Examen
20. Male Genitalia
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Exam of 10 pages for the course Nursing Tests at Albany Memorial School Of Nursing (20. Male Genitalia)
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Chapter 20: Male GenitaliaMULTIPLE CHOICE
1. While examining an 18-year-old man, you note that his penis and testicles are more darkly
pigmented than the body skin. You should consider this finding to be: a. within normal
limits.
b. suggestive of a skin fungus.
c. suggestive of psoriasis.
d. caused by excessive progesterone.
ANS: A
Darker pigmentation on the penis and testicles, as compared with other body skin, is a normal
finding and is not suggestive of a skin fungus, psoriasis, or excessive progesterone.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. In an uncircumcised male, retraction of the foreskin may reveal a cheesy white substance.
This is usually:
a. evidence of a fungal infection.
b. a collection of sebaceous material.
c. indicative of penile carcinoma.
d. suggestive of diabetes.
ANS: B
In the uncircumcised male, smegma is formed by the secretion of sebaceous material by the
glans and the desquamation of epithelial cells from the prepuce. It appears as a cheesy white
substance on the glans and in the fornix of the foreskin. Smegma lubricates the cavity between
the foreskin of the penis and the glans, allowing smooth movement between them during
intercourse. It is not usually evidence of a fungal infection, penile carcinoma, or diabetes.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. Inspection of the scrotum should reveal:
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, a. lightly pigmented skin.
b. two testes per sac.
c. smooth scrotal sacs.
d. the left scrotal sac lower than the right.
ANS: D
The left cord is longer than the right; consequently, the left testis hangs somewhat lower. The
skin of the scrotum is more darkly pigmented. The scrotum has one testis per sac. The scrotum
has small epidermoid cysts that give it a lumpy appearance.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. Expected genitalia changes that occur as men age include that:
a. the ejaculatory volume decreases with age.
b. erections develop more quickly.
c. the viability of sperm increases.
d. the scrotum becomes more pendulous.
ANS: D
Ejaculatory volume increases with age, erections develop more slowly, sperm viability
decreases, and the scrotum becomes more pendulous with age.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Inspection of the male urethral orifice requires the examiner to:
a. ask the patient to bear down.
b. insert a small urethral speculum.
c. press the glans between the thumb and forefinger.
d. transilluminate the penile shaft.
ANS: C
Inspection of the urethral orifice is accomplished by pressing the glans between the
e. a ie h b a d f efi ge . Thi ae e e he li like ifice for
further inspection.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and
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