Each kidney contains about a million and stored in the pituitary gland

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Disorders of the Genitourinary System Questions

Question 1 of 5

Each kidney contains about a million and stored in the pituitary gland

Correct Answer: A

Rationale: The correct answer is A: ADH plays a key role in the homeostatic filtration apparatus called the process called osmoregulation. ADH, or antidiuretic hormone, regulates water balance by controlling the permeability of the collecting duct in the kidney nephrons. This controls the concentration of urine produced. The other choices, B and C, refer to specific parts of the kidney tubules and are not related to the role of ADH in osmoregulation. Choice D is incomplete and does not provide any relevant information. Therefore, A is the correct choice as it directly relates to the function of ADH in maintaining water balance within the body.

Question 2 of 5

The commonest type of ureteric calculus is

Correct Answer: A

Rationale: The correct answer is A: calcium oxalate. This is because calcium oxalate stones are the most common type of ureteric calculus, accounting for around 75% of cases. They form due to an excess of calcium and oxalate in the urine. Triple phosphate stones (choice B) are more commonly found in the bladder and are associated with urinary tract infections. Urate stones (choice C) are less common and typically seen in patients with gout or acidic urine. Cysteine stones (choice D) are rare and usually seen in patients with a genetic disorder affecting cysteine metabolism.

Question 3 of 5

The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying:

Correct Answer: C

Rationale: The correct answer is C because the first sign of puberty in boys is typically an enlargement of the testes due to increased testosterone production. This occurs around age 10-14. Choice A is incorrect as puberty usually begins around 10-14 years of age. Choice D is incorrect as penis growth usually starts during puberty, not at 16.

Question 4 of 5

When the nurse is performing a genital examination on a male patient, which action is correct?

Correct Answer: B

Rationale: The correct answer is B: Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament. This is the correct action during a male genital examination as it helps assess for any abnormalities or signs of infection in the lymphatic system. Palpating the lymph nodes allows the nurse to identify any swelling, tenderness, or enlargement which could indicate underlying health issues. The other choices are incorrect because: A: Auscultating for a bruit over the scrotum is not a standard practice during a genital examination and is not relevant to assessing male genital health. C: Palpating the inguinal canal only if a bulge is present is incorrect as palpating the inguinal canal should be done regardless of the presence of a bulge to check for hernias. D: Having the patient shift his weight is not a standard procedure during a genital examination and is not relevant to assessing male genital health.

Question 5 of 5

When the nurse is performing a testicular examination on a 25-year-old man, which finding is considered normal?

Correct Answer: C

Rationale: The correct answer is C because testes that feel oval, movable, and slightly sensitive to compression are considered normal during a testicular examination in a 25-year-old man. This finding indicates normal testicular anatomy and function. Rationale: 1. Oval shape: Normal testes are typically oval in shape. 2. Movable: Normal testes should be able to move slightly within the scrotum. 3. Sensitive to compression: Slight sensitivity to compression is normal due to the presence of nerves and blood vessels in the testes. Summary of other choices: A: Nontender subcutaneous plaques - Not normal; could indicate conditions like Peyronie's disease. B: Scrotal area that is dry, scaly, and nodular - Not normal; could suggest dermatological conditions or infections. D: Single, hard, circumscribed, movable mass 1 cm under the surface of the testes - Not normal; could be indicative of a test

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