Question 1

In the 95% of boys with delayed puberty, the problem is caused by which condition?

Accepted Answer

A) Disruption in the hypothalamus 
B) Disruption of the pituitary 
C) Deficit in estrogen or testosterone 
D) Physiologic hormonal delays 
A) Disruption in the hypothalamus 
B) Disruption of the pituitary 
C) Deficit in estrogen or testosterone 
D) Physiologic hormonal delays D

Question 2

A 7-year-old child has cryptorchidism. What action by the healthcare professional is most appropriate?

Accepted Answer

A) Educate the child and parents on orchiectomy. 
B) Instruct the parents to give the child all the antibiotics. 
C) Describe skin precautions used during radiation therapy. 
D) Describe the correct administration of GnRH. 
A) Educate the child and parents on orchiectomy. 
B) Instruct the parents to give the child all the antibiotics. 
C) Describe skin precautions used during radiation therapy. 
D) Describe the correct administration of GnRH. D

Question 3

A student reads in a chart that a child has been diagnosed with mixed precocious puberty and asks for an explanation. What explanation by the healthcare professional is most accurate?

Accepted Answer

A) When a child develops some secondary sex characteristics of the opposite sex 
B) When a child does not develop any identifiable external sex organs 
C) When early puberty occurs due to multiple, integrated causative effects 
D) When early puberty has signs of physical and hormonal abnormalities 
A) When a child develops some secondary sex characteristics of the opposite sex 
B) When a child does not develop any identifiable external sex organs 
C) When early puberty occurs due to multiple, integrated causative effects 
D) When early puberty has signs of physical and hormonal abnormalities A

Question 4

A healthcare professional is educating a community men's group about prostate cancer. What information should the professional include in the presentation? (Select all that apply.)

Accepted Answer

A) It ranks second to lung cancer as being most common among American men. 
B) A familial history of prostate cancer is a risk factor. 
C) Dietary habits seem to play a role in its development. 
D) African-American men have an increased risk for its development. 
E) Being over 65 years of age increases the risk for developing prostate cancer. 
A) It ranks second to lung cancer as being most common among American men. 
B) A familial history of prostate cancer is a risk factor. 
C) Dietary habits seem to play a role in its development. 
D) African-American men have an increased risk for its development. 
E) Being over 65 years of age increases the risk for developing prostate cancer.

Question 5

What is the first sign of puberty in boys?

Accepted Answer

A) Thickening of the scrotal skin 
B) Growth of pubic hair 
C) Enlargement of the testes 
D) Change in voice 
A) Thickening of the scrotal skin 
B) Growth of pubic hair 
C) Enlargement of the testes 
D) Change in voice

Question 6

Which information about urethritis does the student learn? (Select all that apply.)

Accepted Answer

A) A purulent drainage may be present. 
B) A clear mucus-like discharge may be present. 
C) Symptoms include urethral tingling and itching or burning on urination. 
D) A 24-hour urine test is required to diagnose the disorder. 
E) Treatment includes appropriate antibiotic therapy. 
A) A purulent drainage may be present. 
B) A clear mucus-like discharge may be present. 
C) Symptoms include urethral tingling and itching or burning on urination. 
D) A 24-hour urine test is required to diagnose the disorder. 
E) Treatment includes appropriate antibiotic therapy.

Question 7

A man has balanitis. What action by the healthcare professional is most appropriate?

Accepted Answer

A) Educate the man on the side effects of chemotherapy. 
B) Perform a finger stick for a blood glucose reading. 
C) Administer pain medication before retracting the foreskin. 
D) Prepare the man for a needle aspiration of the corpus. 
A) Educate the man on the side effects of chemotherapy. 
B) Perform a finger stick for a blood glucose reading. 
C) Administer pain medication before retracting the foreskin. 
D) Prepare the man for a needle aspiration of the corpus.

Question 8

Which age group should be targeted for testicular cancer education and screening?

Accepted Answer

A) 15 to 35 year olds 
B) 20 to 45 year olds 
C) 30 to 55 year olds 
D) 45 to 70 year olds 
A) 15 to 35 year olds 
B) 20 to 45 year olds 
C) 30 to 55 year olds 
D) 45 to 70 year olds

Question 9

A healthcare professional sees a patient in the clinic who reports that his foreskin cannot be retracted back over the glans penis. What term does the professional use to document this condition?

Accepted Answer

A) Paraphimosis 
B) Priapism 
C) Prephimosis 
D) Phimosis 
A) Paraphimosis 
B) Priapism 
C) Prephimosis 
D) Phimosis

Question 10

A student in the medical clinic is reviewing a patient's medical record and sees the diagnosis of Peyronie's disease and asks the healthcare professional for an explanation of this disorder. What statement by the professional is most accurate?

Accepted Answer

A) When the man's foreskin is retracted and cannot go back over the glans 
B) When the man's foreskin cannot be retracted over the glans penis 
C) A very painful condition of prolonged erection seen in some diseases 
D) A fibrotic condition that leads to curvature of the penis and sexual dysfunction 
A) When the man's foreskin is retracted and cannot go back over the glans 
B) When the man's foreskin cannot be retracted over the glans penis 
C) A very painful condition of prolonged erection seen in some diseases 
D) A fibrotic condition that leads to curvature of the penis and sexual dysfunction

Question 11

What are the clinical manifestations of testicular cancer?

Accepted Answer

A) Firm, nontender testicular mass 
B) Painful, mobile, firm testicular mass 
C) Painful fluid-filled testicular mass 
D) Soft, nontender testicular mass 
A) Firm, nontender testicular mass 
B) Painful, mobile, firm testicular mass 
C) Painful fluid-filled testicular mass 
D) Soft, nontender testicular mass

Question 12

How does the epididymis become infected?

Accepted Answer

A) The pathogenic microorganisms ascend the vasa deferentia from an already infected urethra or bladder. 
B) The pathogenic microorganisms are attached to sperm that travel through the genital tract. 
C) The pathogenic microorganisms from the tunica vaginalis are transported to the epididymis. 
D) The pathogenic microorganisms from the prostate fluid ascend to the epididymis. 
A) The pathogenic microorganisms ascend the vasa deferentia from an already infected urethra or bladder. 
B) The pathogenic microorganisms are attached to sperm that travel through the genital tract. 
C) The pathogenic microorganisms from the tunica vaginalis are transported to the epididymis. 
D) The pathogenic microorganisms from the prostate fluid ascend to the epididymis.

Question 13

What is the most common infectious cause of orchitis in postpubertal boys?

Accepted Answer

A) Herpes 
B) Escherichia coli 
C) Mumps 
D) Cytomegalovirus 
A) Herpes 
B) Escherichia coli 
C) Mumps 
D) Cytomegalovirus

Question 14

A healthcare professional is educating a community men's group on symptoms of benign prostatic hyperplasia (BPH). The professional relates that most symptoms are a result of which pathophysiologic condition?

Accepted Answer

A) Infection of the prostate 
B) Obstruction of the urethra 
C) Ischemia of the urethra 
D) Compression of the urethra 
A) Infection of the prostate 
B) Obstruction of the urethra 
C) Ischemia of the urethra 
D) Compression of the urethra

Question 15

Priapism has been associated with the abuse of what substance?

Accepted Answer

A) Marijuana 
B) Alcohol 
C) Cocaine 
D) Heroin 
A) Marijuana 
B) Alcohol 
C) Cocaine 
D) Heroin

Question 16

What is the reason breast cancer in men has such a poor prognosis?

Accepted Answer

A) Breast cancer is extremely aggressive in men. 
B) Treatment is usually delayed as a result of late detection. 
C) Chemotherapies are not as effective in men. 
D) Breast tumors tend to be small and hard to isolate. 
A) Breast cancer is extremely aggressive in men. 
B) Treatment is usually delayed as a result of late detection. 
C) Chemotherapies are not as effective in men. 
D) Breast tumors tend to be small and hard to isolate.

Question 17

A man reports to the healthcare professional that he had a sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention. What action by the healthcare professional is most appropriate?

Accepted Answer

A) Assess the man's recent sexual history. 
B) Recommend heat and acetaminophen for back pain. 
C) Prepare the man for prostatic massage. 
D) Assist the man in obtaining a urine sample. 
A) Assess the man's recent sexual history. 
B) Recommend heat and acetaminophen for back pain. 
C) Prepare the man for prostatic massage. 
D) Assist the man in obtaining a urine sample.

Question 18

The risk of which cancer is greater if the man has a history of cryptorchidism?

Accepted Answer

A) Penile 
B) Testicular 
C) Prostate 
D) Epididymal 
A) Penile 
B) Testicular 
C) Prostate 
D) Epididymal

Exam 26: Alterations of the Male Reproductive System

In the 95% of boys with delayed puberty, the problem is caused by which condition?

A 7-year-old child has cryptorchidism. What action by the healthcare professional is most appropriate?

A student reads in a chart that a child has been diagnosed with mixed precocious puberty and asks for an explanation. What explanation by the healthcare professional is most accurate?

A healthcare professional is educating a community men's group about prostate cancer. What information should the professional include in the presentation? (Select all that apply.)

What is the first sign of puberty in boys?

Which information about urethritis does the student learn? (Select all that apply.)

A man has balanitis. What action by the healthcare professional is most appropriate?

Which age group should be targeted for testicular cancer education and screening?

A healthcare professional sees a patient in the clinic who reports that his foreskin cannot be retracted back over the glans penis. What term does the professional use to document this condition?

A student in the medical clinic is reviewing a patient's medical record and sees the diagnosis of Peyronie's disease and asks the healthcare professional for an explanation of this disorder. What statement by the professional is most accurate?

What are the clinical manifestations of testicular cancer?

How does the epididymis become infected?

What is the most common infectious cause of orchitis in postpubertal boys?

A healthcare professional is educating a community men's group on symptoms of benign prostatic hyperplasia (BPH). The professional relates that most symptoms are a result of which pathophysiologic condition?

Priapism has been associated with the abuse of what substance?

What is the reason breast cancer in men has such a poor prognosis?

A man reports to the healthcare professional that he had a sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention. What action by the healthcare professional is most appropriate?

The risk of which cancer is greater if the man has a history of cryptorchidism?

Cellular Biology

Altered Cellular and Tissue Biology: Environmental Agents

The Cellular Environment: Fluids and Electrolytes, Acids and Bases

Genes and Genetic Diseases

Genes, Environment-Lifestyle, and Common Diseases

Epigenetics and Disease

Innate Immunity: Inflammation and Wound Healing

Adaptive Immunity

Alterations in Immunity and Inflammation

Infection

Stress and Disease

Cancer Biology

Cancer Epidemiology

Cancer in Children

Structure and Function of the Neurologic System

Pain, Temperature Regulation, Sleep, and Sensory Function

Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function

Disorders of the Central and Peripheral Nervous Systems and the Neuromuscular Junction

Neurobiology of Schizophrenia, Mood Disorders, and Anxiety Disorders

Alterations of Neurologic Function in Children

Mechanisms of Hormonal Regulation

Alterations of Hormonal Regulation

Obesity and Disorders of Nutrition

Structure and Function of the Reproductive Systems

Alterations of the Female Reproductive System

Sexually Transmitted Infections

Structure and Function of the Hematologic System

Alterations of Erythrocytes, Platelets, and Hemostatic Function

Alterations of Leukocyte and Lymphoid Function

Alterations of Hematologic Function in Children

Structure and Function of the Cardiovascular and Lymphatic Systems

Alterations of Cardiovascular Function

Alterations of Cardiovascular Function in Children

Structure and Function of the Pulmonary System

Alterations of Pulmonary Function

Alterations of Pulmonary Function in Children

Structure and Function of the Renal and Urologic Systems

Alterations of Renal and Urinary Tract Function

Alterations of Renal and Urinary Tract Function in Children

Structure and Function of the Digestive System

Alterations of Digestive Function

Alterations of Digestive Function in Children

Structure and Function of the Musculoskeletal System

Alterations of Musculoskeletal Function

Alterations of Musculoskeletal Function in Children

Structure, Function, and Disorders of the Integument

Alterations of the Integument in Children

Shock, Multiple Organ Dysfunction Syndrome, and Burns in Adults

Shock, Multiple Organ Dysfunction Syndrome, and Burns in Children

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