when oyou oexamine othem. oWhat oshould oyou odo? o- oCORRECT oANSWER o-Ask ohow oshe
oacquired othem.
A o58-year-old oman ocomes oto oyour ooffice ocomplaining oof obilateral oback opain othat onow
oawakens ohim oat onight. oThis ohas obeen osteadily oincreasing ofor othe opast o2 omonths.
oWhich oone oof othe ofollowing ois othe omost oreassuring oin othis opatient owith oback opain? o-
oCORRECT oANSWER o-Pain othat ois obilateral
The oPhalen's otest ois oused oto oevaluate: o- oCORRECT oANSWER o-inflammation oof othe
omedian onerve
Which oof othe ofollowing owould olead oyou oto osuspect oa ohydrocele oversus oother ocauses oof
oscrotal oswelling? o- oCORRECT oANSWER o-A opositive otransillumination otest
You oare oexamining oa onewborn oand onote othat othe oright otesticle ois onot oin othe oscrotum.
oWhat oshould oyou odo onext? o- oCORRECT oANSWER o-Attempt oto obring odown othe otestis
ofrom othe oinguinal ocanal
A o50-year-old otruck odriver ocomes oto oyour oclinic ofor oa owork ophysical. oHe ohas ohad ono
oupper orespiratory, ocardiac, opulmonary, ogastrointestinal, ourinary, oor omusculoskeletal
osystem ocomplaints. oHis opast omedical ohistory ois osignificant ofor omild oarthritis oand oprior
oknee o surgery oin ocollege. oHe ois omarried oand ojust ochanged ojobs, oworking ofor oa
odifferent otrucking ocompany. oHe osmokes oone opack oof ocigarettes oa oday, odrinks oless
othan osix obeers oa oweek, oand odenies ousing oany oillegal odrugs. oHis omother ohas ohigh
oblood opressure oand oarthritis oand ohis ofather odied oof olung ocancer oin ohis osixties. oOn
oexamination, ohis oblood opressure ois o130/80 oand ohis opulse ois o80. oHis ocardiac, olung,
oand oabdominal oexaminations oare onormal. oHe ohas ono oinguinal ohernia, obut oon ohis
odigital orectal oexamination oyou opalpate oa osoft, osmooth, oand onontender opedunculated
omass oon othe oposterior owall oof othe orectum. oWhat oanal, orectal, oor oprostate odisorder
obest ofits ohis opresentation? o- oCORRECT oANSWER o- oRectal opolyp
A o15-year-old ohigh oschool ofootball oplayer ois obrought oto oyour ooffice oby ohis omother. oHe
ois ocomplaining oof osevere otesticular opain osince oexactly o8:00 othis omorning. oHe odenies
oany osexual oactivity oand ostates othat ohe ohurts oso obad ohe ocan't oeven ourinate. oHe ois
onauseated oand ois othrowing oup. oHe odenies oany orecent oillness oor ofever. oHis opast
omedical ohistory ois ounremarkable. oHe odenies oany otobacco, oalcohol, oor odrug ouse. oHis
oparents oare oboth oin ogood ohealth. oOn oexamination, oyou osee oa oyoung oteenager olying
oon othe obed owith oan oemesis obasin. oHe ois overy ouncomfortable oand okeeps oshifting ohis
oposition. oHis oblood opressure ois o150/100, ohis opulse ois o110, oand ohis orespirations oare o24.
oOn ovisualization oof othe openis, ohe ois ocircumcised oand othere oare ono olesions oand ono
odischarge ofrom othe omeatus.
His oscrotal oskin ois otense oand ored. oPalpation oof othe oleft otesticle ocauses osevere opain
oand othe opatient obegins oto ocry. oHis oprostate oexamination ois ounremarkable. oHis o-
oCORRECT oANSWER o-Torsion oof othe ospermatic ocord
Which ois otrue oof oprostate ocancer? o- oCORRECT oANSWER o-Ethnicity ois oa orisk ofactor.
oacquired othem.
A o58-year-old oman ocomes oto oyour ooffice ocomplaining oof obilateral oback opain othat onow
oawakens ohim oat onight. oThis ohas obeen osteadily oincreasing ofor othe opast o2 omonths.
oWhich oone oof othe ofollowing ois othe omost oreassuring oin othis opatient owith oback opain? o-
oCORRECT oANSWER o-Pain othat ois obilateral
The oPhalen's otest ois oused oto oevaluate: o- oCORRECT oANSWER o-inflammation oof othe
omedian onerve
Which oof othe ofollowing owould olead oyou oto osuspect oa ohydrocele oversus oother ocauses oof
oscrotal oswelling? o- oCORRECT oANSWER o-A opositive otransillumination otest
You oare oexamining oa onewborn oand onote othat othe oright otesticle ois onot oin othe oscrotum.
oWhat oshould oyou odo onext? o- oCORRECT oANSWER o-Attempt oto obring odown othe otestis
ofrom othe oinguinal ocanal
A o50-year-old otruck odriver ocomes oto oyour oclinic ofor oa owork ophysical. oHe ohas ohad ono
oupper orespiratory, ocardiac, opulmonary, ogastrointestinal, ourinary, oor omusculoskeletal
osystem ocomplaints. oHis opast omedical ohistory ois osignificant ofor omild oarthritis oand oprior
oknee o surgery oin ocollege. oHe ois omarried oand ojust ochanged ojobs, oworking ofor oa
odifferent otrucking ocompany. oHe osmokes oone opack oof ocigarettes oa oday, odrinks oless
othan osix obeers oa oweek, oand odenies ousing oany oillegal odrugs. oHis omother ohas ohigh
oblood opressure oand oarthritis oand ohis ofather odied oof olung ocancer oin ohis osixties. oOn
oexamination, ohis oblood opressure ois o130/80 oand ohis opulse ois o80. oHis ocardiac, olung,
oand oabdominal oexaminations oare onormal. oHe ohas ono oinguinal ohernia, obut oon ohis
odigital orectal oexamination oyou opalpate oa osoft, osmooth, oand onontender opedunculated
omass oon othe oposterior owall oof othe orectum. oWhat oanal, orectal, oor oprostate odisorder
obest ofits ohis opresentation? o- oCORRECT oANSWER o- oRectal opolyp
A o15-year-old ohigh oschool ofootball oplayer ois obrought oto oyour ooffice oby ohis omother. oHe
ois ocomplaining oof osevere otesticular opain osince oexactly o8:00 othis omorning. oHe odenies
oany osexual oactivity oand ostates othat ohe ohurts oso obad ohe ocan't oeven ourinate. oHe ois
onauseated oand ois othrowing oup. oHe odenies oany orecent oillness oor ofever. oHis opast
omedical ohistory ois ounremarkable. oHe odenies oany otobacco, oalcohol, oor odrug ouse. oHis
oparents oare oboth oin ogood ohealth. oOn oexamination, oyou osee oa oyoung oteenager olying
oon othe obed owith oan oemesis obasin. oHe ois overy ouncomfortable oand okeeps oshifting ohis
oposition. oHis oblood opressure ois o150/100, ohis opulse ois o110, oand ohis orespirations oare o24.
oOn ovisualization oof othe openis, ohe ois ocircumcised oand othere oare ono olesions oand ono
odischarge ofrom othe omeatus.
His oscrotal oskin ois otense oand ored. oPalpation oof othe oleft otesticle ocauses osevere opain
oand othe opatient obegins oto ocry. oHis oprostate oexamination ois ounremarkable. oHis o-
oCORRECT oANSWER o-Torsion oof othe ospermatic ocord
Which ois otrue oof oprostate ocancer? o- oCORRECT oANSWER o-Ethnicity ois oa orisk ofactor.
