MIDTERM AND FINAL N582 ACTUAL EXAM
PAPER 2026 QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+
⩥ A 30-year-old man is seen with a chief complaint of loss of libido.
Which of the following laboratory tests would help establish a
diagnosis?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity. Answer: A. Testosterone
level
⩥ A 35-year-old man presents with complaints of painful erections, and
he notices his penis is crooked when erect. What is the most likely
diagnosis?
a. Peyronie's disease
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion. Answer: A. Peyronie's disease
,⩥ An 82-year-old man is seen in the primary-care office with complaints
of dribbling urine and difficulty starting his stream. Which of the
following should be included in the list of differential diagnoses?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia Answer: C. All of the above
⩥ Peter is a 40-year-old male with a recent diagnosis of low
testosterone. Which of the following counseling points is correct
regarding low testosterone?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on testosterone
d.Testosterone deficiency is due to hypergonadism. Answer: B.
Lowering your A1C may improve your testosterone levels
⩥ The 56-year-old man with chronic prostatitis should be treated with
levofloxacin for how long?
a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days Answer: B. 4 to 6 weeks
, ⩥ The patient with BPH is seen for follow-up. He has been taking
finasteride (Proscar) for 6 months. The clinician should assess this
patient for which of these side effects?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma Answer: C. Erectile dysfunction
⩥ Which of the following is a correct ACS (the American Cancer
Society) recommendation of when to begin prostate screening?
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in good health
should start screening at age 70.
c.Caucasian men should start screening at age 55.
d.African American men who have had a brother diagnosed with
prostate cancer before the age of 65 should start screening at 45.
Answer: D. African American men who have had a brother diagnosed
with prostate cancer before the age of 65 should start screening at 45.
⩥ Which of the following is an aerobic gram-negative bacteria involved
in prostatitis?
a.Streptococcus faecalis
b.Staphylococcus
c.Pseudomonas
PAPER 2026 QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+
⩥ A 30-year-old man is seen with a chief complaint of loss of libido.
Which of the following laboratory tests would help establish a
diagnosis?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity. Answer: A. Testosterone
level
⩥ A 35-year-old man presents with complaints of painful erections, and
he notices his penis is crooked when erect. What is the most likely
diagnosis?
a. Peyronie's disease
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion. Answer: A. Peyronie's disease
,⩥ An 82-year-old man is seen in the primary-care office with complaints
of dribbling urine and difficulty starting his stream. Which of the
following should be included in the list of differential diagnoses?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia Answer: C. All of the above
⩥ Peter is a 40-year-old male with a recent diagnosis of low
testosterone. Which of the following counseling points is correct
regarding low testosterone?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on testosterone
d.Testosterone deficiency is due to hypergonadism. Answer: B.
Lowering your A1C may improve your testosterone levels
⩥ The 56-year-old man with chronic prostatitis should be treated with
levofloxacin for how long?
a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days Answer: B. 4 to 6 weeks
, ⩥ The patient with BPH is seen for follow-up. He has been taking
finasteride (Proscar) for 6 months. The clinician should assess this
patient for which of these side effects?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma Answer: C. Erectile dysfunction
⩥ Which of the following is a correct ACS (the American Cancer
Society) recommendation of when to begin prostate screening?
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in good health
should start screening at age 70.
c.Caucasian men should start screening at age 55.
d.African American men who have had a brother diagnosed with
prostate cancer before the age of 65 should start screening at 45.
Answer: D. African American men who have had a brother diagnosed
with prostate cancer before the age of 65 should start screening at 45.
⩥ Which of the following is an aerobic gram-negative bacteria involved
in prostatitis?
a.Streptococcus faecalis
b.Staphylococcus
c.Pseudomonas
