APEA PRACTICE QUESTIONS AND ANSWERS TEST BANK lAPEA practice 1. Answer: he should be referred to the emergency department Two differential diagnosis that must be included with a complaint of sudden, severe scrotal pain are testicular torsion and epididymitis. Historical findings suggestive of testicular torsion are pain following groin trauma, age (adolescence), and sudden onset of symptoms. If testicular torsion is the cause of his pain, immediate referral to the ER/hospital is paramount. Testicular torsion produces ischemia in the affected testis. The viability of the testicle will become compromised if this persists beyond 46 hours. Obtaining an ultrasound will delay treatment. A common assessment finding is a high riding testicle on the affect side occurring secondary to shortening of the spermatic cord. 2. Answer: this can expose you to STDs Sexual activity during pregnancy could cause exposure to an STD or precipitate preterm labor because the lower uterine segment may be physically stimulated. Additionally, oxytocin is released, which may precipitate preterm labor. However, in the absence of complications associated with the pregnancy, sexual activity is not contraindicated. If vaginal discharge or bleeding occurs; or rupture of membranes occurs, sexual intercourse should be avoided until assessed by the patients provider. STDs