when you examine them. What should you do? - CORRECT ANSWER -Ask how she
acquired them.
A 58-year-old man comes to your office complaining of bilateral back pain that now
awakens him at night. This has been steadily increasing for the past 2 months. Which
one of the following is the most reassuring in this patient with back pain? - CORRECT
ANSWER -Pain that is bilateral
The Phalen's test is used to evaluate: - CORRECT ANSWER -inflammation of the
median nerve
Which of the following would lead you to suspect a hydrocele versus other causes of
scrotal swelling? - CORRECT ANSWER -A positive transillumination test
You are examining a newborn and note that the right testicle is not in the scrotum. What
should you do next? - CORRECT ANSWER -Attempt to bring down the testis from the
inguinal canal
A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper
respiratory, cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system
complaints. His past medical history is significant for mild arthritis and prior knee
surgery in college. He is married and just changed jobs, working for a different trucking
company. He smokes one pack of cigarettes a day, drinks less than six beers a week,
and denies using any illegal drugs. His mother has high blood pressure and arthritis and
his father died of lung cancer in his sixties. On examination, his blood pressure is
130/80 and his pulse is 80. His cardiac, lung, and abdominal examinations are normal.
He has no inguinal hernia, but on his digital rectal examination you palpate a soft,
smooth, and nontender pedunculated mass on the posterior wall of the rectum. What
anal, rectal, or prostate disorder best fits his presentation? - CORRECT ANSWER -
Rectal polyp
A 15-year-old high school football player is brought to your office by his mother. He is
complaining of severe testicular pain since exactly 8:00 this morning. He denies any
sexual activity and states that he hurts so bad he can't even urinate. He is nauseated
and is throwing up. He denies any recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or drug use. His parents are both in
good health. On examination, you see a young teenager lying on the bed with an
emesis basin. He is very uncomfortable and keeps shifting his position. His blood
pressure is 150/100, his pulse is 110, and his respirations are 24. On visualization of the
penis, he is circumcised and there are no lesions and no discharge from the meatus.
His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and
the patient begins to cry. His prostate examination is unremarkable. His - CORRECT
ANSWER -Torsion of the spermatic cord
Which is true of prostate cancer? - CORRECT ANSWER -Ethnicity is a risk factor.
Which of the following conditions involves a tight prepuce which, once retracted, cannot
be returned? - CORRECT ANSWER -Paraphimosis
A 12-year-old is brought to your clinic by his father. He was taught in his health class at
school to do monthly testicular self-examinations. Yesterday, when he felt his left
, testicle, it was enlarged and tender. He isn't sure if he has had burning with urination
and he says he has never had sexual intercourse. He has had a sore throat, cough, and
runny nose for the last three days. His past medical history is significant for a
tonsillectomy as a small child. His father has high blood pressure and his mother is
healthy. On examination, you see a child in no acute distress. His temperature is 100.8
and his blood pressure and pulse are unremarkable. On visualization of his penis, he is
uncircumcised and has no lesions or discharge. His scrotum is red and tense on the left
and normal appearing on the right. Palpating his left testicle reveals a mildly sore
What does a KOH (potassium hydroxide) prep help the nurse practitioner diagnose? -
CORRECT ANSWER -Yeast infections
Abby is a newly married woman who is unable to have intercourse because of
vaginismus. Which of the following is true? - CORRECT ANSWER -Psychosocial
reasons may cause this condition.
A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other
symptoms and no diagnosis of breast cancer in his first-degree relatives. What is the
most likely diagnosis? - CORRECT ANSWER -Breast tissue
Which of the following is true regarding breast self-examination? - CORRECT ANSWER
-A high proportion of breast masses are detected by breast self-examination.
A 23-year-old computer programmer comes to your office for an annual examination.
She has recently become sexually active and wants to be placed on birth control. Her
only complaint is that the skin in her armpits has become darker. She states it looks like
dirt, and she scrubs her skin nightly with soap and water but the color stays. Her past
medical symptoms consist of acne and mild obesity. Her periods have been irregular for
3 years. Her mother has type 2 diabetes, and her father has high blood pressure. The
patient denies using tobacco but has four to five drinks on Friday and Saturday nights.
She denies any illegal drug use. On examination, you see a mildly obese female who is
breathing comfortably. Her vital signs are unremarkable. Looking under her axilla, you
see dark, velvet-like skin. Her annual examination is otherwise unremarkable. What
disorder of the breast or axilla is she most likely to have? - CORRECT ANSWER -
Acanthosis nigricans
Which of the following is true of women who have had a unilateral mastectomy? -
CORRECT ANSWER -They should be examined carefully along the surgical scar for
masses.
A 76-year-old retired farmer comes to your office complaining of abdominal pain,
constipation, and a low-grade fever for about three days. He denies any nausea,
vomiting, or diarrhea. The only unusual thing he remembers eating is two bags of
popcorn at the movies with his grandson, three days before his symptoms began. He
denies any other recent illnesses. His past medical history is significant for coronary
artery disease and high blood pressure. He has been married for over fifty years. He
denies any tobacco, alcohol, or drug use. His mother died of colon cancer and his father
had a stroke. On examination, he appears his stated age and is in no acute distress. His
temperature is 100.9 degrees and his other vital signs are unremarkable. His head,
cardiac, a
acquired them.
A 58-year-old man comes to your office complaining of bilateral back pain that now
awakens him at night. This has been steadily increasing for the past 2 months. Which
one of the following is the most reassuring in this patient with back pain? - CORRECT
ANSWER -Pain that is bilateral
The Phalen's test is used to evaluate: - CORRECT ANSWER -inflammation of the
median nerve
Which of the following would lead you to suspect a hydrocele versus other causes of
scrotal swelling? - CORRECT ANSWER -A positive transillumination test
You are examining a newborn and note that the right testicle is not in the scrotum. What
should you do next? - CORRECT ANSWER -Attempt to bring down the testis from the
inguinal canal
A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper
respiratory, cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system
complaints. His past medical history is significant for mild arthritis and prior knee
surgery in college. He is married and just changed jobs, working for a different trucking
company. He smokes one pack of cigarettes a day, drinks less than six beers a week,
and denies using any illegal drugs. His mother has high blood pressure and arthritis and
his father died of lung cancer in his sixties. On examination, his blood pressure is
130/80 and his pulse is 80. His cardiac, lung, and abdominal examinations are normal.
He has no inguinal hernia, but on his digital rectal examination you palpate a soft,
smooth, and nontender pedunculated mass on the posterior wall of the rectum. What
anal, rectal, or prostate disorder best fits his presentation? - CORRECT ANSWER -
Rectal polyp
A 15-year-old high school football player is brought to your office by his mother. He is
complaining of severe testicular pain since exactly 8:00 this morning. He denies any
sexual activity and states that he hurts so bad he can't even urinate. He is nauseated
and is throwing up. He denies any recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or drug use. His parents are both in
good health. On examination, you see a young teenager lying on the bed with an
emesis basin. He is very uncomfortable and keeps shifting his position. His blood
pressure is 150/100, his pulse is 110, and his respirations are 24. On visualization of the
penis, he is circumcised and there are no lesions and no discharge from the meatus.
His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and
the patient begins to cry. His prostate examination is unremarkable. His - CORRECT
ANSWER -Torsion of the spermatic cord
Which is true of prostate cancer? - CORRECT ANSWER -Ethnicity is a risk factor.
Which of the following conditions involves a tight prepuce which, once retracted, cannot
be returned? - CORRECT ANSWER -Paraphimosis
A 12-year-old is brought to your clinic by his father. He was taught in his health class at
school to do monthly testicular self-examinations. Yesterday, when he felt his left
, testicle, it was enlarged and tender. He isn't sure if he has had burning with urination
and he says he has never had sexual intercourse. He has had a sore throat, cough, and
runny nose for the last three days. His past medical history is significant for a
tonsillectomy as a small child. His father has high blood pressure and his mother is
healthy. On examination, you see a child in no acute distress. His temperature is 100.8
and his blood pressure and pulse are unremarkable. On visualization of his penis, he is
uncircumcised and has no lesions or discharge. His scrotum is red and tense on the left
and normal appearing on the right. Palpating his left testicle reveals a mildly sore
What does a KOH (potassium hydroxide) prep help the nurse practitioner diagnose? -
CORRECT ANSWER -Yeast infections
Abby is a newly married woman who is unable to have intercourse because of
vaginismus. Which of the following is true? - CORRECT ANSWER -Psychosocial
reasons may cause this condition.
A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other
symptoms and no diagnosis of breast cancer in his first-degree relatives. What is the
most likely diagnosis? - CORRECT ANSWER -Breast tissue
Which of the following is true regarding breast self-examination? - CORRECT ANSWER
-A high proportion of breast masses are detected by breast self-examination.
A 23-year-old computer programmer comes to your office for an annual examination.
She has recently become sexually active and wants to be placed on birth control. Her
only complaint is that the skin in her armpits has become darker. She states it looks like
dirt, and she scrubs her skin nightly with soap and water but the color stays. Her past
medical symptoms consist of acne and mild obesity. Her periods have been irregular for
3 years. Her mother has type 2 diabetes, and her father has high blood pressure. The
patient denies using tobacco but has four to five drinks on Friday and Saturday nights.
She denies any illegal drug use. On examination, you see a mildly obese female who is
breathing comfortably. Her vital signs are unremarkable. Looking under her axilla, you
see dark, velvet-like skin. Her annual examination is otherwise unremarkable. What
disorder of the breast or axilla is she most likely to have? - CORRECT ANSWER -
Acanthosis nigricans
Which of the following is true of women who have had a unilateral mastectomy? -
CORRECT ANSWER -They should be examined carefully along the surgical scar for
masses.
A 76-year-old retired farmer comes to your office complaining of abdominal pain,
constipation, and a low-grade fever for about three days. He denies any nausea,
vomiting, or diarrhea. The only unusual thing he remembers eating is two bags of
popcorn at the movies with his grandson, three days before his symptoms began. He
denies any other recent illnesses. His past medical history is significant for coronary
artery disease and high blood pressure. He has been married for over fifty years. He
denies any tobacco, alcohol, or drug use. His mother died of colon cancer and his father
had a stroke. On examination, he appears his stated age and is in no acute distress. His
temperature is 100.9 degrees and his other vital signs are unremarkable. His head,
cardiac, a
