NSG 6020 wk 8: 2026.
NSG 6020 wk 8
Study online at https://quizlet.com/_6vzhmp
1. A 14-year-old junior high school student is brought - Imbalance of hormones
in by his mother and father because he seems to of puberty
be developing breasts. The mother is upset because
she read on the Internet that smoking marijuana
leads to breast enlargement in males. The young
man adamantly denies using any tobacco, alcohol, or
drugs. He has recently noticed changes in his penis,
testicles, and pubic hair pattern. Otherwise, his past
medical history is unremarkable. His parents are both
in good health. He has two older brothers who never
had this problem. On examination you see a mildly
overweight teenager with enlarged breast tissue that
is slightly tender on both sides. Otherwise his exami-
nation is normal. He is agreeable to taking a drug test.
What is the most likely cause of his gynecomastia?
2. A 30-year-old man notices a firm, 2-cm mass under his - Breast tissue - Approxi-
areola. He has no other symptoms and no diagnosis of mately one third of adult
breast cancer in his first-degree relatives. What is the men will have palpable
most likely diagnosis? breast tissue under the
areola. While males can
have breast cancer, this is
much less common. There
are no lymph nodes in this
area
3. A 28-year-old musician comes to your clinic, complain- - Syphilitic chancre
ing of a "spot" on his penis. He states his partner
noticed it 2 days ago and it hasn't gone away. He says
it doesn't hurt. He has had no burning with urination
and no pain during intercourse. He has had several
partners in the last year and uses condoms occasion-
4/9/2026, 12:41:43 PM 4/9/2026, 12:41:41 PM 4/9/2026, 12:41:40 PM
, NSG 6020 wk 8: 2026.
NSG 6020 wk 8
Study online at https://quizlet.com/_6vzhmp
ally. His past medical history consists of nongonococ-
cal urethritis from Chlamydia and prostatitis. His vital
signs are unremarkable. On visualization of his penis
there is a 6-mm red, oval ulcer with an indurated base
just proximal to the corona. On palpation the ulcer is
nontender. In the inguinal region there is nontender
lymphadenopathy.
What disorder of the penis is most likely the diagnosis?
4. A 20-year-old part-time college student comes to your - Condylomata acuminate
clinic, complaining of growths on his penile shaft. They
have been there for about 6 weeks and haven't gone
away. In fact, he thinks there may be more now. He
denies any pain with intercourse or urination. He has
had three former partners and has been with his cur-
rent girlfriend for 6 months. He says that because she
is on the pill they don't use condoms. He denies any
fever, weight loss, or night sweats. He is engaged to
be married and has no children. On visualization of his
penis you see several moist papules along all sides of
his penile shaft and even two on the corona. He has
been circumcised. On palpation of his inguinal region
there is no inguinal lymphadenopathy.
Which abnormality of the penis does this patient most
likely have?
5. A 29-year-old married computer programmer comes - Scrotal (inguinal) hernia
to your clinic, complaining of "something strange" go-
ing on in his scrotum. Last month while he was doing
his testicular self-examination he felt a lump in his
left testis. He waited a month and felt the area again,
but the lump was still there. He has had some aching
4/9/2026, 12:41:43 PM 4/9/2026, 12:41:41 PM 4/9/2026, 12:41:40 PM
NSG 6020 wk 8
Study online at https://quizlet.com/_6vzhmp
1. A 14-year-old junior high school student is brought - Imbalance of hormones
in by his mother and father because he seems to of puberty
be developing breasts. The mother is upset because
she read on the Internet that smoking marijuana
leads to breast enlargement in males. The young
man adamantly denies using any tobacco, alcohol, or
drugs. He has recently noticed changes in his penis,
testicles, and pubic hair pattern. Otherwise, his past
medical history is unremarkable. His parents are both
in good health. He has two older brothers who never
had this problem. On examination you see a mildly
overweight teenager with enlarged breast tissue that
is slightly tender on both sides. Otherwise his exami-
nation is normal. He is agreeable to taking a drug test.
What is the most likely cause of his gynecomastia?
2. A 30-year-old man notices a firm, 2-cm mass under his - Breast tissue - Approxi-
areola. He has no other symptoms and no diagnosis of mately one third of adult
breast cancer in his first-degree relatives. What is the men will have palpable
most likely diagnosis? breast tissue under the
areola. While males can
have breast cancer, this is
much less common. There
are no lymph nodes in this
area
3. A 28-year-old musician comes to your clinic, complain- - Syphilitic chancre
ing of a "spot" on his penis. He states his partner
noticed it 2 days ago and it hasn't gone away. He says
it doesn't hurt. He has had no burning with urination
and no pain during intercourse. He has had several
partners in the last year and uses condoms occasion-
4/9/2026, 12:41:43 PM 4/9/2026, 12:41:41 PM 4/9/2026, 12:41:40 PM
, NSG 6020 wk 8: 2026.
NSG 6020 wk 8
Study online at https://quizlet.com/_6vzhmp
ally. His past medical history consists of nongonococ-
cal urethritis from Chlamydia and prostatitis. His vital
signs are unremarkable. On visualization of his penis
there is a 6-mm red, oval ulcer with an indurated base
just proximal to the corona. On palpation the ulcer is
nontender. In the inguinal region there is nontender
lymphadenopathy.
What disorder of the penis is most likely the diagnosis?
4. A 20-year-old part-time college student comes to your - Condylomata acuminate
clinic, complaining of growths on his penile shaft. They
have been there for about 6 weeks and haven't gone
away. In fact, he thinks there may be more now. He
denies any pain with intercourse or urination. He has
had three former partners and has been with his cur-
rent girlfriend for 6 months. He says that because she
is on the pill they don't use condoms. He denies any
fever, weight loss, or night sweats. He is engaged to
be married and has no children. On visualization of his
penis you see several moist papules along all sides of
his penile shaft and even two on the corona. He has
been circumcised. On palpation of his inguinal region
there is no inguinal lymphadenopathy.
Which abnormality of the penis does this patient most
likely have?
5. A 29-year-old married computer programmer comes - Scrotal (inguinal) hernia
to your clinic, complaining of "something strange" go-
ing on in his scrotum. Last month while he was doing
his testicular self-examination he felt a lump in his
left testis. He waited a month and felt the area again,
but the lump was still there. He has had some aching
4/9/2026, 12:41:43 PM 4/9/2026, 12:41:41 PM 4/9/2026, 12:41:40 PM
