NUR 220 - Reproductive-STI Test Questions with Correct Answers Graded A+
what do the testes secrete - Answers testosterone
What do the seminiferous tubules do? - Answers produce/form sperm - coiled inside testes
What is the epididymis - Answers hooded structure on testes - stores, transports and matures sperm
what is the role of the vas deferens (ductus) - Answers travels from epididymis up into pelvic cavity to
prepare mature sperm for ejaculation
why is the synthetic form of estrogen (DES) of concern for men - Answers may predispose them to
cancer
what are some things can affect the male reproductive system - Answers diabetes, hypertension,
antihypertensive and antidepressant meds
what is transillumination - Answers light is shined through scrotum to look for fluid or abnormalities
What is the cremasteric reflex? - Answers stroke the upper thigh and the testicle on that side should
elevate/retract
what is the rectal prostatic exam or Digital rectal exam (DRE) used for - Answers to reveal if there is an
enlarged prostate - need to void before and normally will feel smooth and rubbery about the size of a
walnut
how often should self testicular exams be done - Answers monthly
when is the best time and position to perform a self testicular exam - Answers best to do it after a warm
shower/bath and should be done in a standing position
what is the normal anatomy of the testicles - Answers the left testicle usually sits lower than the right
what are some diagnostic tests that can be done for male reproductive system - Answers assess renal
functions, CT to stage cancer, ultrasounds, trans rectal ultrasound (also called truss), urodynamics, MRI,
bone scan, *early prostate cancer antigen*
if a patient is allergic to latex, what diagnostic procedure can they not have - Answers trans rectal
ultrasound (truss) cannot be done if patient is allergic to latex
what is the early prostate cancer antigen - Answers a blood test used in place of a biopsy to rule out
prostate cancer
describe the prostate specific antigen (PSA) - Answers this is a blood test - normal results is 4 or less - it
is glycoprotein that is present in benign and metastatic prostate cells
, what is the number to look for with PSA and how much can it rise within a year to still be normal -
Answers normal results is less than 4, but can rise 0.2 per year. if rises more than 0.2 per year we will dig
deeper to see why
what else can cause the PSA to rise besides a tumor or cancer - Answers inflammation - DO NOT do a
physical exam prior to checking PSA levels
what might HCG blood levels in a male indicate - Answers may indicate testicular tumors - should
decrease with effective treatment though
what positive tumor marker may indicate testicular cancer - Answers alpha fetaprotein (AFP)
after a prostate biopsy what do we need to watch for and teach the patient - Answers *can be done
rectally or perineal* watch for s/s of infection, bleeding, pain, retention
- rest for 24 hours and increase fluids
- may have bruising at site and blood in sperm
- watch for bleeding at site and in urine
what can be used instead of a prostate biopsy to rule out cancer - Answers the early prostate cancer
antigen
what lab tests can be done to rule out or determine prostate issues - Answers UA and cultures, CBC,
BUN and creatinine, PSA, culture and sensitivity
what kind of test will reveal an enlarged prostate - Answers rectal prostatic exam or a digital rectal exam
if a patient has an elevated PSA and an abnormal DRE what will they do - Answers use a trans rectal
ultrasound to determine if it is BPH or prostate cacner
what age should men start getting a DRE - Answers annually after age 50, high risk should begin annually
at 45
how is a DRE performed - Answers patient empties bladder and examiner uses well lubricated gloves to
insert into rectum
what is another name for a trans rectal ultrasound - Answers TRUSS
what is a trans rectal ultrasound used for - Answers used to identify masses or visualize prostate
what happens in the body if a man has BPH - Answers increased number of prostate cells - can be
caused due to hormones, obesity, lack of exercise, alcohol, diabetes
what are some symptoms of BPH - Answers decreased size and force of urine stream, dribbling, dysuria,
nocturia, hesitancy, intermittency, sense of incomplete emptying OR acute urinary retention
what do the testes secrete - Answers testosterone
What do the seminiferous tubules do? - Answers produce/form sperm - coiled inside testes
What is the epididymis - Answers hooded structure on testes - stores, transports and matures sperm
what is the role of the vas deferens (ductus) - Answers travels from epididymis up into pelvic cavity to
prepare mature sperm for ejaculation
why is the synthetic form of estrogen (DES) of concern for men - Answers may predispose them to
cancer
what are some things can affect the male reproductive system - Answers diabetes, hypertension,
antihypertensive and antidepressant meds
what is transillumination - Answers light is shined through scrotum to look for fluid or abnormalities
What is the cremasteric reflex? - Answers stroke the upper thigh and the testicle on that side should
elevate/retract
what is the rectal prostatic exam or Digital rectal exam (DRE) used for - Answers to reveal if there is an
enlarged prostate - need to void before and normally will feel smooth and rubbery about the size of a
walnut
how often should self testicular exams be done - Answers monthly
when is the best time and position to perform a self testicular exam - Answers best to do it after a warm
shower/bath and should be done in a standing position
what is the normal anatomy of the testicles - Answers the left testicle usually sits lower than the right
what are some diagnostic tests that can be done for male reproductive system - Answers assess renal
functions, CT to stage cancer, ultrasounds, trans rectal ultrasound (also called truss), urodynamics, MRI,
bone scan, *early prostate cancer antigen*
if a patient is allergic to latex, what diagnostic procedure can they not have - Answers trans rectal
ultrasound (truss) cannot be done if patient is allergic to latex
what is the early prostate cancer antigen - Answers a blood test used in place of a biopsy to rule out
prostate cancer
describe the prostate specific antigen (PSA) - Answers this is a blood test - normal results is 4 or less - it
is glycoprotein that is present in benign and metastatic prostate cells
, what is the number to look for with PSA and how much can it rise within a year to still be normal -
Answers normal results is less than 4, but can rise 0.2 per year. if rises more than 0.2 per year we will dig
deeper to see why
what else can cause the PSA to rise besides a tumor or cancer - Answers inflammation - DO NOT do a
physical exam prior to checking PSA levels
what might HCG blood levels in a male indicate - Answers may indicate testicular tumors - should
decrease with effective treatment though
what positive tumor marker may indicate testicular cancer - Answers alpha fetaprotein (AFP)
after a prostate biopsy what do we need to watch for and teach the patient - Answers *can be done
rectally or perineal* watch for s/s of infection, bleeding, pain, retention
- rest for 24 hours and increase fluids
- may have bruising at site and blood in sperm
- watch for bleeding at site and in urine
what can be used instead of a prostate biopsy to rule out cancer - Answers the early prostate cancer
antigen
what lab tests can be done to rule out or determine prostate issues - Answers UA and cultures, CBC,
BUN and creatinine, PSA, culture and sensitivity
what kind of test will reveal an enlarged prostate - Answers rectal prostatic exam or a digital rectal exam
if a patient has an elevated PSA and an abnormal DRE what will they do - Answers use a trans rectal
ultrasound to determine if it is BPH or prostate cacner
what age should men start getting a DRE - Answers annually after age 50, high risk should begin annually
at 45
how is a DRE performed - Answers patient empties bladder and examiner uses well lubricated gloves to
insert into rectum
what is another name for a trans rectal ultrasound - Answers TRUSS
what is a trans rectal ultrasound used for - Answers used to identify masses or visualize prostate
what happens in the body if a man has BPH - Answers increased number of prostate cells - can be
caused due to hormones, obesity, lack of exercise, alcohol, diabetes
what are some symptoms of BPH - Answers decreased size and force of urine stream, dribbling, dysuria,
nocturia, hesitancy, intermittency, sense of incomplete emptying OR acute urinary retention
