NR 511 Week 7 quiz 2021

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Ques 1 / 1 pts tion 1 A male patient presents to the clinic for evaluation of infertility. Subjectively, the patient complains of pain and fullness of the testes and states, “My testicles feel li... ke a bag of worms.” On physical examination, the nurse practitioner notes tortuous veins posterior to and above the testes that extend up into the external inguinal ring. Based on the preceding assessment, the nurse practitioner refers the patient to urology with a diagnosis of: Urethritis. Hydrocele. Varicocele. Correct! Orchitis.Top  4/12/2021 Week 7: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan https://chamberlain.instructure.com/courses/77585/quizzes/295797 2/13 A varicocele is an abnormal degree of venous dilation of the pampiniform plexus in the spermatic cord above the testes, which results in pain and swelling. A patient often describes the sensation as feeling like a “bag of worms.” Ques 1 / 1 pts tion 2 Regular testicular self-exams have not been studied enough to show if they lower the risk 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. In teaching a patient how to do a testicular self-examination, which of the following should the clinician advise? “If you feel firmness above and behind the testicle, make an appointment.” “Examine your testicles when you are cold because this makes them more sensitive.” “Make an appointment if you note any hard lumps directly on the testicle, regardless of whether they are tender.” Correct! “Make sure your hands are dry to create friction.” Top  4/12/2021 Week 7: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan https://chamberlain.instructure.com/courses/77585/quizzes/295797 3/13 If you advise men to perform a monthly testicular selfexamination, instruct them to call if they notice any hard lumps directly on the testicle, regardless of whether the lumps are tender. If parts of the testicle above and behind feel rather firm, this is the epididymis and is normal. The spermatic cord, a small, round, movable tube, extends up from the epididymis and also feels firm and smooth. Testicles should be examined with soapy hands when taking a warm shower or bath to allow easy manipulation of the tissue. Ques 1 / 1 pts tion 3 A 51-year-old male requests a prescription for sildenafil (Viagra). He says that the only medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has diabetes which is controlled with diet alone. What should the nurse practitioner tell him? “Because of your history of diabetes, we can’t use it.” “I’d better refer you to a urologist.” “Let’s try a sample and see how you do.” “Viagra is contraindicated with isosorbide mononitrate; let’s discuss other options.” Correct! Top  4/12/2021 Week 7: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan https://chamberlain.instructure.com/courses/77585/quizzes/295797 4/13 Because sexual stimulation leads to the release of nitric oxide in the corpus cavernosum of the penis and sildenafil (Viagra) potentiates that release, there is a double hypotensive effect between sildenafil and a nitric oxide donor such as isosorbide mononitrate (Monoket, Imdur, and Ismo). Therefore, the use of sildenafil with Monoket is contraindicated. Ques 1 / 1 pts tion 4 A 58-year-old male has been diagnosed with erectile dysfunction and says that a friend told him about a method that uses a constricting ring around the base of the penis. What is he referring to? Surgery. An external vacuum device. Correct! Intracavernous injection therapy. Urethral suppositories. An external vacuum device is a viable method for alleviating erectile dysfunction regardless of the cause of the disorder. A plastic cylinder is placed around the penis, a vacuum pump causes cavernosal engorgement, and a constrictor ring is applied around the base of the penis, allowing the client to hold an erection for 30 minutes. Top  4/12/2021 Week 7: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan https://chamberlain.instructure.com/courses/77585/quizzes/295797 5/13 Ques 1 / 1 pts tion 5 A 15-year-old male 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? Hydrocele. Epididymitis. Varicocele. Testicular torsion. [Show More]

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