NURS 5432 Module 4 Men's Health
UPDATED ACTUAL Questions and
CORRECT Answers
Cremasteric reflex - CORRECT ANSWER - Cremasteric reflex can be assessed by lightly
stroking or pinching the superior medial aspect of the thigh. An intact cremasteric reflex causes
brisk ipsilateral testicular retraction. Absence of the cremasteric reflex is a sensitive but
nonspecific finding for testicular torsion. It can be absent on physical exam in normal testes. It
should be assessed after inspection and before palpation of the testicles.
Prehn sign - CORRECT ANSWER - A positive Prehn sign is pain that is relieved by the
lifting of the testicle. If positive, it is more likely epididymitis than testicular torsion.
Blue dot sign - CORRECT ANSWER - Tenderness limited to the upper pole of the testis
suggests torsion of a testicular appendage, especially when a hard, tender nodule is palpable in
this region. A small bluish discoloration known as the "blue dot sign", may be visible through the
skin in the upper pole. This sign is virtually pathognomonic for appendiceal torsion when
tenderness is also present.
Why can prescribing testosterone be harmful? - CORRECT ANSWER - · Testicular
shrinkage
· Sterility
· Acne
· Gynecomastia
· Lowers HDL and Raises LDL
· Mood swings
PDE-5 inhibitors - CORRECT ANSWER - · Common side effects are headaches and
flushing
· Make sure to counsel them if they have any vision changes, hearing loss or priapism after
taking one of these, STOP taking medication and go to MD
· These need to be taken about 30 minutes to 1 hour prior to sexual intercourse
UPDATED ACTUAL Questions and
CORRECT Answers
Cremasteric reflex - CORRECT ANSWER - Cremasteric reflex can be assessed by lightly
stroking or pinching the superior medial aspect of the thigh. An intact cremasteric reflex causes
brisk ipsilateral testicular retraction. Absence of the cremasteric reflex is a sensitive but
nonspecific finding for testicular torsion. It can be absent on physical exam in normal testes. It
should be assessed after inspection and before palpation of the testicles.
Prehn sign - CORRECT ANSWER - A positive Prehn sign is pain that is relieved by the
lifting of the testicle. If positive, it is more likely epididymitis than testicular torsion.
Blue dot sign - CORRECT ANSWER - Tenderness limited to the upper pole of the testis
suggests torsion of a testicular appendage, especially when a hard, tender nodule is palpable in
this region. A small bluish discoloration known as the "blue dot sign", may be visible through the
skin in the upper pole. This sign is virtually pathognomonic for appendiceal torsion when
tenderness is also present.
Why can prescribing testosterone be harmful? - CORRECT ANSWER - · Testicular
shrinkage
· Sterility
· Acne
· Gynecomastia
· Lowers HDL and Raises LDL
· Mood swings
PDE-5 inhibitors - CORRECT ANSWER - · Common side effects are headaches and
flushing
· Make sure to counsel them if they have any vision changes, hearing loss or priapism after
taking one of these, STOP taking medication and go to MD
· These need to be taken about 30 minutes to 1 hour prior to sexual intercourse
