NSG 6020 Wk 8 Latest 2024 /Complete Questions
And Answers
Quiz :A 14-year-old junior high school student is brought in by his
mother and father because he seems to 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 noti ced changes in his penis, testi cles, and pubic hair
patt ern. 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 examinati on you see a mildly overweight
teenager with enlarged breast ti ssue that is slightly tender on both
sides. Otherwise his examinati on is normal. He is agreeable to taking
a drug test.
What is the most likely cause of his gynecomasti a? - Answer :-
Imbalance of hormones of puberty
Quiz :A 30-year-old man noti ces a fi rm, 2-cm mass under his areola.
He has no other symptoms and no diagnosis of breast cancer in his
fi rst-degree relati ves. What is the most likely diagnosis? - Answer :-
Breast ti ssue - Approximately one third of adult men will have
palpable breast ti ssue under the areola. While males can have breast
cancer, this is much less common. There are no lymph nodes in this
area
Quiz :A 28-year-old musician comes to your clinic, complaining of a
"spot" on his penis. He states his partner noti ced it 2 days ago and it
hasn't gone away. He says it doesn't hurt. He has had no burning with
urinati on and no pain during intercourse. He has had several partners
in the last year and uses condoms occasionally. His past medical
history consists of nongonococcal urethritis from Chlamydia and
prostati ti s. His vital signs are unremarkable. On visualizati on of his
penis there is a 6-mm red, oval ulcer with an indurated base just
, proximal to the corona. On palpati on the ulcer is nontender. In the
inguinal region there is nontender lymphadenopathy.
What disorder of the penis is most likely the diagnosis? - Answer :-
Syphiliti c chancre
Quiz :A 20-year-old part-ti me college student comes to your 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 urinati on. He has
had three former partners and has been with his current 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 visualizati on 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 pati ent most likely have? -
Answer :- Condylomata acuminate
Quiz :A 29-year-old married computer programmer comes to your
clinic, complaining of "something strange" going on in his scrotum.
Last month while he was doing his testi cular self-examinati on he felt
a lump in his left testi s. He waited a month and felt the area again,
but the lump was sti ll there. He has had some aching in his left testi s
but denies any pain with urinati on or sexual intercourse. He denies
any fever, malaise, or night sweats. His past medical history consists
of groin surgery when he was a baby and a tonsillectomy as a
teenager. His parents are both healthy. On visualizati on the penis is
circumcised with no lesions; there is a scar in his right inguinal region.
There is no lymphadenopathy. Palpati on of his scrotum is
unremarkable on the right but indicates a large mass on the left .
Placing a fi nger through the inguinal ring on the right, you have the
pati ent bear down. Nothing is felt. You att empt to place - Answer :-
Scrotal (inguinal) hernia
And Answers
Quiz :A 14-year-old junior high school student is brought in by his
mother and father because he seems to 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 noti ced changes in his penis, testi cles, and pubic hair
patt ern. 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 examinati on you see a mildly overweight
teenager with enlarged breast ti ssue that is slightly tender on both
sides. Otherwise his examinati on is normal. He is agreeable to taking
a drug test.
What is the most likely cause of his gynecomasti a? - Answer :-
Imbalance of hormones of puberty
Quiz :A 30-year-old man noti ces a fi rm, 2-cm mass under his areola.
He has no other symptoms and no diagnosis of breast cancer in his
fi rst-degree relati ves. What is the most likely diagnosis? - Answer :-
Breast ti ssue - Approximately one third of adult men will have
palpable breast ti ssue under the areola. While males can have breast
cancer, this is much less common. There are no lymph nodes in this
area
Quiz :A 28-year-old musician comes to your clinic, complaining of a
"spot" on his penis. He states his partner noti ced it 2 days ago and it
hasn't gone away. He says it doesn't hurt. He has had no burning with
urinati on and no pain during intercourse. He has had several partners
in the last year and uses condoms occasionally. His past medical
history consists of nongonococcal urethritis from Chlamydia and
prostati ti s. His vital signs are unremarkable. On visualizati on of his
penis there is a 6-mm red, oval ulcer with an indurated base just
, proximal to the corona. On palpati on the ulcer is nontender. In the
inguinal region there is nontender lymphadenopathy.
What disorder of the penis is most likely the diagnosis? - Answer :-
Syphiliti c chancre
Quiz :A 20-year-old part-ti me college student comes to your 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 urinati on. He has
had three former partners and has been with his current 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 visualizati on 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 pati ent most likely have? -
Answer :- Condylomata acuminate
Quiz :A 29-year-old married computer programmer comes to your
clinic, complaining of "something strange" going on in his scrotum.
Last month while he was doing his testi cular self-examinati on he felt
a lump in his left testi s. He waited a month and felt the area again,
but the lump was sti ll there. He has had some aching in his left testi s
but denies any pain with urinati on or sexual intercourse. He denies
any fever, malaise, or night sweats. His past medical history consists
of groin surgery when he was a baby and a tonsillectomy as a
teenager. His parents are both healthy. On visualizati on the penis is
circumcised with no lesions; there is a scar in his right inguinal region.
There is no lymphadenopathy. Palpati on of his scrotum is
unremarkable on the right but indicates a large mass on the left .
Placing a fi nger through the inguinal ring on the right, you have the
pati ent bear down. Nothing is felt. You att empt to place - Answer :-
Scrotal (inguinal) hernia
