NURS 5432 FINAL EXAM STUDY GUIDE
2026 COMPREHENSIVE REVIEW
PRACTICE QUESTIONS ANSWER KEY and
RATIONALES
Individuals with Tuners Syndrome maybe be missing an entire or part of an
X chromosome. What's a common aspect of their CHEST? - CORRECT
ANSWER-Shield shaped chest
Wide spaced nipples
Why do some individuals with Turner syndrome present with amenorrhea
and infertility? - CORRECT ANSWER-They have Amenorrhea and
infertility due to Fibrotic ovaries
Select which of the following are characteristics of someone with Fragile X
Syndrome?
A. Large forehead
B. Small forehead
C. Prominent Jaw
D. Small Jaw
E. Large protruding Ears
F. Small low set ears
G. Macroorchidism
H. Microorchidism - CORRECT ANSWER-A. Large forehead
,C. Prominent Jaw
E. Large Protruding Ears
G. Macroorchidism
Fragile X Syndrome is less severe in females due to the presence of a second
X chromosome, which can mitigate the effects of the mutation, True or
False? - CORRECT ANSWER-True
Why is spermatogenesis impaired in men with Cryptorchidism? -
CORRECT ANSWER-Men with cryptorchidism, has one or more
testicles that has failed to descend. This can impair spermatogenesis
because the testicle that has not descended and will remain at body
temperature impairing the production of sperm because it is stuck in the
canal.
Cryptorchidism: typically the testicle will descend within 6 months. If this
fails to occur what is the name of the procedure that help reposition the
testicle? - CORRECT ANSWER-Orchiopexy
(Or - kee - uh - pek- see)
Epididymis Physical Exam
1. Enlarged Tender Epididymis (yes/no)
2. Prehn's Sign (Positive/Negative)
3. Cremasteric Reflex (Normal/Absent) - CORRECT ANSWER-1. Yes
2. Positive
3. Normal
,For men < 35 years old, Epididymitis is usually caused why which of the
following bacterial infections (sexually transmitted infection)?
A. Staphylococcus Aureus
B. Escherichia Coli
C. Chlamydia tachomatis
D. Neisseria gonorrhea
E. Pseudomonas Aeruginosa - CORRECT ANSWER-C. Chlamydia
tachomatis
D. Neisseria gonorrhea
B and E our typical bacteria that cause the condition in men 35 years or
older. However, if the patient is sexually active, they should be tested for
sexually transmitted infection.
If the patient with Edidymitis is less than 35 years old and is suspected of
having a STI what would be the treatment regimen for this patient? -
CORRECT ANSWER-Doxycycline 100mg BID x 10 days
Ceftriaxone 500mg IM x 1 day
If the patient with Edidymitis is greater than 35 years old and NOT
suspected of having a STI what would be the treatment regimen for this
patient? - CORRECT ANSWER-Levofoxacin 500mg PO x 10 days
OR
Ofloxacin 300mg PO BID x 10 days
, A patient comes in with a painless freely, movable mass on the top of their
testes. The mass is about 3 cm in size. Upon transillumination the mass
does transilluminate. The mass is tender upon Palpation. Which of the
following conditions could this be?
A. Hydrocele
B. Spermatocele
C. Varicocele
D. Hemocele
E. Testicular torsion - CORRECT ANSWER-B. Spermatocele
A patient comes into the office to get checked because him and his wife are
having trouble conceiving. He complains of a dull ache on the left scrotum.
He states that his scrotum feels like a bag of spaghetti. Upon physical
examination the scrotum does not transilluminate. Which of the following
conditions could this be?
A. Hydrocele
B. Spermatocele
C. Varicocele
D. Hemocele
E. Testicular torsion - CORRECT ANSWER-C. Varicocele
Patient comes in to the office. He has painless swelling in the testes. The
testes are heavy and enlarged. When transillumination test is done the
scrotum does transilluminate. Which is the following conditions could this
be?
2026 COMPREHENSIVE REVIEW
PRACTICE QUESTIONS ANSWER KEY and
RATIONALES
Individuals with Tuners Syndrome maybe be missing an entire or part of an
X chromosome. What's a common aspect of their CHEST? - CORRECT
ANSWER-Shield shaped chest
Wide spaced nipples
Why do some individuals with Turner syndrome present with amenorrhea
and infertility? - CORRECT ANSWER-They have Amenorrhea and
infertility due to Fibrotic ovaries
Select which of the following are characteristics of someone with Fragile X
Syndrome?
A. Large forehead
B. Small forehead
C. Prominent Jaw
D. Small Jaw
E. Large protruding Ears
F. Small low set ears
G. Macroorchidism
H. Microorchidism - CORRECT ANSWER-A. Large forehead
,C. Prominent Jaw
E. Large Protruding Ears
G. Macroorchidism
Fragile X Syndrome is less severe in females due to the presence of a second
X chromosome, which can mitigate the effects of the mutation, True or
False? - CORRECT ANSWER-True
Why is spermatogenesis impaired in men with Cryptorchidism? -
CORRECT ANSWER-Men with cryptorchidism, has one or more
testicles that has failed to descend. This can impair spermatogenesis
because the testicle that has not descended and will remain at body
temperature impairing the production of sperm because it is stuck in the
canal.
Cryptorchidism: typically the testicle will descend within 6 months. If this
fails to occur what is the name of the procedure that help reposition the
testicle? - CORRECT ANSWER-Orchiopexy
(Or - kee - uh - pek- see)
Epididymis Physical Exam
1. Enlarged Tender Epididymis (yes/no)
2. Prehn's Sign (Positive/Negative)
3. Cremasteric Reflex (Normal/Absent) - CORRECT ANSWER-1. Yes
2. Positive
3. Normal
,For men < 35 years old, Epididymitis is usually caused why which of the
following bacterial infections (sexually transmitted infection)?
A. Staphylococcus Aureus
B. Escherichia Coli
C. Chlamydia tachomatis
D. Neisseria gonorrhea
E. Pseudomonas Aeruginosa - CORRECT ANSWER-C. Chlamydia
tachomatis
D. Neisseria gonorrhea
B and E our typical bacteria that cause the condition in men 35 years or
older. However, if the patient is sexually active, they should be tested for
sexually transmitted infection.
If the patient with Edidymitis is less than 35 years old and is suspected of
having a STI what would be the treatment regimen for this patient? -
CORRECT ANSWER-Doxycycline 100mg BID x 10 days
Ceftriaxone 500mg IM x 1 day
If the patient with Edidymitis is greater than 35 years old and NOT
suspected of having a STI what would be the treatment regimen for this
patient? - CORRECT ANSWER-Levofoxacin 500mg PO x 10 days
OR
Ofloxacin 300mg PO BID x 10 days
, A patient comes in with a painless freely, movable mass on the top of their
testes. The mass is about 3 cm in size. Upon transillumination the mass
does transilluminate. The mass is tender upon Palpation. Which of the
following conditions could this be?
A. Hydrocele
B. Spermatocele
C. Varicocele
D. Hemocele
E. Testicular torsion - CORRECT ANSWER-B. Spermatocele
A patient comes into the office to get checked because him and his wife are
having trouble conceiving. He complains of a dull ache on the left scrotum.
He states that his scrotum feels like a bag of spaghetti. Upon physical
examination the scrotum does not transilluminate. Which of the following
conditions could this be?
A. Hydrocele
B. Spermatocele
C. Varicocele
D. Hemocele
E. Testicular torsion - CORRECT ANSWER-C. Varicocele
Patient comes in to the office. He has painless swelling in the testes. The
testes are heavy and enlarged. When transillumination test is done the
scrotum does transilluminate. Which is the following conditions could this
be?
