The Male Genitourinary System | Test Bank Chapter.9

CHAPTER 9: ADVANCED HEALTH ASSESSMENT OF THE MALE GENITOURINARY SYSTEM

1. Which of the following assessments are the anticipated findings for a patient with an epididymitis? Select all that apply.

a. Spermatic cord tender and swollen

b. Urethral discharge and/or fever

c. Scrotal swelling

d. Gradual onset

e. Abdominal pain

2. Which organisms should the clinician expect as the causative agent in epididymitis?
Select all that apply.

a. Neisseria gonorrhoeae

b. Chlamydia trachomatis

c. Escherichia coli

d. Treponema pallidum

e. Human papillomavirus

3. Which of the following findings should a clinician anticipate when assessing a patient with a hydrocele? Select all that apply.

a. Collection of fluid between the layers of the tunica vaginalis

b. Often occurs unilaterally

c. Origin is idiopathic

d. Not usually painful

e. Palpable mass

4. Which finding would indicate the presence of a varicocele?

a. Palpable or visible dilation of vessels of pampiniform plexus

b. Collection of fluid between the layers of the tunica vaginalis

c. Urethral discharge and/or fever

d. Palpable mass

5. The clinician is evaluating a patient with complaints of the penis bending like a curve during an erection. What diagnosis should the clinician make?

a. Peyronie’s disease

b. Phimosis

c. Epispadias

d. Klinefelter syndrome

6. The clinician is evaluating a patient who complains of being unable to pull the foreskin back over the head of the penis. What diagnosis should the clinician make?

a. Balanitis

b. Phimosis

c. Hypospadias

d. Klinefelter syndrome

7. For which disorder should the clinician employ the use of illumination?

a. Hydrocele

b. Varicocele

c. Torsion of the testicle

d. Orchitis

8. For which reason should the clinician ensure a warm environment for an examination of a male patient?

a. Places the patient at ease

b. Avoids exaggeration and activation of the cremaster reflex

c. Decreases the risk of erection during examination

d. Facilitates examination of the glans penis

9. Upon examination, the clinician notes that a patient has growth in breadth and development of glans of the penis, growth and darkening of the scrotum, and growth of the testes. What Tanner stage should the clinician document?

a. I

b. II

c. III

d. IV

10. The clinician is evaluating a patient for possible sexually transmitted disease. What assessments should the clinician include? Select all that apply.

a. History of unprotected sex

b. Multiple partners

c. Discharge and new lesions or skin abnormalities

d. Frequency of intercourse

e. Recent blood transfusion

11. Upon assessment, the clinician notes a patient has acute and sudden onset of pain with swelling of the tissues. The patient also complains of abdominal discomfort, nausea, and vomiting. What diagnosis should the clinician anticipate?

a. Torsion of the testicle

b. Peyronie’s disease

c. Balanitis

d. Prostatitis

12. When evaluating for balanitis, which symptoms should the clinician expect to observe? Select all that apply.

a. Penile edema

b. Dysuria

c. Urethral discharge

d. Bending of the penis

e. Bilateral shrinkage of the testes

13. What role does the seminal vessel play in reproductive health?

14. The parents of a newborn with undescended testes are confused about their child’s condition. What information should the clinician provide?

15. Differentiate hypospadias from epispadias.

16. Alex, who is 66 years old, visits the clinician with complaints of erectile dysfunction. After discussing treatment options, Alex asks the clinician, “What other ways is aging going to affect me?” How should the clinician respond?

17. Describe the normal findings of the testes upon palpation.

18. Describe the factors the clinician should include when assessing a trans woman.

19. Describe the interview questions that would assist the clinician in establishing the age of onset of puberty.

20. The clinician is evaluating a patient with suspected Klinefelter syndrome. What assessment findings does the clinician anticipate in this individual?