NSG 6020 Week 8 Quiz 1 with
Answers
Jim is a 47-year-old man having difficulties with sexual function. He
recently separated from his wife of 20 years. He reports early morning
erections but otherwise cannot function. Which of the following is
alikely cause for his problem?
a) Abnormal hypogastric arterialcirculation
b) Psychological issues
c) Decreased testosterone levels
d) Impaired neural innervations
b) Psychological issues
A 12-year-old is brought to your clinic by his father. He was taught in
his health class at school to do monthly testicular self-examinations.
Yesterday, when he felt his left testicle, it was enlarged and tender. He
isn't sure if he has had burning with urination and he says he has never
had sexual intercourse. He has had a sore throat, cough, and runny
nose for the last three days. His past medical history is significant for a
tonsillectomy as a small child. His father has high blood pressure and
his mother is healthy. On examination, you see a child in no acute
distress. His temperature is 100.8 and his blood pressure and pulse are
unremarkable. On visualization of his penis, he is uncircumcised and
has no lesions or discharge. His scrotum is red and tense on the left
and normal appearing on the right. Palpating his left testicle reveals a
mildly sore swollen testicle. The right testicle is unremarkable. An
examining finger is put through both inguinal rings, and there are no
bulges with bearing down. His prostate examination is unremarkable.
Urine analysis is also unremarkable.
What abnormality of the testes does this child most likely have?
Acute orchitis
Acute epididymitis
Torsion of the spermatic cord
Prostatitis
, NSG 6020 Week 8 Quiz 1 with
Answers
Important techniques in performing the rectal examination include
which of the following?
Lubrication
Waiting for the sphincter to relax
Explaining what the patient should expect with each step before it occurs
CORRECT All of the above
Which of the following conditions involves a tight prepuce which, once
retracted, cannot be returned?
Phimosis
Paraphimosis
Balanitis
Balanoposthitisn
22-year-old unemployed roofer presents to your clinic, complaining of
pain in his testicle and penis. He states the pain began last night and
has steadily become worse. He states it hurts when he urinates and he
has not attempted intercourse since the pain began. He has tried
Tylenol and Ibuprofen without improvement. He denies any fever or
night sweats. His past medical history is unremarkable. He has had
four previous sexual partners and has had a new partner for the last
month. She is on oral contraceptives, so he has not used condoms. His
parents are both in good health. On examination, you see a young man
lying on his side. He appears mildly ill. His temperature is 100.2 and
his blood pressure, respirations, and pulse are normal. On visualization
of the penis he is circumcised, with no lesions or discharge from the
meatus. Visualization of the scrotal skin appears unremarkable.
Palpation of the testes shows severe tenderness at the superior pole of
the normal-sized left testicle. He also has tenderness when you palpate
the structures superior to the testicle through the scrotal wall. The
right testicle is unremarkable. An examining finger is placed through
each inguinal ring without bulges being noted with bearing down. His
prostate examination is unremarkable. Urine analysis shows white
blood cells and bacteria. What diagnosis of the male genitalia is most
likely in this case?
Answers
Jim is a 47-year-old man having difficulties with sexual function. He
recently separated from his wife of 20 years. He reports early morning
erections but otherwise cannot function. Which of the following is
alikely cause for his problem?
a) Abnormal hypogastric arterialcirculation
b) Psychological issues
c) Decreased testosterone levels
d) Impaired neural innervations
b) Psychological issues
A 12-year-old is brought to your clinic by his father. He was taught in
his health class at school to do monthly testicular self-examinations.
Yesterday, when he felt his left testicle, it was enlarged and tender. He
isn't sure if he has had burning with urination and he says he has never
had sexual intercourse. He has had a sore throat, cough, and runny
nose for the last three days. His past medical history is significant for a
tonsillectomy as a small child. His father has high blood pressure and
his mother is healthy. On examination, you see a child in no acute
distress. His temperature is 100.8 and his blood pressure and pulse are
unremarkable. On visualization of his penis, he is uncircumcised and
has no lesions or discharge. His scrotum is red and tense on the left
and normal appearing on the right. Palpating his left testicle reveals a
mildly sore swollen testicle. The right testicle is unremarkable. An
examining finger is put through both inguinal rings, and there are no
bulges with bearing down. His prostate examination is unremarkable.
Urine analysis is also unremarkable.
What abnormality of the testes does this child most likely have?
Acute orchitis
Acute epididymitis
Torsion of the spermatic cord
Prostatitis
, NSG 6020 Week 8 Quiz 1 with
Answers
Important techniques in performing the rectal examination include
which of the following?
Lubrication
Waiting for the sphincter to relax
Explaining what the patient should expect with each step before it occurs
CORRECT All of the above
Which of the following conditions involves a tight prepuce which, once
retracted, cannot be returned?
Phimosis
Paraphimosis
Balanitis
Balanoposthitisn
22-year-old unemployed roofer presents to your clinic, complaining of
pain in his testicle and penis. He states the pain began last night and
has steadily become worse. He states it hurts when he urinates and he
has not attempted intercourse since the pain began. He has tried
Tylenol and Ibuprofen without improvement. He denies any fever or
night sweats. His past medical history is unremarkable. He has had
four previous sexual partners and has had a new partner for the last
month. She is on oral contraceptives, so he has not used condoms. His
parents are both in good health. On examination, you see a young man
lying on his side. He appears mildly ill. His temperature is 100.2 and
his blood pressure, respirations, and pulse are normal. On visualization
of the penis he is circumcised, with no lesions or discharge from the
meatus. Visualization of the scrotal skin appears unremarkable.
Palpation of the testes shows severe tenderness at the superior pole of
the normal-sized left testicle. He also has tenderness when you palpate
the structures superior to the testicle through the scrotal wall. The
right testicle is unremarkable. An examining finger is placed through
each inguinal ring without bulges being noted with bearing down. His
prostate examination is unremarkable. Urine analysis shows white
blood cells and bacteria. What diagnosis of the male genitalia is most
likely in this case?
