NURS 534 Final Exam Questions
with 100% Correct Answers
,Testicular Pain Diagnosis - CORRECT ANSWERS-Scrotal ultrasound
Treatment dependent on underlying cause of pain
Testicular Torsion - CORRECT ANSWERS-UROLOGIC EMERGENCY
If there is severe acute testicular pain and your unsure.... ER STAT
Twisting of testes around spermatic cord that can cut off blood flow
90 to 360degrees
Can have episodic pain
Testicular Torsion Epidemilogy - CORRECT ANSWERS-Newborn to age 80
Most common between 10-20 years
What causes Testicular Torsion? - CORRECT ANSWERS-Trama
Previous TT
Cremaster reflex- can happen in sleep- causes testicle to rise toward body
Exercise
Cold
Sex
Congenital
Testicular Torsion Clinical Presentation - CORRECT ANSWERS-Acute pain
Absence of cremasteric reflex
Testicle high in the scrotum- transverse instead of longitudinal "Bell Clapper"
Edema
Abdominal pain, N/V
Cremasteric reflex - CORRECT ANSWERS-stroke inner thigh and scrotum should rise
on the stroked side
Testicular Torsion Diagnostic - CORRECT ANSWERS-H & P
Color doppler ultrasonography
Why is prompt care for testicular torsion important? - CORRECT ANSWERS-Can lead
to necrosis of testes in 6 hours
Failure to intervene can result in loss of testicle or atrophy
How do they treat Testicular Torsion - CORRECT ANSWERS-Manual reduction
Followed by surgical exploration**
, Hydrocele - CORRECT ANSWERS-Collection of peritoneal fluid within scrotum around
testes
between parietal and visceral layers of tunica vaginalis
Hydrocele Causes - CORRECT ANSWERS-Congenital- patent vaginalis
Reactive-inflammatory, trauma, torsion
Idiopathic- arises over long period of time
Parasitic infection
Hydrocele Clinical Presentation - CORRECT ANSWERS-Swelling in scrotum
Usually painless, if pain can radiate to lower back
Sense of heaviness
Transillumination of scrotum**
Hydrocele Diagnostic tests - CORRECT ANSWERS-Symptoms
Scrotal Ultrasound
Hydrocele Management - CORRECT ANSWERS-No treatment unless underlying cause
Can have surgical removal if painful
Varicocele - CORRECT ANSWERS-Venous dilation of pampiniform plexus above
testes
Results in pain and engorgement of testes
Varicose vein of testes....
Varicocele Epidemiology and Cause - CORRECT ANSWERS-Leading cause of
infertility
Weak wall in spermatic vein and excess pressure
Can cause testicular atrophy
Varicocele Clinical Presentation - CORRECT ANSWERS-Bag of worms
Pain
Engorgement of testes
More often left teste
Palpate while patient is bearing down
Transilluminate teste- will NOT illuminate
Varicocele Diagnostic Reasoning - CORRECT ANSWERS-Scrotal ultrasound with
doppler color flow
Retroperitoneal pathology- CT scan
Semen analysis if infertility
Varicocele Classifications - CORRECT ANSWERS-Grade 1: palpable with valsalva
Grade 2: palpable while standing and valsalva
Grade 3: visible on inspection
with 100% Correct Answers
,Testicular Pain Diagnosis - CORRECT ANSWERS-Scrotal ultrasound
Treatment dependent on underlying cause of pain
Testicular Torsion - CORRECT ANSWERS-UROLOGIC EMERGENCY
If there is severe acute testicular pain and your unsure.... ER STAT
Twisting of testes around spermatic cord that can cut off blood flow
90 to 360degrees
Can have episodic pain
Testicular Torsion Epidemilogy - CORRECT ANSWERS-Newborn to age 80
Most common between 10-20 years
What causes Testicular Torsion? - CORRECT ANSWERS-Trama
Previous TT
Cremaster reflex- can happen in sleep- causes testicle to rise toward body
Exercise
Cold
Sex
Congenital
Testicular Torsion Clinical Presentation - CORRECT ANSWERS-Acute pain
Absence of cremasteric reflex
Testicle high in the scrotum- transverse instead of longitudinal "Bell Clapper"
Edema
Abdominal pain, N/V
Cremasteric reflex - CORRECT ANSWERS-stroke inner thigh and scrotum should rise
on the stroked side
Testicular Torsion Diagnostic - CORRECT ANSWERS-H & P
Color doppler ultrasonography
Why is prompt care for testicular torsion important? - CORRECT ANSWERS-Can lead
to necrosis of testes in 6 hours
Failure to intervene can result in loss of testicle or atrophy
How do they treat Testicular Torsion - CORRECT ANSWERS-Manual reduction
Followed by surgical exploration**
, Hydrocele - CORRECT ANSWERS-Collection of peritoneal fluid within scrotum around
testes
between parietal and visceral layers of tunica vaginalis
Hydrocele Causes - CORRECT ANSWERS-Congenital- patent vaginalis
Reactive-inflammatory, trauma, torsion
Idiopathic- arises over long period of time
Parasitic infection
Hydrocele Clinical Presentation - CORRECT ANSWERS-Swelling in scrotum
Usually painless, if pain can radiate to lower back
Sense of heaviness
Transillumination of scrotum**
Hydrocele Diagnostic tests - CORRECT ANSWERS-Symptoms
Scrotal Ultrasound
Hydrocele Management - CORRECT ANSWERS-No treatment unless underlying cause
Can have surgical removal if painful
Varicocele - CORRECT ANSWERS-Venous dilation of pampiniform plexus above
testes
Results in pain and engorgement of testes
Varicose vein of testes....
Varicocele Epidemiology and Cause - CORRECT ANSWERS-Leading cause of
infertility
Weak wall in spermatic vein and excess pressure
Can cause testicular atrophy
Varicocele Clinical Presentation - CORRECT ANSWERS-Bag of worms
Pain
Engorgement of testes
More often left teste
Palpate while patient is bearing down
Transilluminate teste- will NOT illuminate
Varicocele Diagnostic Reasoning - CORRECT ANSWERS-Scrotal ultrasound with
doppler color flow
Retroperitoneal pathology- CT scan
Semen analysis if infertility
Varicocele Classifications - CORRECT ANSWERS-Grade 1: palpable with valsalva
Grade 2: palpable while standing and valsalva
Grade 3: visible on inspection
