NSG 6020 WEEK 8 QUIZ – QUESTION AND ANSWERS
Week 8 Male
Jim is a 47-year-old man having difficulties with sexual function. He recently separated
... [Show More] from his wife of 20 years. He reports early morning erections but otherwise cannot function. Which of the following is alikely cause for his problem?
a) Abnormal hypogastric arterialcirculation
b) Psychological issues
c) Decreased testosterone levels
d) Impaired neural innervations
A 12-year-old is brought to your clinic by 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 examining finger is put through both inguinal rings, and there are no bulges with bearing down. His prostate examination is unremarkable. Urine analysis is also unremarkable.
What abnormality of the testes does this child most likely have? Answers available at http://bit.ly/2P0Djw7
Important techniques in performing the rectal examination include which of the following?
Lubrication
Waiting for the sphincter to relax
Explaining what the patient should expect with each step before it occurs
Which of the following conditions involves a tight prepuce which, once retracted, cannot be returned?
Answers available at http://bit.ly/2P0Djw7
22-year-old unemployed roofer presents to your clinic, complaining of pain in his testicle and penis. He states the pain began last night and has steadily become worse. He states it hurts when he urinates and he has not attempted intercourse since the pain began. He has tried Tylenol and Ibuprofen without improvement. He denies any fever or night sweats. His past medical history is unremarkable. He has had four previous sexual partners and has had a new partner for the last month. She is on oral contraceptives, so he has not used condoms. His parents are both in good health. On examination, you see a young man lying on his side. He appears mildly ill.
His temperature is 100.2 and his blood pressure, respirations, and pulse are normal. On visualization of the penis he is circumcised, with no lesions or discharge from the meatus. Visualization of the scrotal skin appears unremarkable. Palpation of the testes shows severe tenderness at the superior pole of the normal-sized left testicle. He also has tenderness when you palpate the structures superior to the testicle through the scrotal wall. The right testicle is unremarkable. An examining finger is placed through each inguinal ring without bulges being noted with bearing down. His prostate examination is unremarkable. Urine analysis shows white blood cells and bacteria. What diagnosis of the male genitalia is most likely in this case?
Answers available at http://bit.ly/2P0Djw7
Francis is a middle-aged man who noted right sided lower abdominal pain after straining with yardwork. Which of the following findings would make a hernia a more likely diagnosis?
Which is the most common cause of cancer deaths in males?
Which of the following would lead you to suspect a hydrocele versus other causes of scrotal swelling?
Answers available at http://bit.ly/2P0Djw7
Induration along the ventral surface of the penis suggest which of the following? Answers available at http://bit.ly/2P0Djw7
A 28-year old male presents with a painless, solitary chancre on the shaft of his penis and nontender inguinal lymphadenopathy. What is the most likely diagnosis?
A) Chlamydia B) Gonorrhea C) Syphilis D) Herpes simplex virus (HSV) E) Human papilloma virus (HPV )
Frank is a 24-year-old man who presents with multiple burning erosions on the shaft of his penis and some tender inguinal adenopathy. Which of the following is most [Show Less]