UNIVERSITY OF TEXAS - ARLINGTON
NURS 5432 MODULE 4: MEN'S HEALTH
AND STDS QUESTIONS AND ANSWERS
WITH VERIFIED SOLUTIONS 100%
CORRECT RATED A+ NEWLY UPDATED
2025
Cryptorchidism (Undescended Testicles)
✔✔ A condition where one or both testicles fail to descend into the scrotum.
Treatment for Cryptorchidism
✔✔ Surgical intervention (orchiopexy) is typically performed between 6 and 18
months of age.
Long-Term Risk of Untreated Cryptorchidism
✔✔ Increased risk of testicular cancer later in life.
Epididymitis
✔✔ Inflammation of the epididymis, often resulting from an infection originating
in the urethra or bladder.
Common Symptoms of Epididymitis
✔ Pain in the scrotum
✔ Painful urination (dysuria)
✔ Frequent or urgent need to urinate
✔ Low back or perineal discomfort
,✔ Fever, chills, and fatigue
✔ Swelling of the scrotum
Treatment: Sexually Active Men Under Age 35
✔ Doxycycline 100 mg twice daily for 10 days
✔ Ceftriaxone 500 mg IM once
Treatment: Men Over 35 with No STD Suspicion
✔ Levofloxacin 500 mg orally once daily for 10 days
OR
✔ Ofloxacin 300 mg orally twice daily for 10 days
Treatment: Men Who Have Sex With Men (MSM)
✔ Suspected pathogen: Gram-negative organisms (e.g., E. coli)
✔ Ceftriaxone 500 mg IM once
✔ Levofloxacin 500 mg PO daily for 10 days
Physical Exam Findings in Epididymitis
✔ Positive Prehn’s sign (relief of pain when scrotum is elevated)
✔ Normal cremasteric reflex
✔ Possible urethral discharge
✔ Enlarged, tender epididymis
Diagnostic Workup for Epididymitis
✔ Scrotal ultrasound: enlarged epididymis, increased blood flow
✔ Urinalysis: may show pyuria or hematuria
✔ STD testing (gonorrhea/chlamydia)
,✔ CBC: elevated WBC
✔ Inflammatory markers: ↑ CRP and ESR
Hydrocele
✔✔ A fluid-filled swelling of the scrotum, often painless.
Hydroceles in Infants
✔✔ Typically communicating (fluid moves in/out of abdomen through a patent
processus vaginalis)
Hydroceles in Adults
✔✔ Usually non-communicating (fluid stays trapped in the scrotum)
Hydrocele & Testicular Cancer Link
✔✔ Approximately 10% of testicular cancers present with a hydrocele.
Hydrocele Assessment Findings
✔ Painless scrotal swelling
✔ Communicating hydrocele: size fluctuates with activity (e.g., crying,
coughing)
✔ Non-communicating: size remains constant
✔ Scrotum may feel heavy
✔ Both types will transilluminate with a light source
Hydrocele diagnostics
none needed, but you have to do an ultrasound to rule out a tumor!
, Hydrocele management
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
· Benign, cystic scrotal mass along spermatic cord, usually at head of epididymis.
Measures over 2cm and may contain non-viable sperm
spermatocele assessment
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
none needed unless it is painful
NURS 5432 MODULE 4: MEN'S HEALTH
AND STDS QUESTIONS AND ANSWERS
WITH VERIFIED SOLUTIONS 100%
CORRECT RATED A+ NEWLY UPDATED
2025
Cryptorchidism (Undescended Testicles)
✔✔ A condition where one or both testicles fail to descend into the scrotum.
Treatment for Cryptorchidism
✔✔ Surgical intervention (orchiopexy) is typically performed between 6 and 18
months of age.
Long-Term Risk of Untreated Cryptorchidism
✔✔ Increased risk of testicular cancer later in life.
Epididymitis
✔✔ Inflammation of the epididymis, often resulting from an infection originating
in the urethra or bladder.
Common Symptoms of Epididymitis
✔ Pain in the scrotum
✔ Painful urination (dysuria)
✔ Frequent or urgent need to urinate
✔ Low back or perineal discomfort
,✔ Fever, chills, and fatigue
✔ Swelling of the scrotum
Treatment: Sexually Active Men Under Age 35
✔ Doxycycline 100 mg twice daily for 10 days
✔ Ceftriaxone 500 mg IM once
Treatment: Men Over 35 with No STD Suspicion
✔ Levofloxacin 500 mg orally once daily for 10 days
OR
✔ Ofloxacin 300 mg orally twice daily for 10 days
Treatment: Men Who Have Sex With Men (MSM)
✔ Suspected pathogen: Gram-negative organisms (e.g., E. coli)
✔ Ceftriaxone 500 mg IM once
✔ Levofloxacin 500 mg PO daily for 10 days
Physical Exam Findings in Epididymitis
✔ Positive Prehn’s sign (relief of pain when scrotum is elevated)
✔ Normal cremasteric reflex
✔ Possible urethral discharge
✔ Enlarged, tender epididymis
Diagnostic Workup for Epididymitis
✔ Scrotal ultrasound: enlarged epididymis, increased blood flow
✔ Urinalysis: may show pyuria or hematuria
✔ STD testing (gonorrhea/chlamydia)
,✔ CBC: elevated WBC
✔ Inflammatory markers: ↑ CRP and ESR
Hydrocele
✔✔ A fluid-filled swelling of the scrotum, often painless.
Hydroceles in Infants
✔✔ Typically communicating (fluid moves in/out of abdomen through a patent
processus vaginalis)
Hydroceles in Adults
✔✔ Usually non-communicating (fluid stays trapped in the scrotum)
Hydrocele & Testicular Cancer Link
✔✔ Approximately 10% of testicular cancers present with a hydrocele.
Hydrocele Assessment Findings
✔ Painless scrotal swelling
✔ Communicating hydrocele: size fluctuates with activity (e.g., crying,
coughing)
✔ Non-communicating: size remains constant
✔ Scrotum may feel heavy
✔ Both types will transilluminate with a light source
Hydrocele diagnostics
none needed, but you have to do an ultrasound to rule out a tumor!
, Hydrocele management
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
· Benign, cystic scrotal mass along spermatic cord, usually at head of epididymis.
Measures over 2cm and may contain non-viable sperm
spermatocele assessment
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
none needed unless it is painful
