NURS 660 EXAM 1 ANTIPSYCHOTIC
MEDICATIONS ACTUAL EXAM PAPER
WITH VERIFIED ANSWERS GRADED A+
2026
⩥ Epididymitis Risk Factors. Answer:Unprotected Sex or new sexual
partners
history of UTI with dysuria or discharge
Typically caused by gonorrhea/chlamydia
MSM-could be E. coli or pseudomonas
⩥ Epididymitis Symptoms. Answer:Fever
Dysuria, UTI Symptoms
acute painful enlarged scrotum
⩥ Epididymitis Diagnosis. Answer:Prehn's sign-reduction of pain when
scrotum is elevated above pubis symphysis
UA-shows pyruia and leukocytosis
Test for STI
⩥ Epididymitis Treatment. Answer:Scrotal Elevation-warm sitz bath/ice
packs
,NSAIDs
Have partner treated
Urology referral if symptoms don't improve
Gonorrhea/chlamydia--ceftraixone 500 mg IM x 1 dose, doxy 100 mg
BID x 10 days
Acute gonorrhea/chlamydia or enteric organisms--ceftriaxone 500 mg
IM x 1 plus levofloxacin 500 mg PO daily x 10 days
Acute enteric organisms-Levofloxacin 500 mg daily x 10 days over
ceftriaxone 1000 mg
⩥ Testicular Torsion. Answer:twisting or rotation of testes, resulting in
acute ischemia
UROLOGIC EMERGENCY
⩥ Causes of Testicular Torsion. Answer:Trauma 20% of cases
Contraction of cremaster muscle-can occur during sleep
exercise, extreme cold, sexual stimulation
Undescended testicle
congenital clapper anomaly
⩥ Testicular Torsion Symptoms. Answer:acute onset of pain w/ swelling
,⩥ Testicular Torsion Physical Exam. Answer:absence of cremasteric
reflex
testicle can be high in scrotum, transverse known as bell clapper
deformity
edema in testicle
abdominal pain w/ NV
possible fever
⩥ Testicular Torsion Diagnosis. Answer:hx/physical
color doppler US of testes is 100% sensitive in detecting blood flow
compression
⩥ Testicular Torsion Treatment. Answer:compression can lead to
ischemic necrosis in 6 hours
immediate referral to ED
In ED-manual reduction-blood flow restored
manual reduction immediately followed by surgery
⩥ Hydrocele. Answer:collection of peritoneal fluid within the scrotum
around testes, between parietal and visceral layers of the tunica vaginalis
⩥ Hydrocele Causes. Answer:congenital-patent processus vaginalis
reactive inflammatory condition in scrotum
, idiopathic-chronic leaking
parasitic infx
⩥ Hydrocele Symptoms. Answer:swelling in scrotum or inguinal canal
usually painless, although patients report heaviness in scrotum
pain-if present can radiate to back
⩥ Hydrocele Diagnosis. Answer:Edema in scrotum
Trans-illumination-appears pale pink/yellow color translucent
Scrotal US
AXR series to rule out incarcerated hernia
⩥ Hydrocele Management. Answer:No treatment required unless
complications-such as tumor
surgical removal of hydrocele sac warranted if significant pain or
compromise of scrotal skin
⩥ Varicocele. Answer:Abnormal degree of venous dilation of papiniform
plexus above testes, usually results in pain and engorgement of testes
varicose veins of testes
⩥ Varicocele Causes. Answer:a weak wall in spermatic vein and
excessive pressure leading cause
MEDICATIONS ACTUAL EXAM PAPER
WITH VERIFIED ANSWERS GRADED A+
2026
⩥ Epididymitis Risk Factors. Answer:Unprotected Sex or new sexual
partners
history of UTI with dysuria or discharge
Typically caused by gonorrhea/chlamydia
MSM-could be E. coli or pseudomonas
⩥ Epididymitis Symptoms. Answer:Fever
Dysuria, UTI Symptoms
acute painful enlarged scrotum
⩥ Epididymitis Diagnosis. Answer:Prehn's sign-reduction of pain when
scrotum is elevated above pubis symphysis
UA-shows pyruia and leukocytosis
Test for STI
⩥ Epididymitis Treatment. Answer:Scrotal Elevation-warm sitz bath/ice
packs
,NSAIDs
Have partner treated
Urology referral if symptoms don't improve
Gonorrhea/chlamydia--ceftraixone 500 mg IM x 1 dose, doxy 100 mg
BID x 10 days
Acute gonorrhea/chlamydia or enteric organisms--ceftriaxone 500 mg
IM x 1 plus levofloxacin 500 mg PO daily x 10 days
Acute enteric organisms-Levofloxacin 500 mg daily x 10 days over
ceftriaxone 1000 mg
⩥ Testicular Torsion. Answer:twisting or rotation of testes, resulting in
acute ischemia
UROLOGIC EMERGENCY
⩥ Causes of Testicular Torsion. Answer:Trauma 20% of cases
Contraction of cremaster muscle-can occur during sleep
exercise, extreme cold, sexual stimulation
Undescended testicle
congenital clapper anomaly
⩥ Testicular Torsion Symptoms. Answer:acute onset of pain w/ swelling
,⩥ Testicular Torsion Physical Exam. Answer:absence of cremasteric
reflex
testicle can be high in scrotum, transverse known as bell clapper
deformity
edema in testicle
abdominal pain w/ NV
possible fever
⩥ Testicular Torsion Diagnosis. Answer:hx/physical
color doppler US of testes is 100% sensitive in detecting blood flow
compression
⩥ Testicular Torsion Treatment. Answer:compression can lead to
ischemic necrosis in 6 hours
immediate referral to ED
In ED-manual reduction-blood flow restored
manual reduction immediately followed by surgery
⩥ Hydrocele. Answer:collection of peritoneal fluid within the scrotum
around testes, between parietal and visceral layers of the tunica vaginalis
⩥ Hydrocele Causes. Answer:congenital-patent processus vaginalis
reactive inflammatory condition in scrotum
, idiopathic-chronic leaking
parasitic infx
⩥ Hydrocele Symptoms. Answer:swelling in scrotum or inguinal canal
usually painless, although patients report heaviness in scrotum
pain-if present can radiate to back
⩥ Hydrocele Diagnosis. Answer:Edema in scrotum
Trans-illumination-appears pale pink/yellow color translucent
Scrotal US
AXR series to rule out incarcerated hernia
⩥ Hydrocele Management. Answer:No treatment required unless
complications-such as tumor
surgical removal of hydrocele sac warranted if significant pain or
compromise of scrotal skin
⩥ Varicocele. Answer:Abnormal degree of venous dilation of papiniform
plexus above testes, usually results in pain and engorgement of testes
varicose veins of testes
⩥ Varicocele Causes. Answer:a weak wall in spermatic vein and
excessive pressure leading cause
