Deck 22: Male Genitalia

Question 1

The recommended procedure for palpating the testicle is to

A) firmly palpate using the entire palmar surface of one hand.
B) gently palpate using the thumb and first two fingers of one hand.
C) firmly palpate using the first two fingers of each hand.
D) gently palpate using the fingers of both hands.

Answer 1

gently palpate using the thumb and first two fingers of one hand.

Question 2

To prepare your patient for acetowhitening,you apply gauze saturated with which substance to his penis and scrotum?

A) a topical stain
B) 5% acetic acid solution
C) 70% isopropyl alcohol
D) sterile normal saline

Answer 2

5% acetic acid solution

Question 3

The enlargement of the scrotum that occurs with a hydrocele is the result of

A) blocked ductules resulting in sperm-filled cysts.
B) dilated veins of the spermatic cord.
C) accumulation of fluid between the layers of the tunica vaginalis.
D) edema caused by an inguinal hernia.

Answer 3

accumulation of fluid between the layers of the tunica vaginalis.

Question 4

In light-skinned individuals,a scrotal mass with a bluish discoloration may be caused by

A) accumulation of fluid in the testis.
B) blockage of the efferent ductules of the rete testis.
C) dilated veins in the pampiniform plexus of the spermatic cord.
D) oily, fatty matter secreted by the sebaceous glands.

Question 5

Which of the following is a function of the seminal vesicles?

A) secreting an alkaline substance that protects sperm
B) secreting fluid that helps provide a source of energy for sperm metabolism
C) secreting the male hormone testosterone
D) providing lubrication at the end of the penis during sexual intercourse

Question 6

During your assessment of an uncircumcised male infant,you observe that his foreskin is retracted and the penis is swollen distal to the foreskin.This condition is known as

A) paraphimosis.
B) Peyronie's disease.
C) phimosis.
D) priapism.

Question 7

While performing androscopy,you observe tiny white papules,condyloma acuminatum,which are caused by infection with

A) Candida albicans.
B) Epidermophyton floccosum.
C) human papillomavirus.
D) Trichophyton rubrum.

Question 8

Ventral curvature of the penis usually occurs along with epispadias in which the urethral meatus opens

A) at the penoscrotal junction.
B) dorsally on the glans penis.
C) between the scrotal folds.
D) ventrally on the glans penis.

Question 9

Which condition requires immediate referral for surgical intervention?

A) orchitis
B) spermatocele
C) testicular torsion
D) cryptorchidism

Question 10

Which of the following is a possible cause of erectile dysfunction (ED)?

A) infertility treatment
B) medications (e.g., beta blockers, antidepressants)
C) high testosterone levels
D) increased libido

Question 11

Which of the following are signs of testicular cancer?

A) hard, fixed, palpable nodule on the testicle
B) indurated, swollen, and tender testicle
C) soft, movable mass on the testicle
D) small testicle with scrotal edema

Question 12

Your patient complains of sudden onset of swelling and pain in his scrotum.Assessment reveals a swollen scrotum with reddened skin that is taut with pitting.These findings most likely indicate

A) cryptorchidism.
B) epididymitis from gonorrhea.
C) orchitis caused by a bacterial infection.
D) scrotal edema from trauma with possible testicular rupture.

Question 13

You observe two lesions on your patient's penis.One is a small papular lesion and the other is an ulcer with sharp margins.These are most likely

A) chancres.
B) chancroids.
C) chordee.
D) tinea cruris lesions.

Question 14

Your patient complains of burning on urination and a white-mucoid urethral discharge.Which information is needed to further assess his apparent infection?

A) Have you had a new sexual partner in the past 6 months?
B) Have you recently or have you ever had the mumps?
C) Has anyone in your family had testicular cancer?
D) Have you recently had an accident inducing trauma to your genitalia?

Question 15

Which substance accelerates testosterone metabolism and,over time,can lead to increased levels of estrogens?

A) alcohol
B) amphetamines
C) cocaine
D) tobacco

Question 16

Which statement best describes palpation of a varicocele?

A) swollen, painful scrotum
B) large, smooth-walled mass
C) "bag of worms" mass
D) small, soft testis

Question 17

Structures that are assessed when palpating both sides of the scrotum include the testicle and

A) epididymis and spermatic cord.
B) vas deferens and bulbourethral glands.
C) prostate gland and seminal vesicles.
D) urethral meatus.

Question 18

During the male sexual act,the penis becomes erect when blood fills the corpora cavernosa because of

A) sympathetic nerve impulses.
B) increased levels of prostaglandins and testosterone.
C) flow of semen from the epididymis to the vas deferens.
D) dilation of arterioles and compression of veins.

Question 19

You roll a cotton swab saturated with a patient's penile discharge over a Thayer-Martin plate for a culture in what type of pattern?

A) in a circular pattern from the center of the plate outward
B) from side to side to cover as much of the surface as possible
C) C pattern
D) Z pattern

Question 20

Palpation of a patient's scrotum reveals a normal testicle on the right,but the left testicle cannot be palpated.You suspect that he has cryptorchidism and

A) ask him about recent trauma to his scrotum.
B) ask him about recent viral infections such as mumps.
C) palpate his left inguinal canal to locate the testicle.
D) prepare him for emergency surgery.

Question 21

To palpate for a hernia at the external inguinal ring,you should insert your right index finger into the patient's scrotal sac

A) above the right testicle.
B) above the left testicle.
C) below the right testicle.
D) below the left testicle.

Question 22

Which of the following are risk factors for testicular cancer? Select all that apply.

A) Family history
B) HIV infection
C) African American men
D) History of cryptorchidism
E) Carcinoma in situ of testicles
F) Most common in men between the ages of 20 and 54

Question 23

A nursing instructor asks a group of students,"What are some of the complications from male genital piercings?" Which responses by the students would indicate that further study is necessary? Select all that apply.

A) Bleeding
B) Hypertension
C) Hypersensitivity
D) Paraphimosis
E) Urethral tears
F) Urinary incontinence

Question 24

The nurse would teach a 21-year-old patient,that the best time to perform a testicular self- examination is

A) early in the morning when relaxed.
B) after ejaculation, when semen levels are depleted.
C) after a warm shower when the hands and scrotum are warm.
D) before exercising so that blood vessels are not enlarged.

Question 25

The most common complications of genital piercing are which of the following?

A) infection and bleeding
B) sensitivity and urethral tears
C) site hypersensitivity and bleeding
D) change in urine stream and difficulty aiming

Question 26

The testicles are suspended by the ____________________.

Question 27

The pouchlike structure supporting the testes is called the ____________________.

Question 28

During the testicular exam,you palpate a unilateral mass in the scrotum.You are unable to palpate the entire testicle.What is the first thing you should do?

A) Refer the patient to a surgeon.
B) Obtain a testicular sonogram.
C) Obtain a urethral culture and treat for infection.
D) Attempt to transilluminate the mass.

Question 29

Which of the following are predisposing factors for Candida? Select all that apply.

A) Tight clothing
B) Moisture
C) Obesity
D) Deficient immune system
E) Antibiotic therapy
F) Anemia

Question 30

Multiple piercings up the penile shaft is known as which of the following?

A) Prince Albert
B) frenum ladder
C) dydoe
D) ampallang

Question 31

Your patient complains of a discharge from his urethra each morning,yet none is present now.To obtain a specimen of the discharge for culture,you should ask your patient to

A) take the culture tube home to obtain a specimen the next morning.
B) provide a clean-catch urine specimen for culture.
C) milk his penis from the shaft to the glans.
D) squeeze his glans penis to express a discharge.

Question 32

Which patient would be at the highest risk for developing penile cancer?

A) 30-year-old sexually active circumcised male with a history of HPV type 15
B) 75-year-old sexually active circumcised male
C) 40-year-old uncircumcised male who is not sexually active
D) 55-year-old sexually active uncircumcised male

Question 33

Which of the following can cause orchitis,an inflammation of the testis? Select all that apply.

A) Atrophy
B) Mumps
C) Diabetes mellitus
D) Infectious mononucleosis
E) Coxsackievirus B
F) Varicella.

Question 34

The FDA licensed the HPV vaccine,HPV4,for use in males aged 9 through 26 years for prevention of which of the following?

A) herpes
B) genital warts
C) testicular cancer
D) condyloma acuminatum

Question 35

Sperm production occurs at approximately age ____________________.

Question 36

Which of the following are characteristics of a femoral hernia? Select all that apply.

A) More common in infants
B) More common in women
C) More common in elderly males
D) Firm or rubbery lump in groin
E) Associated with cough or crying
F) Pain may be severe

Question 37

Your 20-year-old patient states that he has noticed a bulging in his groin recently.Palpation reveals a painless mass at his left external inguinal ring that protrudes into the scrotum with straining.Bowel sounds are auscultated in the scrotum.This mass is most likely a(n)

A) direct inguinal hernia.
B) grossly enlarged inguinal lymph node.
C) femoral hernia.
D) indirect inguinal hernia.

Question 38

A red glow appears when your patient undergoes transillumination of his scrotum.Which of the following is most likely to cause this effect?

A) inguinal hernia
B) hydrocele
C) normal testicle
D) tumor