NUR 6001 EXAM 3 MALE GU QUESTIONS
WITH CORRECT ANSWERS 2026
Abnormal finding on scrotum palpation - CORRECT ANSWER -areas of erythema or nodularity
unilateral uncomfortable swelling of the scrotum (hydrocele, hematoma, varicocele)
How to evaluate for varicocele - CORRECT ANSWER -valsalva maneuver
valsalva will reverse the flow into the pampiniform plexus and result in palpable distention of
the vessels (bag of worms) if varicocele is of sufficient size
epididymitis - CORRECT ANSWER -inflammation of the epididymis
spread of infection from the bladder or urethra
RF for epididymitis - CORRECT ANSWER -uncircumcised men
men with indwelling catheters
BPH
recent GU instrumentation
prostatic surgery
when will epididymitis pain decrease - CORRECT ANSWER -elevation of scrotum
Prehs sign
S/S epididymitis - CORRECT ANSWER -sudden onset over 24-48 hours of painful swelling in the
scrotum
, pain may decrease with elevation of the scrotum (Prehs sign)
urethral discharge, fever, complaints of urethritis, cystitis, prostatitis, dysuria, frequency, scrotal
pain, fever, nausea
physical exam findings epididymitis - CORRECT ANSWER -pain localized to the affected
epididymis with palpation, swollen, indurated, spermatic cord is tender and swollen, pain
radiates to the inguinal canal and flank
Orchitis - CORRECT ANSWER -extension of an infection from the epididymis to the testicle and
rarely exists independent of epididymis
Varicocele - CORRECT ANSWER -mass of dilated and torturous varicose veins
if palpation of the spermatic cord elicits pain
palpable/ visible dilation of the vessel in the scrotum
more common on the left
most asymptomatic
Varicocele is commonly dx - CORRECT ANSWER -during a routine health maintenance exam or
during a urology or common cause of secondary male infertility
less commonly dx during an evaluation for scrotal pain or scrotal mass
WITH CORRECT ANSWERS 2026
Abnormal finding on scrotum palpation - CORRECT ANSWER -areas of erythema or nodularity
unilateral uncomfortable swelling of the scrotum (hydrocele, hematoma, varicocele)
How to evaluate for varicocele - CORRECT ANSWER -valsalva maneuver
valsalva will reverse the flow into the pampiniform plexus and result in palpable distention of
the vessels (bag of worms) if varicocele is of sufficient size
epididymitis - CORRECT ANSWER -inflammation of the epididymis
spread of infection from the bladder or urethra
RF for epididymitis - CORRECT ANSWER -uncircumcised men
men with indwelling catheters
BPH
recent GU instrumentation
prostatic surgery
when will epididymitis pain decrease - CORRECT ANSWER -elevation of scrotum
Prehs sign
S/S epididymitis - CORRECT ANSWER -sudden onset over 24-48 hours of painful swelling in the
scrotum
, pain may decrease with elevation of the scrotum (Prehs sign)
urethral discharge, fever, complaints of urethritis, cystitis, prostatitis, dysuria, frequency, scrotal
pain, fever, nausea
physical exam findings epididymitis - CORRECT ANSWER -pain localized to the affected
epididymis with palpation, swollen, indurated, spermatic cord is tender and swollen, pain
radiates to the inguinal canal and flank
Orchitis - CORRECT ANSWER -extension of an infection from the epididymis to the testicle and
rarely exists independent of epididymis
Varicocele - CORRECT ANSWER -mass of dilated and torturous varicose veins
if palpation of the spermatic cord elicits pain
palpable/ visible dilation of the vessel in the scrotum
more common on the left
most asymptomatic
Varicocele is commonly dx - CORRECT ANSWER -during a routine health maintenance exam or
during a urology or common cause of secondary male infertility
less commonly dx during an evaluation for scrotal pain or scrotal mass
