NR 509 ADVANCED PHYSICAL ASSESMENT FINAL EXAM STUDY QUESTIONS AND ANSWERS LATEST UPDATED CHAMBERLAIN UNIVERSITY

1. Multiple processes must take place in order for a male to sustain an erection. Various
cues stimulate sympathetic outflow from higher brain centersto the T11–L2 levels of the
spinal cord and parasympathetic outflow from S2 to S4 reflex arcs. Local vasodilatation
within the penis erectile tissue results from increased levels of which of the following?
Ans: Nitric oxide (NO) and cyclic guanosine monophosphate (cGMP)
2. The human papillomavirus (HPV) can cause genital warts in males and females as well as
cervical cancer in females. Vaccination against HPV is available and should be offered to
males between what ages?
Ans: 9–21 years
3. A 32-year-old male complains of a painless, cystic mass just above his left testicle. During
the physical examination, a strong flashlight is placed behind the scrotum through the
area in question and transillumination is noted. What is the most likely diagnosis?
Ans: Spermatocele
4. A 25-year-old graduate student presentsto the clinic complaining ofscrotal pain, which
has been increasing over the past 2 days. He is sexually active and has had unprotected
intercourse with multiple partners in the past couple of weeks. On examination, some
mild to moderate swelling of the scrotum on the right and tenderness with palpation of
the right testicle are notes. What is the most likely diagnosis?
Ans: Acute epididymitis
5. A 32-year-old elementary teacher requests a workup for infertility. He and his wife have
been trying to conceive for the last 2 years. He reports that his wife has been evaluated
and does not appear to have any infertility issues. The overall examination does not
reveal any significant abnormalities. He is of average height and weight and has normal
secondary sex characteristics of the genitalia. Of the following, which would be most
likely be abnormal and causing male infertility?