NSG 6020 Week 8 Quiz 1 with Answers

• Jim is a 47-year-old man having difficulties with sexual function. He recently separated from his wife of 20 years. He reports early morning erections but otherwise cannot function. Which of the following is alikely cause for his problem? a) Abnormal hypogastric arterialcirculation b) Psychological issues c) Decreased testosterone levels d) Impaired neural innervations b) Psychological issues • A 12-year-old is brought to your clinic by his father. He was taught in his health class at school to do monthly testicular self-examinations. Yesterday, when he felt his left testicle, it was enlarged and tender. He isn't sure if he has had burning with urination and he says he has never had sexual intercourse. He has had a sore throat, cough, and runny nose for the last three days. His past medical history is significant for a tonsillectomy as a small child. His father has high blood pressure and his mother is healthy. On examination, you see a child in no acute distress. His temperature is 100.8 and his blood pressure and pulse are unremarkable. On visualization of his penis, he is uncircumcised and has no lesions or discharge. His scrotum is red and tense on the left and normal appearing on the right. Palpating his left testicle reveals a mildly sore swollen testicle. The right testicle is unremarkable. An examining finger is put through both inguinal rings, and there are no bulges with bearing down. His prostate examination is unremarkable. Urine analysis is also unremarkable. What abnormality of the testes does this child most likely have? Acute orchitis Acute epididymitis Torsion of the spermatic cord Prostatitis • Important techniques in performing the rectal examination include which of the following? Lubrication Waiting for the sphincter to relax