in your clinic, c/o
severe testicular pain since 8 am this morning.
Denies sexual activity. Unable to urinate due to pain.
He is nauseated and is vomiting. He is lying on the exam table,
uncomfortably shifting his position.
His BP is 150/100, pulse is 110, respirations are 24.
There are no lesions on the penis and no discharge from the
meatus.
,The scrotal skin is tense and red. Palpation of the left testicle
causes severe pain and the patient begins to cry.
Prostate exam is normal. His cremasteric reflex is absent on the
left but is normal on the right.
Urine sample (by catheter) is normal. You send him to the
emergency room.
What do you think this could be? Correct Answers Torsion of
the spermatic cord
A 22 year old male presents in your clinic, c/o pain in his testicle
and penis.
The pain began last night and has steadily become worse. He
hurts when he urinates.
He has not attempted intercourse since the pain began.
He has tried Tylenol and Ibuprofen without improvement.
Denies fever or night sweats.
He has had 4 previous sexual partners and has had a new partner
for the last month.
She is using oral contraceptives and they do not use a condom.
On exam, you see a young man lying on his side, mildly ill. His
temp is 100.2.
, There are no visible lesions on the penis, or discharge from the
meatus.
The scrotum appears normal. Palpation of the testes reveals
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 Correct Answers Acute
epididymitis
A 29 year old married computer programmer is c/o "something
strange" going on in his scrotum.
Last month he felt a lump in his left testis, and it is still there.
He has had some aching in the left testis but denies pain with
urination or intercourse.
Palpation of his scrotum is unremarkable on the right but
indicates a large mass on the left.
You attempt to place your finger through the left inguinal ring
but cannot get above the mass.
"are you able to go shopping for yourself?" Correct Answers
screening for physical disability
3+ reflex Correct Answers slightly brisker than normal
A 15 month old is brought to you for a fever of 38.6 degrees
Celsius and fussiness.
The ear examination is as follows: external ear, normal
appearance and no tenderness with manipulation;
canal, normal diameter without evidence of inflammation;
tympanic membrane, bulging, erythematous, and opaque.
What do you think this could be? Correct Answers Otitis media
A 15 year old high school football player is in your clinic, c/o
severe testicular pain since 8 am this morning.
Denies sexual activity. Unable to urinate due to pain.
He is nauseated and is vomiting. He is lying on the exam table,
uncomfortably shifting his position.
His BP is 150/100, pulse is 110, respirations are 24.
There are no lesions on the penis and no discharge from the
meatus.
,The scrotal skin is tense and red. Palpation of the left testicle
causes severe pain and the patient begins to cry.
Prostate exam is normal. His cremasteric reflex is absent on the
left but is normal on the right.
Urine sample (by catheter) is normal. You send him to the
emergency room.
What do you think this could be? Correct Answers Torsion of
the spermatic cord
A 22 year old male presents in your clinic, c/o pain in his testicle
and penis.
The pain began last night and has steadily become worse. He
hurts when he urinates.
He has not attempted intercourse since the pain began.
He has tried Tylenol and Ibuprofen without improvement.
Denies fever or night sweats.
He has had 4 previous sexual partners and has had a new partner
for the last month.
She is using oral contraceptives and they do not use a condom.
On exam, you see a young man lying on his side, mildly ill. His
temp is 100.2.
, There are no visible lesions on the penis, or discharge from the
meatus.
The scrotum appears normal. Palpation of the testes reveals
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 Correct Answers Acute
epididymitis
A 29 year old married computer programmer is c/o "something
strange" going on in his scrotum.
Last month he felt a lump in his left testis, and it is still there.
He has had some aching in the left testis but denies pain with
urination or intercourse.
Palpation of his scrotum is unremarkable on the right but
indicates a large mass on the left.
You attempt to place your finger through the left inguinal ring
but cannot get above the mass.
