Answer to Question 1
ANS: B
Most varicoceles are asymptomatic, but the patient may complain of a dull ache, fullness, pain that does not radiate, or pulling to the affected side of the scrotum. If the varicocele is large enough, it typically results in scrotal swelling that is noticeable to the patient, along with a bluish discoloration beneath the scrotal skin. Primary or secondary male infertility may be the presenting symptom. The varicocele can be exaggerated during physical examination by asking the patient to perform the Valsalva maneuver while standing; any distention of the pampiniform plexus should disappear when the patient lies down.
Answer to Question 2
ANS: C
Generally seen in uncircumcised males or a very obese male with a retracted penis, balanitis is an inflammation of the glans, commonly caused by a Candida albicans infection. Men with poorly controlled diabetes mellitus are at particular risk for balanitis, as are morbidly obese patients who demonstrate a retractile penis as a result of their body habitus.
Landmarks of the Left Tympanic Membrane
Pattern for Tactile Fremitus, Left Lateral Thorax
Nurse palpating the patient's brachial artery
Patient Physical Status Classification
Brain metabolism in a schizophrenic individual (left) and a normal individual (right). These scans o