A nurse is providing education to a group of male adolescents about testicular disorders.
Which statement by the nurse accurately describes the pathophysiology of testicular torsion?
"Testicular torsion occurs when the veins within the scrotum become enlarged due to faulty valves.”
"Testicular torsion results from mutations in genes like the KIT gene, which leads to cancerous growth in the testicles.”
"Testicular torsion happens when the spermatic cord twists, causing compromised blood flow to the affected testicle.”
"Testicular torsion is primarily caused by an abnormal attachment of the testicle within the scrotum.”
The Correct Answer is C
Choice A rationale:
Testicular torsion is not caused by faulty valves or enlarged veins within the scrotum.
It involves the twisting of the spermatic cord, which leads to compromised blood flow to the testicle.
Choice B rationale:
Testicular torsion is not related to gene mutations like the KIT gene or cancerous growth in the testicles.
It is a separate condition with a different pathophysiology.
Choice C rationale:
This is the correct statement.
Testicular torsion occurs when the spermatic cord twists, leading to the compromised blood flow to the affected testicle.
This can result in severe pain and potential tissue damage if not promptly treated.
Choice D rationale:
Abnormal attachment of the testicle within the scrotum is not the primary cause of testicular torsion.
The twisting of the spermatic cord is the key factor in this condition.
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Related Questions
Correct Answer is A
Explanation
Choice B rationale:
Orchidopexy is a surgical procedure to correct undescended testicles.
It involves moving an undescended testicle into the scrotum and fixing it in place.
This procedure is not used for testicular cancer.
Choice C rationale:
Varicocelectomy is a surgical procedure used to treat a varicocele, which is the enlargement of veins within the scrotum.
It is not the correct term for the surgical removal of a testicle.
Choice D rationale:
Prostatectomy is the surgical removal of the prostate gland and is not related to the treatment of testicular cancer.
In the case of testicular cancer, the medical term for the surgical removal of the affected testicle is orchiectomy (Choice A).
This procedure may be performed to treat testicular cancer and prevent its spread to the other testicle or other parts of the body.
Correct Answer is C
Explanation
Choice A rationale:
Varicocele.
Varicocele is unlikely to cause sudden and severe testicular pain with swelling and tenderness.
While it can cause discomfort, it typically does not present with such acute symptoms.
Choice B rationale:
Testicular cancer.
Testicular cancer can cause testicular pain and swelling, but it is not typically associated with the sudden and severe pain described in the scenario.
Additionally, the absence of the cremasteric reflex is not a common feature of testicular cancer.
Choice C rationale:
Testicular torsion.
This is the correct answer.
Testicular torsion is a medical emergency characterized by the twisting of the spermatic cord, leading to a sudden and severe testicular pain, along with swelling and tenderness.
The absence of the cremasteric reflex is a notable clinical sign of testicular torsion.
Choice D rationale:
Epididymitis.
While epididymitis can cause testicular pain and tenderness, it usually develops more gradually and is often associated with infection.
The sudden and severe nature of the pain described in the scenario is more indicative of testicular torsion.
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