NSG 6020 WEEK 8 MALE REPRODUCTIVE STUDY
GUIDE
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
GUIDE
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
