Solution:

Question 1

1 / 1 pts

A patient’s chief complaint is pain and heaviness in the scrotum. The nurse practitioner notes swelling of the testes, along with warm scrotal skin. Which of the following diagnoses is most probable?

Cryptorchidism.

Epididymitis.

Orchitis.

Testicular torsion.

Orchitis refers to an acute, painful onset of swelling of the testicle accompanied by warm scrotal skin. The client usually complains of a heavy feeling in the scrotum. It is typically unilateral but after 1 week may progress to the other testicle.

Question 2

1 / 1 pts

A male patient presents to the clinic for evaluation of infertility. Subjectively, the patient complains of pain and fullness of the testes and states, “My testicles feel like a bag of worms.” On physical examination, the nurse practitioner notes tortuous veins posterior to and above the testes that extend up into the external inguinal ring. Based on the preceding assessment, the nurse practitioner refers the patient to urology with a diagnosis of:

Orchitis.

Varicocele.

Hydrocele.

Urethritis.

A varicocele is an abnormal degree of venous dilation of the pampiniform plexus in the spermatic cord above the testes, which results in pain and swelling. A patient often describes the sensation as feeling like a “bag of worms.”