NSG6020 WEEK 8 STUDY GUIDE - MALE REPRODUCTIVE
Chapter 12. Male Reproductive System
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Examination of the male patient is best done in a warm room in order to avoid:
A. Exaggeration of the cremasteric reflex
B. Discomfort during digital rectal exam (DRE)
C. Retraction of the testes into the abdomen
D. Concealment of an inguinal hernia
A
____ 2. A 12-year-old boy accompanied by his mother reports sudden severe pain in the right lower abdomen and
scrotum. There is no history of trauma. Upon physical examination, the right scrotum is extremely tender to
touch. These are signs of:
A. Fournier’s disease
B. Testicular cancer
C. Testicular torsion
D. Varicocele of the testes
C
____ 3. Which of the following is a risk factor for testicular cancer?
A. Fournier’s disease
B. Testicular torsion
C. Varicocele of the testes
D. Cryptorchidism
D
____ 4. A 22-year-old male patient recently noticed swelling of the right testicle. He reports a feeling of heaviness
and a dull ache in the testicle. There is no history of recent trauma. Physical examination reveals
enlargement of the affected testicle, which is firm. The right scrotum is erythematous, and inguinal lymph
nodes are palpable. It is important to recognize these are signs and symptoms of:
A. Varicocele of the testes
B. Testicular cancer
C. Hematocele of the testes
D. Torsion of the testes
B
____ 5. A 35-year-old male patient recently noticed a nodular growth on the right testicle. He reports a feeling of
pain and heaviness in the testicle. Physical examination reveals a smooth, firm nodule of 5 to 6 cm on the
right testicle. The right scrotum is erythematous, and inguinal lymph nodes are palpable. The clinician
should order a(n) ____ to evaluate this finding.
A. Ultrasound of the scrotum
B. CT scan of the pelvis
C. Pelvic x-ray
D. Digital rectal exam
, A
____ 6. Which of the following is a biochemical marker for testicular cancer?
A. Carcinogenic antigen 125 (CA-125)
B. Alpha-fetoprotein (AFP)
C. Carcinoembryonic antigen (CEA)
D. Tumor necrosis factor (TNF)
B
____ 7. In heterosexual men, the most common cause of epididymitis is (are):
A. E. coli
B. Neisseria gonorrhoeae
C. Chlamydia trachomatis
D. B&C
D
____ 8. A 26-year-old male admits to unprotected sexual activity with men. He complains of pain in the left scrotal
region and burning on urination that started 2 days ago. The scrotum is swollen and tender to palpation. A
urethral discharge is evident. Pain decreases with elevation of the left scrotum. There is no pain on DRE.
These are signs of:
A. Testicular torsion
B. Testicular cancer
C. Epididymitis
D. Prostatitis
C
____ 9. A 7-year-old male presents with fever and swollen parotid glands. He is diagnosed with mumps. A
complication that can occur with mumps in a male patient is:
A. Orchitis
B. Prostatitis
C. Testicular torsion
D. Varicocele
A
____ 10. In order for the clinician to diagnose a varicocele, the patient needs to:
A. Lie in the left lateral recumbent position
B. Stand and bear down
C. Lean over for digital rectal exam
D. Lie in the supine position
B
____ 11. Which of the following male reproductive disorders resembles a “bag of worms” on inspection?
, A. Spermatocele
B. Hydrocele
C. Varicocele
D. None of the above
C
____ 12. Which of the following is considered a risk factor for penile cancer?
A. Chlamydia infection
B. Condyloma acuminata
C. Epispadius
D. Circumcision
B
____ 13. Which of the following most commonly causes balanitis?
A. Tinea
B. Syphilis
C. Candida
D. Gonorrhoea
C
____ 14. Balanitis Xerotica Obliterans (BXO) is painful condition most common in:
A. Adolescent males
B. Young adult males
C. Middle-aged males
D. Males less than 10 years old
C
____ 15. The condition of the penis termed “phimosis” is:
A. Difficulty separating the foreskin from the
penis
B. Curvature of the penis when erect
C. Inability of the penis to attain erection
D. Inability of detumescence of the penis
A
____ 16. Which of the following conditions is considered a urologic emergency?
A. Balanitis
B. Paraphimosis
C. Phimosis
D. None of the above
B
Chapter 12. Male Reproductive System
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Examination of the male patient is best done in a warm room in order to avoid:
A. Exaggeration of the cremasteric reflex
B. Discomfort during digital rectal exam (DRE)
C. Retraction of the testes into the abdomen
D. Concealment of an inguinal hernia
A
____ 2. A 12-year-old boy accompanied by his mother reports sudden severe pain in the right lower abdomen and
scrotum. There is no history of trauma. Upon physical examination, the right scrotum is extremely tender to
touch. These are signs of:
A. Fournier’s disease
B. Testicular cancer
C. Testicular torsion
D. Varicocele of the testes
C
____ 3. Which of the following is a risk factor for testicular cancer?
A. Fournier’s disease
B. Testicular torsion
C. Varicocele of the testes
D. Cryptorchidism
D
____ 4. A 22-year-old male patient recently noticed swelling of the right testicle. He reports a feeling of heaviness
and a dull ache in the testicle. There is no history of recent trauma. Physical examination reveals
enlargement of the affected testicle, which is firm. The right scrotum is erythematous, and inguinal lymph
nodes are palpable. It is important to recognize these are signs and symptoms of:
A. Varicocele of the testes
B. Testicular cancer
C. Hematocele of the testes
D. Torsion of the testes
B
____ 5. A 35-year-old male patient recently noticed a nodular growth on the right testicle. He reports a feeling of
pain and heaviness in the testicle. Physical examination reveals a smooth, firm nodule of 5 to 6 cm on the
right testicle. The right scrotum is erythematous, and inguinal lymph nodes are palpable. The clinician
should order a(n) ____ to evaluate this finding.
A. Ultrasound of the scrotum
B. CT scan of the pelvis
C. Pelvic x-ray
D. Digital rectal exam
, A
____ 6. Which of the following is a biochemical marker for testicular cancer?
A. Carcinogenic antigen 125 (CA-125)
B. Alpha-fetoprotein (AFP)
C. Carcinoembryonic antigen (CEA)
D. Tumor necrosis factor (TNF)
B
____ 7. In heterosexual men, the most common cause of epididymitis is (are):
A. E. coli
B. Neisseria gonorrhoeae
C. Chlamydia trachomatis
D. B&C
D
____ 8. A 26-year-old male admits to unprotected sexual activity with men. He complains of pain in the left scrotal
region and burning on urination that started 2 days ago. The scrotum is swollen and tender to palpation. A
urethral discharge is evident. Pain decreases with elevation of the left scrotum. There is no pain on DRE.
These are signs of:
A. Testicular torsion
B. Testicular cancer
C. Epididymitis
D. Prostatitis
C
____ 9. A 7-year-old male presents with fever and swollen parotid glands. He is diagnosed with mumps. A
complication that can occur with mumps in a male patient is:
A. Orchitis
B. Prostatitis
C. Testicular torsion
D. Varicocele
A
____ 10. In order for the clinician to diagnose a varicocele, the patient needs to:
A. Lie in the left lateral recumbent position
B. Stand and bear down
C. Lean over for digital rectal exam
D. Lie in the supine position
B
____ 11. Which of the following male reproductive disorders resembles a “bag of worms” on inspection?
, A. Spermatocele
B. Hydrocele
C. Varicocele
D. None of the above
C
____ 12. Which of the following is considered a risk factor for penile cancer?
A. Chlamydia infection
B. Condyloma acuminata
C. Epispadius
D. Circumcision
B
____ 13. Which of the following most commonly causes balanitis?
A. Tinea
B. Syphilis
C. Candida
D. Gonorrhoea
C
____ 14. Balanitis Xerotica Obliterans (BXO) is painful condition most common in:
A. Adolescent males
B. Young adult males
C. Middle-aged males
D. Males less than 10 years old
C
____ 15. The condition of the penis termed “phimosis” is:
A. Difficulty separating the foreskin from the
penis
B. Curvature of the penis when erect
C. Inability of the penis to attain erection
D. Inability of detumescence of the penis
A
____ 16. Which of the following conditions is considered a urologic emergency?
A. Balanitis
B. Paraphimosis
C. Phimosis
D. None of the above
B
