the following medications would be contraindicated?

Alprostadil (Caverject).

Topical testosterone (AndroGel).

Subcutaneous pellet testosterone (Testopel).

Sildenafil (Viagra).

Question 6 A 51-year-old male requests a prescription for sildenafil (Viagra). He says that the only medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has diabetes which is controlled with diet alone. What should the nurse practitioner tell him?

“Because of your history of diabetes, we can’t use it.”

“I’d better refer you to a urologist.”

“Let’s try a sample and see how you do.”

“Viagra is contraindicated with isosorbide mononitrate; let’s discuss other options.”

Question 7 A 52-year-old male patient is in a new relationship and is not sure whether his erectile dysfunction is organic or is caused by stress about his performance. What simple test could the clinician suggest to determine if he has the ability to have an erection?

Serum prostate-specific antigen (PSA).

Intracavernous injection.

Penile duplex ultrasonography.

Nocturnal penile tumescence and rigidity (NPTR) test.

Question 8 A 72-year-old unmarried, sexually active man, presents to the clinic with complaints of hesitancy, urgency, and occasional uncontrolled dribbling. Although the nurse practitioner suspects benign prostatic hyperplasia, what else should the differential diagnosis include?

Detrusor hyperreflexia.

Urethral stricture.

Antihistamine use.

Renal calculi.

Question 9 A 72-year-old male presents to the office for follow-up of several episodes of orthostatic hypotension. After obtaining a review of systems and a digital rectal examination, it also appears that he has benign prostatic hyperplasia (BPH) with lower urinary tract symptoms. The nurse practitioner reviews his recent ultrasound evaluation, which reports a prostate volume of over 40 mL, and the results of the American Urological Association (AUA) symptom index for BPH, which shows his score to be 12. Based on the preceding information and the patient’s desire for noninvasive medical therapy, what management should he be offered?

Doxazosin (Cardura).

Phenoxybenzamine (Dibenzyline).

Prazosin (Minipress).

Finasteride (Proscar).

NR511 Week 7 Quiz Latest Question 10 A 62-year-old male has a low International Prostate Symptom Score for lower urinary tract symptoms associated with his benign prostatic hyperplasia (BPH). The nurse practitioner should recommend:

Balloon dilation.

Immediate referral to urology.

No treatment at this time.

Starting an alpha blocker.

Question 11 A 58-year-old male has been diagnosed with erectile dysfunction and says that a friend told him about a method that uses a constricting ring around the base of the penis. What is he referring to?

Urethral suppositories.

Surgery.

An external vacuum device.

Intracavernous injection therapy.

Question 12 Regular testicular self-exams have not been studied enough to show if they lower the risk of dying from testicular cancer. This is why the American Cancer Society and other agencies do not have a recommendation about regular testicular self-exams for all men. Still, some practitioners do recommend that all men examine their testicles monthly after reaching puberty. In teaching a patient how to do a testicular self-examination, which of the following should the clinician advise?

“Make sure your hands are dry to create friction.”

“Examine your testicles when you are cold because this makes them more sensitive.”

“If you feel firmness above and behind the testicle, make an appointment.”

“Make an appointment if you note any hard lumps directly on the testicle, regardless of whether they are tender.”

Question 13 A 32-year-old male presents with complaints of a scrotal mass; however, the scrotum is so edematous that it is difficult to assess. How would the nurse practitioner (NP) best determine whether the condition is a hernia or a hydrocele?

Bowel sounds may be heard over a hernia.

With a hydrocele, a bulge appears on straining.

The NP can transilluminate a hernia.

The NP can always return a hernia’s contents to the abdominal cavity.

NR511 Week 7 Quiz Latest Question 14 A 54-year-old male is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:

Parkinson disease.

Diabetes mellitus.

Multiple sclerosis.

Epilepsy.

Question 15 A 63-year-old man presents to your office with hematuria, hesitancy, and dribbling. Digital rectal examination (DRE) reveals a smooth, moderately enlarged prostate. The client’s prostate-specific antigen (PSA) is 1.2. What is the most appropriate management strategy at this time?

Recommending saw palmetto extract.

Referring the client to urology.

Prescribing an alpha-adrenergic blocker.

Prescribing an antibiotic. NR511 Week 7 Quiz Latest

MORE INFO 

Unilateral scrotal pain

Introduction

Scrotal pain is a common problem, and can have many causes. Scrotal pain can be unilateral (just one side) or bilateral (on both sides). Unilateral scrotal pain may also cause discomfort during sex, but it’s unlikely to be painful.

Right testicle

Pain in the right testicle can be caused by an epididymal cyst, a varicocele (a bulging vein), or a hydrocele.

• Epididymal cysts are sac-like growths on the scrotum that occur when fluid builds up inside your testicles. They’re common and benign; however, they may cause pain if one becomes infected or ruptures.

• Varicoceles are swollen veins in your spermatic cord that contain blood from each testis and drain into the inguinal canal through small channels called vasa vasorum (singular: vasa vasorum). If there’s too much pressure on these veins, they may become distended and cause pain along their course toward the groin.

Left testicle

The left testicle is larger than the right, which can make it harder for a person to feel when their testicles are hurting.

The left testicle hangs lower in relation to your body, so it’s more sensitive to temperature changes and pressure on it.

Acute pain

Acute pain is sudden and severe. It’s caused by trauma, infection or inflammation. The pain may be sharp or dull. In the case of injury or infection, there may be constant symptoms or intermittent ones.

Chronic pain

Chronic pain is defined as a condition that lasts for more than three months, and it can be a sign of a serious condition. Chronic pain may be caused by many different things, including:

• A herniated disc in the back or neck (a bulging disc)

• Arthritis around your joints (arthritis)

• An infection in your urinary tract (cystitis)

Inguinal hernia

Inguinal hernia is a bulge of tissue that forms in the groin. It’s usually painless, but can occasionally be painful. A lump or bulge in your groin may look like an inguinal hernia—but it’s not always the same thing!

A unilateral scrotal pain is one that only appears when you’re standing up, or sitting down. This means there will be no symptoms while lying down at night.

Varicocele

Varicocele is a varicose vein in the scrotum. It can be caused by an injury to the testicles or scrotal tissue, as well as hormonal imbalances and other medical conditions. These factors may also cause pain in your scrotum.

If you have unilateral scrotal pain with no apparent cause, it’s important to see your doctor right away because this condition may need treatment right away. In some cases, surgery may be needed if there are large varices (blood vessels) present; otherwise medication will usually suffice to control symptoms until they resolve on their own over time without surgery being necessary at all—but only after checking in with your doctor first!

Epididymitis/orchitis

Epididymitis is an inflammation of the epididymis, which is a coiled tube located in the scrotum. It can be caused by infection, trauma, vasectomy or other surgical procedures. Orchitis is an inflammation of one or both testicles that may cause pain and swelling on the affected area.

The most common causes of unilateral scrotal pain include epididymitis/orchitis (inflammation of either one or both testicles), infections such as gonorrhea (Strep throat) and tuberculosis; injury to one or more nerves supplying blood vessels to your penis; trauma from bicycle accidents; cancerous tumors pressing against nearby nerves causing discomfort when you move around too much during exercise sessions that put stress on those areas without enough rest between workouts so they’re not able to recover properly due to lack of time spent recuperating between workouts instead spending all day working out at home where no one else will see them unless someone comes over unexpectedly like mommy did yesterday after work – she didn’t even ask me first!”

Spermatic cord torsion

Spermatic cord torsion is a rare condition that can be treated with surgery. Symptoms include sudden onset of pain, swelling and discoloration in the scrotum. Physical examination will reveal a tender mass in the scrotum. Treatment is surgical by freeing the spermatic cord from its attachments to other structures and reconstructing it back into its normal position. This may be done through an operation or by non-surgical methods such as placing splints on either side of your testicles so they don’t move around too much while you’re sleeping (this also helps reduce swelling). If antibiotics are needed, they should be prescribed immediately after surgery but not before because they might interfere with healing or cause other problems if taken too close together in time frame (within 1 week).

Unilateral scrotal pain can be caused by a number of different problems.

Unilateral scrotal pain can be caused by a number of different problems. The most common cause of unilateral testicular pain is a hernia. If you have this condition, then your testicle may be trapped in the inguinal canal and cause pain on one side only or both sides at the same time.

Other causes include varicocele (an enlarged vein), epididymitis/orchitis (inflammation), spermatic cord torsion

Conclusion

You can get a lot of help with your scrotal pain by visiting a doctor. They’ll be able to diagnose the problem and give you some treatment options if it turns out that there is an underlying condition, such as testicular cancer or varicocele. If you’re concerned about scrotal pain and want more information on what causes it, don’t hesitate to talk with your doctor!