NUR2180 | NUR 2180 Physical
Assessment Modules 5 – 8 Exam Study
Guide | Rated A+ | Rasmussen
Physical exam male infants - Correct Answer - perform after abd exam.
Foreskin tight for first 3 months and should not be retracted.
Cryptorchidism (undescended testes common in premature infants)
Physical exam male adolescents - Correct Answer - Puberty starts
between 9 1/2 to 13 1/2 first sign is enlargement of testes. next pubic
hair then penis size.
Physical exam male aging - Correct Answer - Inspect and palpate Penis
- wrinkled, hairless without lesion. Dorsal vein apparent. Compress the
glans, should be pink, smooth without discharge.
Inspect and Palpate Scrotum- Asymmetry normal with left scrotal half
lower than right. No lesions other than cysts firm nontender sebaceous
cysts. Smooth nontender cord.
Scrotal lump - Correct Answer - Mass - Tenderness?
distal or proximal to testes?
Can you place your fingers over it?
Does it reduce with lying down?
Auscultate bowl sounds?
,varicocele - Correct Answer - a dilated tortuous varicose vein in
spermatic cord due to incompetent valves in the vein. Most often left
side. Dull pain constant pulling or dragging feeling. Soft irregular mass
post and above testes. Bag of worms.
spermatocele - Correct Answer - Painless, retention cyst in epididymis.
poss obstruction of tubules. round freely moveable mass may feel like a
third testes.
testicular tumor - Correct Answer - Painless, occur between 18 and 35.
All are malignant. Whites. Must Bx to confirm. Risk factor undescended
testis.. Palpable node.
hydrocele - Correct Answer - Painless swelling.Circumscribed collection
of seous fluid in tunicA VAGINALIS surrounding testes. weight and bulk
in scrotum. enlarged mass does tranilluminate.
indirect inguinal hernia - Correct Answer - Sac herniated through internal
inguinal ring, can remain in canal or pass into scrotum. Pain with
straining. most common. infants< 1 yrs and age 16 to 20.
direct inguinal hernia - Correct Answer - Directly behind and through
external inguinal ring. rarely enters scrotum. painless, round swelling
close to pubis. reduced with supine. acquired weakness. Heavy lifting,
obesity, chronic cough.
,femoral hernia - Correct Answer - Through femoral ring. More often right
side. Pain may be severe . May become strangulated. Less common.
frequent stooping.
Herpes infection male - Correct Answer - Clusters of small vesicles with
surrounding erythema which is often painful.initial infection lasts 7 to 10
days.
syphilis males - Correct Answer - A small solitary silvery papule that
erodes to a red round superficial ulcer with yellowish drainage. lymph
nodes enlarge. can be treated with PCN. untreated leads to cardiac and
neurologic problems. and blindness.
genital warts males - Correct Answer - Soft, pointed, moist fleshyu
painless papules may be single or multiple. shaft and anus. HPV most
common STD.
carcinoma males - Correct Answer - Red raised warty growth or ulcer
with watery discharge. may necrose and slough. on Glans or inner
foreskin.l and following chronic inflammation. enlarged lymph nodes.
urethritis males - Correct Answer - Painful burning on urination. Meatus
edges are reddened. purulent discharge. 50% caused by chlamydia
infection.
, Adolescent female history - Correct Answer - When did you........?
Age 9 - 10 breast development/pubic hair.
Have you started your period?
Who do you talk to about body changes?
Intercourse?
Have you talked about STD?
HPV vaccine? ages 9 - 26
Length of anal canal and rectum in adult and location - Correct Answer -
12 cm long the distal portion of large intetines. extends from sigmoid
colon at level of third sacral vertebrae and ends at anal canal.
Constipation - Correct Answer - Reduced stool frequency, less than 3
BM per week. straining lumping or hard stool
Hemorrhoids, - Correct Answer - Thrombosed becomes painful and
swollen, shiny blue mass that itches and bleeds.
Melena - Correct Answer - Black tarry stool due to occult blood from GI
bleeding or non tarry from iron intake.
insoluble high fiber foods. - Correct Answer - Cereal, wheat germ
(reduce risk of colon cancer, fight obesity, blood sugar)
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