The school nurse is discussing testicular self-examination with ...

[humphriesbr@me.com]

The school nurse is discussing testicular self-examination with adolescent boys. Why is this important?
 
  a. Epididymitis is common during adolescence.
  b. Asymptomatic sexually transmitted diseases may be present.
  c. Testicular tumors during adolescence are generally malignant.
  d. Testicular tumors, although usually benign, are common during adolescence.

Question 2

A young adolescent boy tells the nurse he feels gawky. The nurse should explain that this occurs in adolescents because:
 
  a. Growth of the extremities and neck precedes growth in other areas.
  b. Growth is in the trunk and chest.
  c. The hip and chest breadth increases.
  d. The growth spurt occurs earlier in boys than it does in girls.

[joshraies]

Answer to Question 1

ANS: C
Tumors of the testes are not common, but when manifested in adolescence, they are generally malignant and demand immediate evaluation. Epididymitis is not common in adolescence. Asymptomatic sexually transmitted disease would not be evident during testicular self-examination. The focus of this examination is on testicular cancer. Testicular tumors are most commonly malignant.

Answer to Question 2

ANS: A
Growth in length of the extremities and neck precedes growth in other areas, and, because these parts are the first to reach adult length, the hands and feet appear larger than normal during adolescence. Increases in hip and chest breadth take place in a few months, followed several months later by an increase in shoulder width. These changes are followed by increases in length of the trunk and depth of the chest. This sequence of changes is responsible for the characteristic long-legged, gawky appearance of early adolescent children. The growth spurt occurs earlier in girls than in boys.