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Chapter 24: Male Genitourinary System

Chapter 24: Male Genitourinary System

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Chapter 24: Male Genitourinary System
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1.   The external male genital structures include the:
a.

Testis.

b.

Scrotum.

c.

Epididymis.

d.

Vas deferens.

2.   An accessory glandular structure for the male genital organs is the:
a.

Testis.

b.

Scrotum.

c.

Prostate.

d.

Vas deferens.

3.   Which of these statements is true regarding the penis?
a.

The urethral meatus is located on the ventral side of the penis.

b.

The prepuce is the fold of foreskin covering the shaft of the penis.

c.

The penis is made up of two cylindrical columns of erectile tissue.

d.

The corpus spongiosum expands into a cone of erectile tissue called the glans.

 
4.   When performing a genital examination on a 25-year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information, the nurse would:
a.

Squeeze the glans to check for the presence of discharge.

b.

Consider this finding as normal, and proceed with the examination.

c.

Assess the testicles for the presence of masses or painless lumps.

d.

Obtain a more detailed history, focusing on any scrotal abnormalities the patient has noticed.

 
5.   Which statement concerning the testes is true?
a.

The lymphatic vessels of the testes drain into the abdominal lymph nodes.

b.

The vas deferens is located along the inferior portion of each testis.

c.

The right testis is lower than the left because the right spermatic cord is longer.

d.

The cremaster muscle contracts in response to cold and draws the testicles closer to the body.

  
6.   A male patient with possible fertility problems asks the nurse where sperm is produced. The nurse knows that sperm production occurs in the:
a.

Testes.

b.

Prostate.

c.

Epididymis.

d.

Vas deferens.

 
7.   A 62-year-old man states that his physician told him that he has an “inguinal hernia.” He asks the nurse to explain what a hernia is. The nurse should:
a.

Tell him not to worry and that most men his age develop hernias.

b.

Explain that a hernia is often the result of prenatal growth abnormalities.

c.

Refer him to his physician for additional consultation because the physician made the initial diagnosis.

d.

Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.

     8.   The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying:
a.

“Puberty usually begins around 15 years of age.”

b.

“The first sign of puberty is an enlargement of the testes.”

c.

“The penis size does not increase until about 16 years of age.”

d.

“The development of pubic hair precedes testicular or penis enlargement.”

9.   During an examination of an aging man, the nurse recognizes that normal changes to expect would be:
a.

Enlarged scrotal sac.

b.

Increased pubic hair.

c.

Decreased penis size.

d.

Increased rugae over the scrotum.

 
10.   An older man is concerned about his sexual performance. The nurse knows that in the absence of disease, a withdrawal from sexual activity later in life may be attributable to:
a.

Side effects of medications.

b.

Decreased libido with aging.

c.

Decreased sperm production.

d.

Decreased pleasure from sexual intercourse.


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