NSG6020 Final exam Save
Terms in this set (85)
,A 12-year-old is brought to your clinic by Acute orchitis
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 examin
,A 14-year-old junior high school student is Imbalance of hormones of puberty
brought in by his mother and father
because he seems to be developing
breasts. The mother is upset because she
read on the Internet that smoking marijuana
leads to breast enlargement in males. The
young man adamantly denies using any
tobacco, alcohol, or drugs. He has recently
noticed changes in his penis, testicles, and
pubic hair pattern. Otherwise, his past
medical history is unremarkable. His
parents are both in good health. He has
two older brothers who never had this
problem. On examination, you see a mildly
overweight teenager with enlarged breast
tissue that is slightly tender on both sides.
Otherwise, his examination is normal. He is
agreeable to taking a drug test. What is the
most likely cause of his gynecomastia?
, A 15-year-old high school football player is Torsion of the spermatic cord
brought to your office by his mother. He is
complaining of severe testicular pain since
exactly 8:00 this morning. He denies any
sexual activity and states that he hurts so
bad he can't even urinate. He is nauseated
and is throwing up. He denies any recent
illness or fever. His past medical history is
unremarkable. He denies any tobacco,
alcohol, or drug use. His parents are both
in good health. On examination, you see a
young teenager lying on the bed with an
emesis basin. He is very uncomfortable and
keeps shifting his position. His blood
pressure is 150/100, his pulse is 110, and his
respirations are 24. On visualization of the
penis, he is circumcised and there are no
lesions and no discharge from the meatus.
His scrotal skin is tense and red. Palpation
of the left testicle causes severe pain and
the patient begins to cry. His prostate
examination is unremarkable. His
Terms in this set (85)
,A 12-year-old is brought to your clinic by Acute orchitis
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 examin
,A 14-year-old junior high school student is Imbalance of hormones of puberty
brought in by his mother and father
because he seems to be developing
breasts. The mother is upset because she
read on the Internet that smoking marijuana
leads to breast enlargement in males. The
young man adamantly denies using any
tobacco, alcohol, or drugs. He has recently
noticed changes in his penis, testicles, and
pubic hair pattern. Otherwise, his past
medical history is unremarkable. His
parents are both in good health. He has
two older brothers who never had this
problem. On examination, you see a mildly
overweight teenager with enlarged breast
tissue that is slightly tender on both sides.
Otherwise, his examination is normal. He is
agreeable to taking a drug test. What is the
most likely cause of his gynecomastia?
, A 15-year-old high school football player is Torsion of the spermatic cord
brought to your office by his mother. He is
complaining of severe testicular pain since
exactly 8:00 this morning. He denies any
sexual activity and states that he hurts so
bad he can't even urinate. He is nauseated
and is throwing up. He denies any recent
illness or fever. His past medical history is
unremarkable. He denies any tobacco,
alcohol, or drug use. His parents are both
in good health. On examination, you see a
young teenager lying on the bed with an
emesis basin. He is very uncomfortable and
keeps shifting his position. His blood
pressure is 150/100, his pulse is 110, and his
respirations are 24. On visualization of the
penis, he is circumcised and there are no
lesions and no discharge from the meatus.
His scrotal skin is tense and red. Palpation
of the left testicle causes severe pain and
the patient begins to cry. His prostate
examination is unremarkable. His
