NR 509 Final Exam With Correct
Answers and Rationale Latest
2023 100% CORRECT Graded A+
A young man feels something in his scrotum and comes to you for clarification. On your
examination, you note what feels like a "bag of worms" in the left scrotum, superior to the
testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
Varicocle
Varicoceles are common in normal men. They are often found in the left scrotum or
bilaterally and should normally resolve in the supine position. This is because they represent
varicosities within the scrotum. These require further investigation if they occur only on the
right side or do not resolve in the supine position. They can contribute to infertility because
the testicles are unable to achieve a cool enough temperature for sperm production, due to
increased blood flow from the varicocele. A hydrocele would be a painless mass
spermatic cord and the vas deferens is palpated as part of the spermatic cord. You should
lightly pinch the scrotum medially and move laterally until you feel the spermatic cord pass
between your fingers.
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