ANSWERED QUESTIONS LATEST UPDATE
1). Jim is a 47 year old man having difficulties with sexual function. he recently separated from
his wife of 20 years. he reports early morning erections but otherwise cannot function.
which of the following is a likely cause for his problem
Ans: psychological issues
2). 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 swollen testicle. the right testicle is
unremarkable. an examining finger is put through both inguinal rings, and there are no
bulges with bearing down. his prostate examination is unremarkable. urine analysis is also
unremarkable. what abnormality of the testes does this child most likely have.
Ans: torsion of the spermatic cord
3). Important techniques in performing the rectal examination include which of the following
Ans: All of the above
4). Which of the following conditions involves a tight prepuce which, once retracted, cannot be
returned
Ans: paraphimosis
5). 22-year-old unemployed roofer presents to your clinic, complaining of pain in his testicle
and penis. he states the pain began last night and has steadily become worse. he states it
hurts when he urinates and he has not attempted intercourse since the pain began. he has
tried tylenol and ibuprofen without improvement. he denies any fever or night sweats. his
past medical history is unremarkable. he has had four previous sexual partners and has had
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