Male Genitourinary and Anorectal Assessment (Advanced Health Assessment
NUR 505, University of Alabama) – Module 11 Review with Answers
,
,
, Questions 1–20: Anatomy & Definitions
1. A 16-year-old male is unable to retract his foreskin back over the glans
after it was pulled back during cleaning. He complains of pain and the glans
appears swollen. What is the most appropriate term for this condition?
A. Phimosis
B. Paraphimosis
C. Balanitis
D. Hypospadias
Correct Answer: B – Paraphimosis
Rationale: Paraphimosis occurs when the retracted foreskin cannot be
returned to its normal position, leading to venous congestion and edema of
the glans. It is a urologic emergency. Phimosis (A) is inability to retract the
foreskin at all. Balanitis (C) is inflammation of the glans. Hypospadias (D) is
a congenital meatal anomaly.
2. Which of the following best describes a spermatocele?
A. A solid, tender mass within the testis
B. A benign, cystic swelling of the epididymis
C. A collection of fluid between the tunica vaginalis layers
D. A varicose vein of the pampiniform plexus
Correct Answer: B – A benign, cystic swelling of the epididymis
Rationale: A spermatocele is a retention cyst of the epididymis that contains
sperm and is typically nontender and mobile. Solid testicular mass (A)
suggests tumor. Hydrocele (C) is fluid in tunica vaginalis. Varicocele (D) is
dilated veins.
3. A patient presents with a painless, smooth, firm scrotal mass that
transilluminates with a reddish glow. What is the most likely diagnosis?
A. Testicular tumor
NUR 505, University of Alabama) – Module 11 Review with Answers
,
,
, Questions 1–20: Anatomy & Definitions
1. A 16-year-old male is unable to retract his foreskin back over the glans
after it was pulled back during cleaning. He complains of pain and the glans
appears swollen. What is the most appropriate term for this condition?
A. Phimosis
B. Paraphimosis
C. Balanitis
D. Hypospadias
Correct Answer: B – Paraphimosis
Rationale: Paraphimosis occurs when the retracted foreskin cannot be
returned to its normal position, leading to venous congestion and edema of
the glans. It is a urologic emergency. Phimosis (A) is inability to retract the
foreskin at all. Balanitis (C) is inflammation of the glans. Hypospadias (D) is
a congenital meatal anomaly.
2. Which of the following best describes a spermatocele?
A. A solid, tender mass within the testis
B. A benign, cystic swelling of the epididymis
C. A collection of fluid between the tunica vaginalis layers
D. A varicose vein of the pampiniform plexus
Correct Answer: B – A benign, cystic swelling of the epididymis
Rationale: A spermatocele is a retention cyst of the epididymis that contains
sperm and is typically nontender and mobile. Solid testicular mass (A)
suggests tumor. Hydrocele (C) is fluid in tunica vaginalis. Varicocele (D) is
dilated veins.
3. A patient presents with a painless, smooth, firm scrotal mass that
transilluminates with a reddish glow. What is the most likely diagnosis?
A. Testicular tumor
