https://www.stuvia.com/user/Mboffin
NURS 5432 MODULE 4: MEN'S HEALTH AND STDS|
QUESTIONS & CORRECT ANSWERS 2025
1. cryptorchidism ANS >> undescended testicles
2. Cryptorchidism treatment ANS >> orchiopexy typically at ages 6-18m
3. cryptorchidism risks later in life ANS >> testicular cancer
4. epididymitis ANS >> inflammation of the epididymis that is frequently caused
by the spread of infection from the urethra or the bladder
5. Epididymitis S/S ANS >> o pain
o dysuria
o urgency/frequency
o low back pain/perineal pain
o fever/chills/malaise
o scrotal edema!!
6. Epididymitis treatment for sexually active men under age 35 ANS >> doxy
100mg BID x 10 days AND ceftriaxone 500mg IM once
7. epididymitis treatment for men over age 35 and you do not suspect STD AN
>> -
Levfloxacin 500mg PO daily x 10 days OR Ofloxacin 300mg BID X 10 days
https://www.stuvia.com/user/Mboffin
,https://www.stuvia.com/user/Mboffin
8. Epididymitis treatment for men who have sex with men ANS >> 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
9. Epididymitis PE ANS >> Prehn's sign is
positive normal cremasteric reflex
possible urethral discharge
enlarged and tender epididymis
10. epididymitis diagnosis ANS >> Ultrasound ANS >> 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
11. hydrocele ANS >> scrotal swelling caused by a collection of fluid
12. are hydroceles in infants communicating or non-communicating? ANS >>
commu- nicating
13. are hydroceles in adults communicating or non-communicating? ANS >> -
non-communicating
14. what is the connection between testicular cancer and hydrocele ANS >>
10% of testicular malignancies present with a hydrocele
15. hydrocele assessment ANS >> PAINLESS swelling
o Scrotum size will fluctuate with communicating hydrocele... because the opening
is not closed...the fluid has somewhere to go
https://www.stuvia.com/user/Mboffin
,https://www.stuvia.com/user/Mboffin
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
16. Hydrocele diagnostics ANS >> none needed, but you have to do an ultrasound
to rule out a tumor!
17. Hydrocele management ANS >> 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
18. spermatocele ANS >> · Benign, cystic scrotal mass along spermatic cord,
usually at head of epididymis. Measures over 2cm and may contain non-viable
sperm
19. spermatocele assessment ANS >> 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 sepa-
rates the 2 diagnosis
20. Spermatocele management ANS >> none needed unless it is
painful aspiration will show non-viable sperm
does not affect fertility
21. varicocele ANS >> enlarged veins of the spermatic cord
https://www.stuvia.com/user/Mboffin
NURS 5432 MODULE 4: MEN'S HEALTH AND STDS|
QUESTIONS & CORRECT ANSWERS 2025
1. cryptorchidism ANS >> undescended testicles
2. Cryptorchidism treatment ANS >> orchiopexy typically at ages 6-18m
3. cryptorchidism risks later in life ANS >> testicular cancer
4. epididymitis ANS >> inflammation of the epididymis that is frequently caused
by the spread of infection from the urethra or the bladder
5. Epididymitis S/S ANS >> o pain
o dysuria
o urgency/frequency
o low back pain/perineal pain
o fever/chills/malaise
o scrotal edema!!
6. Epididymitis treatment for sexually active men under age 35 ANS >> doxy
100mg BID x 10 days AND ceftriaxone 500mg IM once
7. epididymitis treatment for men over age 35 and you do not suspect STD AN
>> -
Levfloxacin 500mg PO daily x 10 days OR Ofloxacin 300mg BID X 10 days
https://www.stuvia.com/user/Mboffin
,https://www.stuvia.com/user/Mboffin
8. Epididymitis treatment for men who have sex with men ANS >> 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
9. Epididymitis PE ANS >> Prehn's sign is
positive normal cremasteric reflex
possible urethral discharge
enlarged and tender epididymis
10. epididymitis diagnosis ANS >> Ultrasound ANS >> 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
11. hydrocele ANS >> scrotal swelling caused by a collection of fluid
12. are hydroceles in infants communicating or non-communicating? ANS >>
commu- nicating
13. are hydroceles in adults communicating or non-communicating? ANS >> -
non-communicating
14. what is the connection between testicular cancer and hydrocele ANS >>
10% of testicular malignancies present with a hydrocele
15. hydrocele assessment ANS >> PAINLESS swelling
o Scrotum size will fluctuate with communicating hydrocele... because the opening
is not closed...the fluid has somewhere to go
https://www.stuvia.com/user/Mboffin
,https://www.stuvia.com/user/Mboffin
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
16. Hydrocele diagnostics ANS >> none needed, but you have to do an ultrasound
to rule out a tumor!
17. Hydrocele management ANS >> 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
18. spermatocele ANS >> · Benign, cystic scrotal mass along spermatic cord,
usually at head of epididymis. Measures over 2cm and may contain non-viable
sperm
19. spermatocele assessment ANS >> 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 sepa-
rates the 2 diagnosis
20. Spermatocele management ANS >> none needed unless it is
painful aspiration will show non-viable sperm
does not affect fertility
21. varicocele ANS >> enlarged veins of the spermatic cord
https://www.stuvia.com/user/Mboffin
