NR 511 Week 7 Quiz: Differential Diagnosis and Primary Care Practicum
Ques 1 / 1 pts tion 1
A male patient presents to the clinic for evaluation of
... [Show More] infertility.
Subjectively, the patient complains of pain and fullness of the testes
and states, “My testicles feel like a bag of worms.” On physical
examination, the nurse practitioner notes tortuous veins posterior to
and above the testes that extend up into the external inguinal ring.
Based on the preceding assessment, the nurse practitioner refers
the patient to urology with a diagnosis of:
Urethritis. Hydrocele.
Varicocele. Correct!
Orchitis.Top
4/12/2021 Week 7: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan
https://chamberlain.instructure.com/courses/77585/quizzes/295797 2/13
A varicocele is an abnormal degree of venous dilation of the
pampiniform plexus in the spermatic cord above the testes,
which results in pain and swelling. A patient often describes
the sensation as feeling like a “bag of worms.”
Ques 1 / 1 pts tion 2
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. In teaching a patient how to
do a testicular self-examination, which of the following should the
clinician advise?
“If you feel firmness above and behind the testicle, make an
appointment.”
“Examine your testicles when you are cold because this makes them
more sensitive.”
“Make an appointment if you note any hard lumps directly on the
testicle, regardless of whether they are tender.”
Correct!
“Make sure your hands are dry to create friction.” Top
4/12/2021 Week 7: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan
https://chamberlain.instructure.com/courses/77585/quizzes/295797 3/13
If you advise men to perform a monthly testicular selfexamination, instruct them to call if they notice any hard
lumps directly on the testicle, regardless of whether the lumps
are tender. If parts of the testicle above and behind feel rather
firm, this is the epididymis and is normal. The spermatic cord,
a small, round, movable tube, extends up from the epididymis
and also feels firm and smooth. Testicles should be examined
with soapy hands when taking a warm shower or bath to allow
easy manipulation of the tissue.
Ques 1 / 1 pts tion 3
A 51-year-old male requests a prescription for sildenafil (Viagra). He
says that the only medication he takes is isosorbide mononitrate
(Monoket) oral tablets and that he has diabetes which is controlled
with diet alone. What should the nurse practitioner tell him?
“Because of your history of diabetes, we can’t use it.” “I’d better refer you to a urologist.” “Let’s try a sample and see how you do.”
“Viagra is contraindicated with isosorbide mononitrate; let’s discuss
other options.”
Correct!
Top
4/12/2021 Week 7: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan
https://chamberlain.instructure.com/courses/77585/quizzes/295797 4/13
Because sexual stimulation leads to the release of nitric oxide
in the corpus cavernosum of the penis and sildenafil (Viagra)
potentiates that release, there is a double hypotensive effect
between sildenafil and a nitric oxide donor such as isosorbide
mononitrate (Monoket, Imdur, and Ismo). Therefore, the use
of sildenafil with Monoket is contraindicated.
Ques 1 / 1 pts tion 4
A 58-year-old male has been diagnosed with erectile dysfunction and
says that a friend told him about a method that uses a constricting
ring around the base of the penis. What is he referring to? [Show Less]