Jenny Liebermann, a 10-day-old infant is brought to the health clinic for a regu

Question

Jenny Liebermann, a 10-day-old infant is brought to the health clinic for a regular follow-up visit. Jeremy was a full-term infant, born by normal vaginal delivery without complications. His hospital stay was uneventful, and he was discharged home with his mother 24 hours after birth. Jeremy is being breast-fed. Jeremy and his parents are Jewish and plan on having Jeremy circumcised according to their religious beliefs. On physical examination of the scrotum, no testis is palpable on the left side. This condition is called: A. Hypospadias B. Hydrocele C. Cryptorchidism D. Phimosis Jeremy undergoes surgical correction for his undescended testis and progresses well with no major medical problems into adolescence. He is now 14 years of age and visits the clinic for a physical examination to play football. While reviewing health promotion habits with Jeremy, the nurse practitioner discovers Jeremy does not practice testicular self-examination. When teaching Jeremy how to perform this procedure, which one of the following should be included? A. The examination should be done at least twice each month. B. The examination should be done after a warm shower or bath when the testes are lower within the scrotum. C. The examination is done by placing the first three fingers of one hand under the scrotum while the first two fingers of the other hand are used to gently feel around each testis. D. On examination the testes should feel smooth, warm, and hard. Jeremy is married at the age of 24 years and comes to the clinic 2 years later because he and his wife not been able to conceive a child. He is worried that he might be infertile. Laboratory results confirm that Jeremy has a low sperm count. Jeremy asks "Why is this result important in fertility?" Which of the following would be your best response? A. A large number of sperm are needed to ensure that many sperm will reach the ovum and dissolve its coating so fertilization can occur. B. Oligospermia is only a temporary condition, usually caused by infection, and once identified and treated, normal fertilization will occur. C. low sperm counts will lead to total absence of sperm production and sterility. D. low sperm counts are the result of incomplete ''ripening'' or maturation of the sperm, and injections of testosterone can correct this condition and enhance fertilization efforts. Jeremy is now 65 years of age and a proud new grandfather. He visits the health clinic at this time with a chief complaint of ''blood in his " His physician suspects a prostate problem. Which of the following findings would be most likely to suggest a diagnosis of prostate cancer? 1. Decreased prostate-specific antigen 2. Increased prostate-specific antigen 3. Prostate on digital rectal examination is large 4. Prostate on digital rectal examination has a hard nodule on the outer right side surface area 5. Prostate on digital rectal examination is smooth and rubbery A. 1 and 3 B. 2 and 4 C. 1 and 4 D. 2 and 5

Explanation / Answer

2. The testicular self examination is done by placing the first three fingers of one hand under the scrtm while the first two finger of the other hand are used to gentely feel around each testis
4. Due to the presence of increase prostrate specific antigen indicate the presence of prostrate cancer.

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