Tommy, age 15, comes to the clinic in acute distress with "belly pain." When obtaining his history, the
nurse practitioner (NP) finds that he fell off his bike this morning and has vomited. Upon closer
examination, the NP determines the belly pain to be left-sided groin pain or pain in his left testicle.
He is afebrile and reports no dysuria. Which of the following diagnoses is most likely?
4
Testicular torsion.
Epididymitis.
Hydrocele.
Varicocele.
Don't know?
Terms in this set (31)
A patient's chief complaint is heaviness in the Orchitis
scrotum. The nurse practitioner notes
swelling of the testes, along with warm
scrotal skin. Which of the following
diagnoses is most probable?
John asks for a prescription for sildenafil "Viagra is contraindicated with isosorbide mononitrate; let's discuss other options."
(Viagra). He says that the only medication he
takes is isosorbide mononitrate (Monoket)
oral tablets and that he has diabetes that he
controls with diet alone. What should the
nurse practitioner tell him?
"Let's try a sample and see how you do."
"Viagra is contraindicated with isosorbide
mononitrate; let's discuss other options."
"Because of your history of diabetes, we
can't use it."
"I'd better refer you to a urologist."
, Regular testicular self-exams have not been "Make an appointment if you note any hard lumps directly on the testicle, regardless of
studied enough to show if they lower the risk whether they are tender."
of dying from testicular cancer. This is why
the American Cancer Society and other
agencies do not have a recommendation
about regular testicular self-exams for all
men. Still, some practitioners do recommend
that all men examine their testicles monthly
after reaching puberty. If you are teaching a
patient how to do a testicular self-
examination, which of the following do you
tell him?
"Examine your testicles when you are cold
because this makes them more sensitive."
"Make sure your hands are dry to create
friction."
"If you feel firmness above and behind the
testicle, make an appointment."
"Make an appointment if you note any hard
lumps directly on the testicle, regardless of
whether they are tender."
Max, age 70, is obese. He is complaining of a Direct inguinal hernia
bulge in his groin that has been there for
months. He states that it is not painful, but it
is annoying. The practitioner notes that the
origin of the swelling is above the inguinal
ligament and directly behind and through
the external ring. This finding is most
indicative of a(n):
Indirect inguinal hernia.
Direct inguinal hernia.
Femoral hernia.
Strangulated hernia.
Josh and Martha have 5 children and do not "A loop of vas deferens is delivered through the scrotal skin and occluded."
want any more. Josh said he heard about a
no-scalpel vasectomy (NSV) and asks the
nurse practitioner how it works. What would
be the best response?
"For the vasectomy to be permanent, you
must have the vas deferens excised."
"It's safer for Martha to be sterilized."
"A loop of vas deferens is delivered through
the scrotal skin and occluded."
"The testes are twisted, which occludes the
vas deferens."
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller stuuviaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
