A nurse is performing an assessment on a male patient with suspected testicular disorders.
Which clinical findings are associated with testicular torsion? Select all that apply.
Swelling and enlargement of scrotum.
Severe, sudden-onset testicular pain.
Warmth and erythema of the scrotal area.
Absence of a cremasteric reflex.
A palpable mass within the scrotum.
Correct Answer : B,D,E
Choice A rationale:
Swelling and enlargement of the scrotum are not typically associated with testicular torsion.
In fact, testicular torsion often presents with a high-riding, tender testicle and a higher position of the affected testicle, rather than swelling and enlargement.
Choice B rationale:
This is a correct finding associated with testicular torsion.
Severe, sudden-onset testicular pain is a hallmark symptom of this condition due to the compromised blood flow to the testicle.
Choice C rationale:
Warmth and erythema of the scrotal area are not commonly seen in testicular torsion.
These symptoms are more indicative of inflammatory conditions rather than testicular torsion.
Choice D rationale:
Absence of a cremasteric reflex is associated with testicular torsion.
The cremasteric reflex is typically absent on the side of the torsion due to the disruption of nerve signals.
Choice E rationale:
A palpable mass within the scrotum can be a sign of testicular torsion, particularly if the torsion has led to testicular swelling and distortion of the normal anatomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
Encourage regular physical activity.
Regular physical activity is an essential preventive measure to reduce the risk of testicular disorders.
Engaging in physical activity helps maintain overall health and promotes good circulation, which can contribute to the well-being of the testicles.
Encouraging young men to stay physically active can help reduce the risk of certain testicular disorders, such as testicular cancer.
Choice B rationale:
Promote the use of protective gear during sports.
Promoting the use of protective gear during sports is crucial for preventing testicular injuries.
Protective gear, such as cups or jockstraps, can provide a physical barrier that helps protect the testicles from blunt trauma or injury during physical activities.
Using protective gear significantly reduces the risk of testicular disorders related to sports-related injuries.
Choice C rationale:
Stress the importance of early detection through self-examination.
Early detection of testicular disorders is vital for successful treatment outcomes.
Educating young men about the importance of regular testicular self-examination can help identify abnormalities or changes in the testicles early on.
Testicular self-examination allows individuals to detect potential issues, such as lumps or masses, which could be indicative of testicular cancer or other disorders.
Early detection can lead to prompt medical intervention and improved prognosis.
Choice D rationale:
Advocate for genetic testing.
Genetic testing is not a primary preventive measure for testicular disorders.
While genetics can play a role in some cases, such as a family history of testicular cancer, it is not a measure that can be emphasized as a general preventive strategy for all young men.
Genetic testing may be considered in specific situations based on individual risk factors but should not be a standard preventive recommendation for the entire population.
Choice E rationale:
Recommend routine use of analgesics.
Routine use of analgesics is not a preventive measure for testicular disorders.
While analgesics may help manage pain associated with certain conditions, they do not address the underlying causes or prevent the development of testicular disorders.
Recommending analgesics as a preventive measure is not appropriate and does not address the primary strategies for reducing the risk of these disorders.
Correct Answer is C
Explanation
Choice A rationale:
Hormonal imbalances in the testicular veins.
This choice is not the primary pathophysiological mechanism underlying varicocele.
While hormonal imbalances can contribute to various reproductive issues, they are not the primary cause of varicocele.
Varicocele is primarily a vascular disorder involving the dilation of scrotal veins.
Choice B rationale:
Mutations in the KIT gene leading to tissue growth.
Mutations in the KIT gene are not associated with varicocele.
Varicocele is mainly related to venous dilation, not tissue growth due to genetic mutations.
Choice C rationale:
Dilation of scrotal veins due to faulty valves.
This is the correct answer.
Varicocele occurs when the valves within the testicular veins fail to function correctly, leading to the dilation and enlargement of these veins.
This increased pressure in the veins can result in scrotal pain and other symptoms commonly associated with varicocele.
Choice D rationale:
Obstruction of the spermatic cord blood flow.
While varicocele can affect blood flow in the spermatic cord, it is not primarily caused by the obstruction of blood flow.
The main issue is the faulty valves in the scrotal veins that lead to venous dilation and increased pressure.
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