Answers
A patient's chief complaint is heaviness in the scrotum. The nurse practitioner notes swelling of
the testes, along with warm scrotal skin. Which of the following diagnoses is most probable?
Cryptorchidism
Orchitis
Testicular torsion
epididymitis - ANS Orchitis
John asks for a prescription for sildenafil (Viagra). He says that the only medication he takes is
isosorbide mononitrate (Monoket) oral tablets and that he has diabetes that he controls with
diet alone. What should the nurse practitioner tell him?
"Let's try a sample and see how you do."
"Viagra is contraindicated with isosorbide mononitrate; let's discuss other options."
"Because of your history of diabetes, we can't use it."
"I'd better refer you to a urologist." - ANS "Viagra is contraindicated with isosorbide
mononitrate; let's discuss other options."
Regular testicular self-exams have not been studied enough to show if they lower the risk of
dying from testicular cancer. This is why the American Cancer Society and other agencies do not
have a recommendation about regular testicular self-exams for all men. Still, some practitioners
do recommend that all men examine their testicles monthly after reaching puberty. If you are
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, teaching a patient how to do a testicular self-examination, which of the following do you tell
him?
"Examine your testicles when you are cold because this makes them more sensitive."
"Make sure your hands are dry to create friction."
"If you feel firmness above and behind the testicle, make an appointment."
"Make an appointment if you note any hard lumps directly on the testicle, regardless of
whether they are tender." - ANS "Make an appointment if you note any hard lumps directly
on the testicle, regardless of whether they are tender."
Max, age 70, is obese. He is complaining of a bulge in his groin that has been there for months.
He states that it is not painful, but it is annoying. The practitioner notes that the origin of the
swelling is above the inguinal ligament and directly behind and through the external ring. This
finding is most indicative of a(n):
Indirect inguinal hernia.
Direct inguinal hernia.
Femoral hernia.
Strangulated hernia. - ANS Direct inguinal hernia
Reiter syndrome is a complication of:
Bacterial vaginosis.
Syphilis.
Chlamydia.
Gonorrhea. - ANS Chlamydia
Josh and Martha have 5 children and do not want any more. Josh said he heard about a no-
scalpel vasectomy (NSV) and asks the nurse practitioner how it works. What would be the best
response?
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