UTT NURS 3303 Exam 3 Questions And Verified Detailed
Answers Latest Update
Hypospadius - ANSWER *congenital defect
urethra exits on dorsal surface ( underside) of penis
can cause incontinence or infection
Crytporchidism - ANSWER *congenital condition
testicle does not properly descend into scrotum
manual or surgical intervention in some cases
risk of testicular CA is increased SIGNIFICANTLY if not treated by age 5
Ecotopic testis - ANSWER *anatomical disorder
testis is positioned outside scrotum
may affect degeneration of seminiferous tubules & spermatogenesis is impaired
Torsion of the Testes - ANSWER - testes rotate on spermatic cord, compressing arteries
& veins
ISCHEMIA DEVELOPS, SCROTUM SWELLS
testis may be infarcted if torsion is not reduced within hrs treated manually & surgically
emergent Hydrocele - ANSWER collection of fluid congenital or comes later in life can
happen in kids or adolescents tx: surgery - if there can be seen a light through fluid if
present Variocele - ANSWER varicose veins in scrotum, swelling primary case of
infertility can happen in kids or adolescents
Benign Prostatic Hyperplasia - ANSWER - patho: HYPERPLASIA of the prostate tissue w/
formation of nodules surrounding the urethra due to imbalance between testosterone &
estrogen
- RESULT: compression of urethra - inability to empty bladder, recurrent UTIs
,- S/S: frequency of urination, voids only small amt of urine, urgency to urinate, nocturia,
hesitancy of urination, decreased urine stream
- DOES NOT PREDISPOSE MALE TO PROSTATE CA
Tx: alpha drugs (muscle relaxers), surgery is last resort
Digital Rectal Exam: age 50
PSA: age 50 annually
Cancer of the Prostate - ANSWER - most common CA in men 50+
3rd leading cause of CA death in men
metastasis to BONE common
DX: DRE (HARD NODULE ON SURFACE PALPABLE), sonogram with biopsy, bone scan
for metastasis, serum markers (PROSTATE SPECIFIC ANTIGEN PSA & prostatic
phosphate)
- TX: hormone therapy, internal pellets & external radiation
- 35% survival rate
Overview of the Testes - ANSWER produces testosterone, manufactures spermatozoa,
and controls a males sexual personality
Testosterone is. - ANSWER required for maturation of sperm
Epispadius - ANSWER *congenital defect
urethra exits on ventral or dorsal surface of penis
can cause incontinence or infection
Tumors - CA of the Prostate - ANSWER - HARD NODULE FELT ON PERIPHERY OF
GLAND - 1ST INDICATION
- ELEVATION OF PSA LAB
- hesitancy of urination
- decreased In urination
,- frequent urination
- UTIs
Prostatitis - ANSWER *Inflammation of the Prostate Gland
- associated w/ UTIs, ascending bacterial infection, tender/painful/swollen prostate
gland, on palpation PG feels boggy/spongy
most often b/c of E.coli infection
S/S: dysuria, urinary frequency, over, chills, complete obstruction, of urinary flow if
severe, elevation of PSA common
Testicular Cancer - ANSWER - majority of testicular tumors are MALIGNANT
HARD, painless lump
dull, aching pain or heaviness in scrotum or lower abdomen
occurs in young men 15-35
heredity pattern - chromosome 12
Ovaries (female gonads) - ANSWER - ovarian cycle = menstrual cycle
hormones released: estrogen (3~estradiol, estrone, estriol), progesterone, & androgens
**FEMALE REPRO ORGANS EXPOSED TO ONTHLY EBB&FLOW OF HORMONES, MALE
HORMONE RELEASE IS CONSTANT -INCREASED RISK FOR CANCER FOR FEMALES
Normal Position of Uterus - ANSWER - slightly anteverted & anteflexed
- cervix downward & posterior
Retroflexion of Uterus - ANSWER *structural abnormality
- may be congenital, b/c of multiple births, age
- uterus tipped posteriorly
, - may be excessively curved or bent
-marked retroversion may cause BACK PAIN, DYSMENORRHEA, DYSPAREUNIA-in
some cases infertility
Uterine Displacement or PROLAPSE- ANSWER *structural abnormality
- 1st Degree: if cervix drops into vagina
- 2nd degree: if cervix lies at opening to the vagina (body of uterus is in the vagina)
-3rd degree: if uterus and cervix protrude through vaginal orfice, early stages of
prolapse may be asymptomatic, advanced stages cause discomfort, infection, &
decreased motility
Rectoele - ANSWER *structural abnormality
- protrusion of the rectum into the posterior vagina
- may cause constipation & pain
Cystocoele - ANSWER *structural abnormality
- protrusion of bladder into anterior vagina
- may cause UTIs
- if severe, conditions are treated surgically to increase the support of pelvic ligament
Amenorrhea - ANSWER *menstrual disorder
- absence of mensuration
- may be primary or secondary (usually hormone imbalance)
Dysmenorrhea - ANSWER *menstrual disorder
- painful menstruation due to excessive release of prostaglandins as a result of
endometrial ischemia
- usually begins a few days prior to menses and lasts few days after on onset
- NSAIDS offer relief