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Exam 2 (NURS 324) | Questions and Answers (Complete Solutions)

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Exam 2 (NURS 324) | Questions and Answers (Complete Solutions) Your patient presents with the failure of the testes to descend into the abdominal cavity. What is your diagnosis? Cryptorchidism Which of the following are treatments for cryptorchidism (SATA)? A) surgery B) hormonal therapy C) remov...

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  • September 25, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nurs 324 exam 2
  • nurs 324 exam
  • exam 2 nurs 324
  • what is your diagnosis
  • your patient presents with the failure of the
  • testes to descend into the abdominal cavity

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  • NURS 324
  • NURS 324

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NURS 324 Exam 2


Your patient presents with the failure of the testes to descend into the abdominal cavity.
What is your diagnosis?
Cryptorchidism

Which of the following are treatments for cryptorchidism (SATA)?
A) surgery
B) hormonal therapy
C) removal
D) chemo and radiation
E) all of the above

Which of the following are risk factors for cryptorchidism (SATA)?

A) low birth weight
B) premature birth
C) family history
D) Jacob's syndrome
E) fetal growth restriction
F) alcohol, cigarette, or pesticide exposure during pregnancy
G) all of the above

Which of the following are complications of cryptorchidism (SATA)?

A) testicular cancer
B) fertility problems
C) prostate cancer
D) testicular torsion
E) rectal cancer
F) trauma, inguinal hernia
G) all of the above

Your patient presents with the urethral meatus on the dorsal surface of the penis (or
within the clitoris of the vagina). What is your diagnosis?
Epispadias

What is the main issue experienced with epispadias?
trouble propelling semen

Your patient presents with the urethral meatus on the ventral surface of the penis. What
is your diagnosis?
Hypospadias

,Hypospadias is one of the most common...
birth defects in males (5 out of every 1,000)

Which of the following are causes of hypospadias (SATA)?

A) genetics
B) fertility treatments
C) mother 35+ years and/or overweight
D) mother with diabetes
E) exposure to smoking or pesticides
F) prematurity
G) all of the above

Your patient presents with difficulty urinating, ballooning of prepuce, weak and thin urine
stream, spraying urination, and the foreskin unable to be retracted over the glans penis.
What is your diagnosis?
Phimosis

Which of the following are causes of phimosis (SATA)?

A) genetics
B) mother 35+ years
C) scarring from circumcision
D) poor hygiene
E) infection or inflammation
F) loss of skin elasticity
G) infrequent erections
H) all of the above

When is phimosis most common?
within first three years of life

Your patient presents with the foreskin retracted over the glans penis and is not able to
be returned. What is your diagnosis?
Paraphimosis

When and why does paraphimosis become a medical emergency?
penis becomes constricted and edematous; the lack of blood flow and lead to gangrene

Your patient presents with a prolonged, painful erection. What is your diagnosis?
Priapism

Why does priapism occur?
too much blood shunting within the corpus cavernosum; blood becomes trapped

Which of the following are causes of priapism (SATA)?

,A) sickle cell disease
B) leukemia
C) thrombocytopenia
D) trauma or tumors
E) diabetes mellitus
F) spinal cord injury or neurologic disease
G) drugs such as Viagra
H) all of the above

What ages is priapism most common?
between 5 and 10, and 25 and 50

Your patient presents with severe pain in the testes, lower UTI symptoms, urethral
discharge, fever, swelling in the scrotum of less than six weeks, and tenderness in the
scrotum. What is your diagnosis?
Epididymitis

What leads to sterility in epididymitis?
if abscesses and scar tissue forms on both sides

Which of the following are causes of epididymitis (SATA)?

A) unknown
B) prostatitis
C) bacterial or viral infections
D) drug-induced
E) vasculitis
F) testicular cancer
G) all of the above

Which of the following are risk factors for epididymitis (SATA)?

A) sexually active men younger than 35 that also have gonorrhea or chlamydia
B) history of testicular torsion
C) enteric pathogens
D) bladder outlet obstruction
E) frequent catheters
F) all of the above

Your patient presents with inflammation of the testes following an injury or infection.
What is your diagnosis?
Orchitis

What is the most common cause of orchitis?
Mumps

, What can lead to sterility in orchitis?
atrophy of the testes on both sides

Your patient presents with the accumulation of fluid between the layers of the tunica
vaginalis or along the spermatic cord. What is your diagnosis?
Hydrocele

Hydrocele is the most common...
disease of the testes

Which of the following are causes of hydrocele (SATA)?

A) inflammation
B) infection
C) trauma and tumors
D) testicular torsion
E) all of the above

Your patient presents with the feeling of a "bag of worms" in the scrotum, scrotal
heaviness, dull or aching pain on affected side, and dilation of the internal spermatic
veins and pampiniform plexus. What is your diagnosis?
Varicocele

Give statistics of varicocele regarding percentage of cases based on age, unilateral vs
bilateral, and incidence in male fertility clinics
15% adolescent and adult men
90% left side only
10% bilateral
40% found in male fertility clinics

Which of the following are causes of varicocele (SATA)?

A) increased hydrostatic pressure in left renal vein
B) testicular cancer
C) epididymitis
D) incompetent or congenitally absent valves
E) all of the above

Your patient presents with testicular pain, intermittent or acute on-and-off pain, no pain
relief on elevation of scrotum, scrotal swelling or edema, high-riding testicle, abdominal
pain, and nausea and vomiting. What is your diagnosis?
testicular torsion

Why is testicular torsion a medical emergency?
constriction of vascular supply and time-sensitive ischemia/necrosis of testicular tissue -
-> can lead to infarction or infertility

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