NURS 5220 Advanced Health Assessment - The University of Texas at Arlington
(60 questions with answers and brief rationales)
Male Genitourinary System, Female Genitourinary System, Musculoskeletal
System, Neurological System, and Head, Neck, and Lymphatics.
Male Genitourinary System
(15 questions with answers and brief rationales)
1. The male urethra is approximately how long?
A. 8–10 cm
B. 12–15 cm
C. 17–20 cm
D. 22–25 cm
Answer: C
Rationale: The male urethra is approximately 17–20 cm long.
2. The prostate gland is located:
A. Anterior to the bladder
B. Below the bladder, surrounding the urethra
C. Above the bladder
D. In the scrotum
Answer: B
Rationale: The prostate lies below the bladder and surrounds the prostatic urethra.
3. The normal male prostate on digital rectal exam (DRE) is:
A. Firm, smooth, non-tender, with a palpable median sulcus
B. Hard, nodular, and fixed
C. Boggy and tender
D. Not palpable
Answer: A
Rationale: A normal prostate is firm, smooth, non-tender, about the size of a walnut,
with a palpable median sulcus.
4. A hard, irregular, nodular prostate on DRE suggests:
A. Prostate cancer
,B. Benign prostatic hyperplasia
C. Prostatitis
D. Normal variant
Answer: A
Rationale: Hard, irregular, fixed nodules are concerning for prostate cancer.
5. A tender, boggy prostate on DRE suggests:
A. Acute prostatitis
B. Prostate cancer
C. BPH
D. Normal
Answer: A
Rationale: Acute prostatitis presents with a tender, boggy, warm prostate.
6. The testicles are normally:
A. Firm, smooth, ovoid, and sensitive to pressure
B. Hard and irregular
C. Soft and non-palpable
D. Fixed to the scrotal wall
Answer: A
Rationale: Normal testicles are firm, smooth, ovoid, and mildly tender to pressure.
7. A painless, firm testicular mass that is non-transilluminating suggests:
A. Testicular cancer
B. Hydrocele
C. Varicocele
D. Spermatocele
Answer: A
Rationale: A painless, firm, non-transilluminating testicular mass is testicular cancer
until proven otherwise.
8. A scrotal mass that transilluminates is likely:
A. Hydrocele
B. Testicular cancer
C. Hernia
, D. Torsion
Answer: A
Rationale: Hydroceles are fluid-filled and transilluminate; solid masses do not.
9. A varicocele feels like:
A. A "bag of worms" in the spermatic cord
B. A hard nodule on the testicle
C. A cystic mass above the testicle
D. A tender, swollen testicle
Answer: A
Rationale: Varicoceles are dilated pampiniform plexus veins, feeling like a "bag of
worms."
10. A varicocele is most common on the:
A. Left side
B. Right side
C. Both sides equally
D. Either side
Answer: A
Rationale: Left-sided varicoceles are more common due to the left spermatic vein
draining into the left renal vein at a right angle.
11. Testicular torsion presents with:
A. Sudden, severe scrotal pain, nausea, and high-riding testicle
B. Gradual onset of painless swelling
C. Dull ache after activity
D. Painful urination
Answer: A
Rationale: Testicular torsion is a surgical emergency with sudden severe pain, nausea,
and a high-riding, tender testicle.
12. The cremasteric reflex tests:
A. L1–L2 spinal segments
B. S1–S2 spinal segments
C. C5–C6 spinal segments
(60 questions with answers and brief rationales)
Male Genitourinary System, Female Genitourinary System, Musculoskeletal
System, Neurological System, and Head, Neck, and Lymphatics.
Male Genitourinary System
(15 questions with answers and brief rationales)
1. The male urethra is approximately how long?
A. 8–10 cm
B. 12–15 cm
C. 17–20 cm
D. 22–25 cm
Answer: C
Rationale: The male urethra is approximately 17–20 cm long.
2. The prostate gland is located:
A. Anterior to the bladder
B. Below the bladder, surrounding the urethra
C. Above the bladder
D. In the scrotum
Answer: B
Rationale: The prostate lies below the bladder and surrounds the prostatic urethra.
3. The normal male prostate on digital rectal exam (DRE) is:
A. Firm, smooth, non-tender, with a palpable median sulcus
B. Hard, nodular, and fixed
C. Boggy and tender
D. Not palpable
Answer: A
Rationale: A normal prostate is firm, smooth, non-tender, about the size of a walnut,
with a palpable median sulcus.
4. A hard, irregular, nodular prostate on DRE suggests:
A. Prostate cancer
,B. Benign prostatic hyperplasia
C. Prostatitis
D. Normal variant
Answer: A
Rationale: Hard, irregular, fixed nodules are concerning for prostate cancer.
5. A tender, boggy prostate on DRE suggests:
A. Acute prostatitis
B. Prostate cancer
C. BPH
D. Normal
Answer: A
Rationale: Acute prostatitis presents with a tender, boggy, warm prostate.
6. The testicles are normally:
A. Firm, smooth, ovoid, and sensitive to pressure
B. Hard and irregular
C. Soft and non-palpable
D. Fixed to the scrotal wall
Answer: A
Rationale: Normal testicles are firm, smooth, ovoid, and mildly tender to pressure.
7. A painless, firm testicular mass that is non-transilluminating suggests:
A. Testicular cancer
B. Hydrocele
C. Varicocele
D. Spermatocele
Answer: A
Rationale: A painless, firm, non-transilluminating testicular mass is testicular cancer
until proven otherwise.
8. A scrotal mass that transilluminates is likely:
A. Hydrocele
B. Testicular cancer
C. Hernia
, D. Torsion
Answer: A
Rationale: Hydroceles are fluid-filled and transilluminate; solid masses do not.
9. A varicocele feels like:
A. A "bag of worms" in the spermatic cord
B. A hard nodule on the testicle
C. A cystic mass above the testicle
D. A tender, swollen testicle
Answer: A
Rationale: Varicoceles are dilated pampiniform plexus veins, feeling like a "bag of
worms."
10. A varicocele is most common on the:
A. Left side
B. Right side
C. Both sides equally
D. Either side
Answer: A
Rationale: Left-sided varicoceles are more common due to the left spermatic vein
draining into the left renal vein at a right angle.
11. Testicular torsion presents with:
A. Sudden, severe scrotal pain, nausea, and high-riding testicle
B. Gradual onset of painless swelling
C. Dull ache after activity
D. Painful urination
Answer: A
Rationale: Testicular torsion is a surgical emergency with sudden severe pain, nausea,
and a high-riding, tender testicle.
12. The cremasteric reflex tests:
A. L1–L2 spinal segments
B. S1–S2 spinal segments
C. C5–C6 spinal segments
