NURS 612 Exam 4 Questions with Correct Answers 100% Verified By Experts| Latest Update
Guaranteed Success
Male GU HPI questions (difficulty with ejaculation) 1. ejactulate color, consistency, odor and
amount
2. meds (antidepressants)
Male GU HPI questions (difficulty with achieving or maintaining an erection) 1. pain w/
erection
2. constant or intermittent
3. associated with alcohol or meds
Male GU HPI questions (infertility) 1. conditions that increase temp of scrotum (tight
underwear, hot baths, prolonged sitting)
2. length of time attempting to conceive
3. history of varicocele, hydrocele or undescended testes
4. meds (testosterone, steroids, marijuana)
inspection of penis condition of skin, color, lesions, discharge, size, position of urinary
meatus, foreskin. dorsal vein apparent, no smegma with circumcised patients, foreskin should
retract easily
palpation of male genitalia palpate scrotum to feel testes (newborn is 1 cm), testes that
cannot be pushed in the scrotum have a risk of being an undescended testicle and requires
follow up
phimosis stenosis or narrowing of foreskin so that it cannot be retracted over the glans
penis (seen with poorly controlled diabetes, recurrent inflammation or within the first 6 years
of life)
,inspection of male urinary meatus orifice slit like, located on ventral surface millimeters
from tip of glans, pink, glistening. (inflammation/discharge= inflammatory disease, pinpoint
meatus= meatal stenosis)
inspection of scrotum Asymmetry is common with the left side lower than the right
Check for scrotal swelling (cardiac, renal or hepatic disease)
Check for lesions
lumps= sebaceous cysts
assessing for inguinal hernia with patient standing, ask to bear down and inspect. have pt
relax and insert fingers into lower part of scrotum and push up. if hernia is present, you will feel
a bulge
indirect (lies within inguinal canal)
direct (passes into scrotum through external canal)
Transillumination of scrotal mass Transilluminates and doesn't change size when pressed
on- hydrocele
Does not transilluminate but changes size when pressed on- hernia
Does not transilluminate OR change in size when pressed on- incarcerated hernia (emergency)
or testicular cancer
absence of cremasteric reflex testicular torsion
HPI questions (breast-female) 1. discharge characteristics
2. lumps
3. tenderness
4. onset
5. LMP
, HPI questions (breast- male) 1. hx of hyperthyroidism, kleinfelter's, testicular cancer
2. use or hormones or anabolic steroids
3. hormone treatment
4. meds
breast inspection Inspect with patient seated and arms hanging at the sides: look for size,
symmetry contour, retractions, dimpling, skin color, texture, venous patterns and
supernumerary nipple
Retractions and dimpling on the breast Carcinoma due to contraction of fibrous tissue
Peau d'orange orange peel appearance of breast due to edema associated with cancer from
blocked lymph drainage
Montgomery tubercles Enlarged sebaceous glands in areola on both breasts (normal)
inverted nipple if recently changed, indicates malignancy
supernumerary nipple minute extra nipple along the embryonic milk line
breast palpation chest wall sweep
bimanual digital palpation (compress breast)
lymph node palpation (axilla and infraclavicular)
nipple compression only if pt c/o discharge
HPI question (female GU - bleeding) characters, onset, LMP, change in flow
Guaranteed Success
Male GU HPI questions (difficulty with ejaculation) 1. ejactulate color, consistency, odor and
amount
2. meds (antidepressants)
Male GU HPI questions (difficulty with achieving or maintaining an erection) 1. pain w/
erection
2. constant or intermittent
3. associated with alcohol or meds
Male GU HPI questions (infertility) 1. conditions that increase temp of scrotum (tight
underwear, hot baths, prolonged sitting)
2. length of time attempting to conceive
3. history of varicocele, hydrocele or undescended testes
4. meds (testosterone, steroids, marijuana)
inspection of penis condition of skin, color, lesions, discharge, size, position of urinary
meatus, foreskin. dorsal vein apparent, no smegma with circumcised patients, foreskin should
retract easily
palpation of male genitalia palpate scrotum to feel testes (newborn is 1 cm), testes that
cannot be pushed in the scrotum have a risk of being an undescended testicle and requires
follow up
phimosis stenosis or narrowing of foreskin so that it cannot be retracted over the glans
penis (seen with poorly controlled diabetes, recurrent inflammation or within the first 6 years
of life)
,inspection of male urinary meatus orifice slit like, located on ventral surface millimeters
from tip of glans, pink, glistening. (inflammation/discharge= inflammatory disease, pinpoint
meatus= meatal stenosis)
inspection of scrotum Asymmetry is common with the left side lower than the right
Check for scrotal swelling (cardiac, renal or hepatic disease)
Check for lesions
lumps= sebaceous cysts
assessing for inguinal hernia with patient standing, ask to bear down and inspect. have pt
relax and insert fingers into lower part of scrotum and push up. if hernia is present, you will feel
a bulge
indirect (lies within inguinal canal)
direct (passes into scrotum through external canal)
Transillumination of scrotal mass Transilluminates and doesn't change size when pressed
on- hydrocele
Does not transilluminate but changes size when pressed on- hernia
Does not transilluminate OR change in size when pressed on- incarcerated hernia (emergency)
or testicular cancer
absence of cremasteric reflex testicular torsion
HPI questions (breast-female) 1. discharge characteristics
2. lumps
3. tenderness
4. onset
5. LMP
, HPI questions (breast- male) 1. hx of hyperthyroidism, kleinfelter's, testicular cancer
2. use or hormones or anabolic steroids
3. hormone treatment
4. meds
breast inspection Inspect with patient seated and arms hanging at the sides: look for size,
symmetry contour, retractions, dimpling, skin color, texture, venous patterns and
supernumerary nipple
Retractions and dimpling on the breast Carcinoma due to contraction of fibrous tissue
Peau d'orange orange peel appearance of breast due to edema associated with cancer from
blocked lymph drainage
Montgomery tubercles Enlarged sebaceous glands in areola on both breasts (normal)
inverted nipple if recently changed, indicates malignancy
supernumerary nipple minute extra nipple along the embryonic milk line
breast palpation chest wall sweep
bimanual digital palpation (compress breast)
lymph node palpation (axilla and infraclavicular)
nipple compression only if pt c/o discharge
HPI question (female GU - bleeding) characters, onset, LMP, change in flow
