Author Question: Which is the usual presenting symptom for testicular cancer? a. Hard, painful mass b. Hard, ... (Read 117 times)

washai · **on:** Jun 28, 2018

Which is the usual presenting symptom for testicular cancer?

a. Hard, painful mass
b. Hard, painless mass
c. Epididymis easily palpated
d. Scrotal swelling and pain

Question 2

A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The nurse's discussion of this should be based on which statement?

a. This is usually benign and temporary.
b. This is usually caused by Klinefelter syndrome.
c. Administration of estrogen effectively reduces gynecomastia.
d. Administration of testosterone effectively reduces gynecomastia.

mohan · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
The usual presenting symptom for testicular cancer is a heavy, hard, painless mass that is either smooth or nodular and palpated on the testes. A hard, painful mass, an epididymis easily palpated, and scrotal swelling and pain are not the clinical presentations of testicular cancer.

Answer to Question 2

ANS: A
The male breast responds to hormonal changes. Some degree of bilateral or unilateral breast enlargement occurs frequently in boys during puberty. Although individuals with Klinefelter syndrome can have gynecomastia, it is not a common cause for male breast enlargement. Estrogen is not a therapy for gynecomastia. Administration of testosterone has no benefit for gynecomastia and may aggravate the condition.