The symptom that suggests human papillomavirus (HPV) infection in males is:
testicular swelling.
penile warts.
testicular pain.
erectile dysfunction
The Correct Answer is B
Rationale:
A. Testicular swelling is not a typical sign of HPV infection; it may indicate other conditions such as epididymitis or hydrocele.
B. Penile warts are the hallmark symptom of HPV infection in males. They can appear as small, flesh-colored or gray growths on the penis, scrotum, or surrounding areas and are often painless.
C. Testicular pain is not a common manifestation of HPV and usually suggests other urologic conditions.
D. Erectile dysfunction is unrelated to HPV infection and is influenced by psychological, vascular, or hormonal factors rather than viral infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Oxybutynin (Ditropan XL) is used primarily for bladder overactivity and may be considered earlier than third-line therapy depending on the patient’s symptoms.
B. Desmopressin acetate (DDAVP) is usually first-line pharmacologic therapy for primary nocturnal enuresis, particularly when fluid restriction and behavioral strategies have failed.
C. Tolterodine (Detrol) is another anticholinergic used for overactive bladder but is generally not considered third-line for uncomplicated enuresis.
D. Imipramine (Tofranil), a tricyclic antidepressant, is considered third-line therapy for enuresis due to its potential for significant side effects, including cardiac toxicity in overdose. It is reserved for patients who do not respond to behavioral strategies and first-line medications.
Correct Answer is C
Explanation
Rationale:
A. Bowel cleansing may be considered if constipation is contributing, but it is not the standard next step when behavioral strategies alone fail.
B. Urinalysis is useful for ruling out underlying urinary tract infections or diabetes but is typically performed earlier in the evaluation process.
C. A bedwetting alarm is a first-line second-step intervention after behavioral modifications have not produced improvement. It conditions the child to wake in response to bladder fullness and has demonstrated efficacy in reducing nocturnal enuresis.
D. Referral to a pediatric urologist is generally reserved for refractory cases, underlying anatomic abnormalities, or complicated presentations, not as the immediate next step after failed behavioral therapy.
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