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1. When counseling a patient on BPH in the clinic, which medications
should the NP mention may make the patient's BPH worse?
A. Vitamin E
B. Herbal supplements like saw palmetto
C. Antihistamines
D. Antiviral medications: C. Antihistamines
Rationale: antihistamines can slow or inhibit urine flow by preventing bladder muscle contraction.
Vitamin E and antivirals do not change prostate size. Saw palmetto may help with BPH symptoms,
however, it not recommended treatment since studies have not proven this.
2. Which of the following are risk factors for Orchitis? ( Select all that
apply)
1.Not being immunized against
mumps 2.Recurrent UTIs
3. Hx of STIs
4. Congenital urinary tract abnormalities: All are correct.
A- Mumps is the main cause of viral orchitis, B and C- UTI and STIs can cause bacterial infections, and D-
patients with abnormalities are at increased risk for acquiring infection
3. A 15 months old male child has been brought to the office by the
mother for
a well visit. Upon physical examination the nurse practitioner noticed
the left scrotal sac is empty. Choose the most appropriate
intervention for the child.
A. Watchful waiting, as the testes lies outside the normal path of
descent.
B. No interventions needed as testes noted to be retractile and can
be brought into the scrotum.
C. It is too early to intervene as the child is under 2 years.
D. Immediate referral should be made to pediatric urologist or
surgeon.: D. (Immediate referral should be made to pediatric urologist or surgeon)
Rationale: Histologic changes occur in an undescended testes as early as 6 months old, with irreversible
, MEN'S HEALTH CASE STUDY ASSIGNMENT QUESTIONS
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changes shown by 2 years old that contribute to infertility and malignancy. Immediate referral should be
made if undescended testes seen after 1 year.
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4. What are the risks associated with undescended testes?
A. Testicular Malignancy
B. Infertility
C. Hernia
D. Testicular torsion
E. All of the above: Answer: E. All of the above
Rationale: Complication of Cryptorchidism include poor testicular development, infertility, malignancy,
increased risk for testicular torsion, inguinal hernia, and vulnerable to trauma (Maaks et al., 2019)
5. A 26 y/o man presents to the clinic with c/o testicular pain,
testicular swelling,
dysuria, and penile discharge. What is an important part of the
history when considering a diagnosis of epididymitis?
A. Marital status
B. Sexual orientation
C. Multiple sexual partners
D. Swollen, red, warm scrotum: Answer: C. Multiple sexual partners.
6. A 54 yrs old man with no risk for prostate cancer underwent PSA
screening. Digital rectal exam normal. PSA is 3.7ng/mL, next
recommend screening will be?: A: Repeat screening in 1 year.
7. A 50 year-old African American male presents to the clinic with
c/o weight loss, bone pain, difficulty voiding, and hematuria. What
additional information should you obtain from the patient?
A. Family history of prostate cancer
B. Recent STD exposure
C. Last PSA exam result
D. Last DRE exam result: Answer: A. Family history of prostate cancer
8. Which of the following patients would you recommend screening for
prostate cancer?
A. A 39 year old African American man with 2 second degree relative
who have