Review | Graded A+| William Paterson University
1. If a 64-year-old female patient presents with a red, scaly rash on her nipple
and you suspect Paget's disease, what would be the most appropriate next
step in management?
Schedule a follow-up appointment in six months.
Refer for a mammogram and biopsy.
Prescribe topical steroids.
Advise the patient to avoid irritants.
2. Describe how benign prostatic hyperplasia can lead to lower urinary tract
symptoms in older males.
Benign prostatic hyperplasia can obstruct the urethra, causing
symptoms like frequency, urgency, and weak urine stream.
Benign prostatic hyperplasia leads to increased testosterone levels,
affecting urinary function.
Benign prostatic hyperplasia results in kidney stones that cause urinary
blockage.
Benign prostatic hyperplasia causes inflammation of the bladder,
leading to pain during urination.
3. Diagnosis of mastitis is based on:
Breast culture results
Blood culture results
Clinical presentation
,4. What type of diagnostic study is recommended for a cystic, round, and
mobile breast mass?
Ultrasound
Mammogram
CT scan
Biopsy
5. A 25-year-old male presents to the office because of some mild discomfort
in his right testicle. He notes that he thinks it's also a little enlarged compared
to the left testicle. You do notice a firm mass in the testicle and slight
lymphadenopathy in the groin. Which of the following is the most likely
diagnosis for this patient?
Testicular torsion
Orchitis
Varicocele
Testicular cancer
6. Discuss how Klinefelter's syndrome contributes to the risk of breast cancer in
males.
Klinefelter's syndrome causes a decrease in testosterone levels only.
Klinefelter's syndrome leads to an imbalance in sex hormones,
increasing the risk of breast cancer in males.
Klinefelter's syndrome only affects fertility, not cancer risk.
Klinefelter's syndrome is unrelated to breast cancer risk.
7. Which organism is primarily responsible for causing balanitis?
, Gonorrhoea
Syphilis
Tinea
Candida
8. A 65-year-old male patient presents with a hard, nodular, enlarged, non-
tender prostate during a routine examination. What should be the next step in
management?
Schedule a follow-up in six months without further action.
Prescribe antibiotics for suspected prostatitis.
Refer for further diagnostic evaluation, such as a biopsy.
Advise lifestyle changes and monitor symptoms.
9. Which imaging technique is commonly used to assess scrotal conditions?
MRI of the abdomen
Ultrasound of the scrotum
CT scan of the pelvis
X-ray of the scrotum
10. Which of the following is a relevant question to ask a 60-year-old female
during a health history assessment?
The age of menopause
About any bleeding since menopause
Use of any hormone replacement treatment
All of the above
, 11. What reproductive tract disorder is most likely to be associated with urinary
stress incontinence?
cystocele
rectocele
Hematuria
pylonephritis
12. A 12-year-old boy is brought into the clinic by his mother. The teen boy is
embarrassed because he has developed breast tissue and would like to
know if there is any treatment. The physical examination reveals early stages
of puberty, otherwise it is normal. This presentation is:
Associated with a high rate of malignancy
Most often due to altered hormonal levels in puberty
Commonly indicative of pituitary tumor triggered by puberty
Too dense for a mammogram and requires biopsy
13. On digital rectal exam, you note that a 45-year-old patient has a firm,
smooth, nontender but asymmetrically shaped prostate. The patient has no
symptoms and a normal urinalysis. The patient's prostate specific antigen is
within normal limits for the patient's age. The clinician should:
Refer the patient for transrectal ultrasound-guided prostate biopsy
Recognize this as a normal finding that requires periodic follow-up
Obtain urine culture and sensitivity for prostatitis
Obtain an abdominal x-ray of kidneys, ureter, and bladder