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LATEST Attempt 1 13 minutes 15 out of 15
Score for this quiz: 15 out of 15
Submitted Jun 16 at 10:40am
This attempt took 13 minutes.
Question 1
pts
A 15-year-old male comes to the clinic in acute distress with “belly pain.” When
obtaining his history, the nurse practitioner (NP) finds that he fell off his bike this
morning and has vomited. Upon closer examination, the NP determines the belly pain to
be left-sided groin pain or pain in his left testicle. He is afebrile and reports no dysuria.
Which of the following diagnoses is most likely?
Testicular torsion.
Hydrocele.
Epididymitis.
Varicocele.
Testicular torsion is a condition in which the testis twists on the spermatic cord, thereby
compromising blood flow to the testicle. This is a surgical emergency. Examination
usually reveals a tender scrotal mass high in the hemiscrotum, and there is frequently a
reactive hydrocele around the testis, obscuring anatomical detail. The scrotum can
become erythematous and edematous. The cremasteric reflex is frequently blunted on
the side of the torsion.
Question 2
, pts
A 32-year-old male appears with a rapid onset of unilateral scrotal pain radiating up to
the groin and flank. The nurse practitioner is trying to differentiate between epididymitis
and testicular torsion. Which test should be the provider’s first choice?
Ultrasound.
Technetium scan.
X-ray.
Physical examination.
If your client has a rapid onset of unilateral scrotal pain radiating up to the groin and
flank and you are trying to differentiate between epididymitis and testicular torsion, an
ultrasound is useful for determining whether the swelling is in the testis or the
epididymis and should be your first choice.
Question 3
pts
A 32-year-old male presents with complaints of a scrotal mass; however, the scrotum is
so edematous that it is difficult to assess. How would the nurse practitioner (NP) best
determine whether the condition is a hernia or a hydrocele?
The NP can always return a hernia’s contents to the abdominal cavity.
Bowel sounds may be heard over a hernia.
The NP can transilluminate a hernia.
With a hydrocele, a bulge appears on straining.