Exam (elaborations)
Chapter 34 Alterations of the Male Reproductive System
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- Galen College Of Nursing
Chapter 34 Alterations of the Male Reproductive System
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Chapter 34: Alterations of the Male Reproductive SystemMULTIPLE CHOICE
1. In the majority of cases delayed puberty is due to:
a. a disruption in the hypothalamus.
b. a disruption of the pituitary.
c. slow maturation.
d. ambiguity in sex determination.
ANS: C
In about 95% of cases, delayed puberty is a normal physiologic event. Hormonal levels are
normal, the hypothalamic-pituitary-gonadal axis is intact, and maturation is happening slowly.
Only about 5% of the occurrences of delayed puberty are due to a disruption in the
hypothalamus or the pituitary. Ambiguity in sex determination could play a role in delayed
puberty, but this occurrence is rare.
REF: p. 854
2. A 30-year-old presents with penile tenderness and discharge while the physical examination
reveals that his foreskin cannot be retracted back over the glans penis. This assessment data is
consistent with what condition?
a. Paraphimosis
b. Phimosis
c. Peyronie disease
d. Priapism
ANS: B
Phimosis is a condition in which the foreskin cannot be retracted back over the glans.
Paraphimosis is the opposite: the foreskin is retracted and cannot be moved forward (reduced)
to cover the glans. Peyronie disease is a fibrotic condition that causes lateral curvature of the
penis during erection. Priapism is a prolonged erection.
REF: pp. 855-856
3. A 38-year-old presents reporting difficulty having sexual intercourse because his penis
curves during erection. What term describes this condition?
a. Phimosis
b. Cryptorchidism
c. Paraphimosis
d. Peyronie disease
ANS: D
Peyronie disease is a fibrotic condition that causes lateral curvature of the penis during
erection. Phimosis is a condition in which the foreskin cannot be retracted back over the glans.
Cryptorchidism is a condition of testicular maldescent. Paraphimosis is the opposite: the
foreskin is retracted and cannot be moved forward (reduced) to cover the glans.
REF: p. 856
, 4. is an inflammation of the glans penis.
a. Phimosis
b. Balanitis
c. Priapism
d. Hydrocele
ANS: B
Balanitis is an inflammation of the glans penis. Phimosis is a condition in which the
foreskin cannot be retracted back over the glans. Priapism is a prolonged erection. A
hydrocele is a collection of fluid within the tunica vaginalis.
REF: p. 857
5. Cryptorchidism can be defined as:
a. a normal developmental state of the testes.
b. an abnormal state in which the testes are overdeveloped.
c. lack of a scrotum.
d. problems with testicular descent.
ANS: D
Cryptorchidism is a group of abnormalities in which the testis fails to descend completely,
whereas an ectopic testis has strayed from the normal pathway of descent. Cryptorchidism is
not a condition associated with either testicular overdevelopment or a lack of a scrotum.
REF: p. 859
6. A 21-year-old presents with iNUnflaS
RmmIatioGn oBf t.heCtesMtes and is diagnosed with
orchitis. What is the most likely cause of his symptoms?
a. Herpes virus
N T
b. Escherichia coli
c. Mumps
d. Cytomegalovirus
ANS: C
Mumps is the most common infectious cause of orchitis and usually affects postpubertal
males. Herpes would not result in testicular swelling. Escherichia coli infection would not
result in testicular swelling and redness. Cytomegalovirus is a sexually transmitted disease
and is not manifested in testes.
REF: p. 860
7. An important risk factor in the development of benign prostatic hypertrophy (BPH) among
Americans is:
a. recurrent prostatitis.
b. a diet high in fat.
c. cigarette smoking.
d. increased age.
ANS: D
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