HA Chapter 23

D. standing and leaning over the examination table with chest and shoulders resting on the table.

The correct position in which to place a healthy adult patient to examine the rectum and prostate is

A. the left lateral Sims position with right knee flexed and left leg extended.

B. the supine position with hips and legs flexed and feet positioned on the examining table.

C. the modified knee-chest position with the patient prone and knees flexed under hips.

D. standing and leaning over the examination table with chest and shoulders resting on the table.

D. Cremasteric reflex

During a physical assessment, using the handle of the reflex hammer, you gently stroke the inner left thigh of the patient, which causes the ipsilateral testicle to rise. What superficial reflex is demonstrated?

A. Abdominal reflex

B. Babinski reflex

C. Brachioradialis reflex

D. Cremasteric reflex

B. Personal history of cryptorchidism

A 20-year-old White male complains of a mass in their left testicle. In addition to their age and race, what else is a risk factor for testicular cancer?

A. Colon cancer in the birthing parent

B. Personal history of cryptorchidism

C. UTI in the previous month

D. Congenital hydrocele

A. testicular torsion.

A 20-year-old patient presents with scrotal pain. A suspected diagnosis that requires immediate referral is

A. testicular torsion.

B. hydrocele.

C. epididymitis.

D. inguinal hernia.

C. You note an impulse at the tip of your finger during hernia examination.

Which of the following would you recognize as an unexpected finding while examining the male genitalia?

A. Smegma is present on the uncircumcised patient.

B. Testes are palpable and firm within the scrotal sac.

C. You note an impulse at the tip of your finger during hernia examination.

D. The urethral meatus has a slit-like opening central to the distal tip of the glans.

C. asymmetrical sac with left side lower than right side.

When examining the scrotum of an adult male, a normal finding is

A. symmetrical scrotal sac with two movable testes.

B. smooth, rubbery, saclike surface that is sensitive to gentle compression.

C. asymmetrical sac with left side lower than right side.

D. reddish colored skin that is darker than general body skin and has sebaceous cysts.

A. Teach TSE.

A young male presents for a sports physical examination. In addition to examining for hernias, it would be appropriate for you to do which of the following?

A. Teach TSE.

B. Evaluate for urinary retention.

C. Examine for prostate cancer.

D. Draw blood to measure prostatic surface antigen.

B. Varicocele

A patient complains of a soft, irregular mass on the left side of the scrotum they noticed while walking. The nurse palpates a mass that feels like “a bag of worms.” These findings are consistent with which condition?

A. Hydrocele

B. Varicocele

C. Spermatocele

D. Epididymitis

A. BPH

A 70-year-old male presents with the following symptoms: straining to void, nocturia, dribbling, and hesitancy when voiding. These signs are consistent with what condition?

A. BPH

B. Prostatitis

C. Testicular cancer

D. Phimosis

D. Smegma under the foreskin

You are inspecting the groin of an older adult male who lives in a long-term care facility. Which of the following is an expected finding that you will document?

A. Pediculosis in hair distribution

B. Hypospadias on the glans

C. Yellow discharge from the meatus

D. Smegma under the foreskin

D. Herpes simplex virus 2 (HSV-2)

Which STI presents with painful red superficial vesicles along the penis or on the glans?

A. Gonorrhea

B. Chlamydia

C. Syphilis

D. Herpes simplex virus 2 (HSV-2)

B. Auscultation of the scrotum

The nurse suspects the male patient has a hernia. Which of the following should be included in the physical examination for scrotal hernia?

A. DRE

B. Auscultation of the scrotum

C. Palpate external urethra

D. Retraction of uncircumcised foreskin