MN 568 Unit 6 Review Primary Care Questions With
Complete Solutions
A 14-year-old male is seen with complaints of severe testicular
pain. The clinician suspects testicular torsion. Which of the
following is the appropriate action? Correct Answer a) Refer to
a urologist immediately.
b) Obtain a computed tomography (CT) scan.
c) Instruct the patient to elevate the scrotum.
d) Prescribe ibuprofen.
Answer: Refer to a urologist immediately. *Medical Emergency.
A 23-year-old sexually active man is seen in the clinic with
unilateral painful testicular swelling, and he is diagnosed with
epididymitis. In order to prescribe the correct drug, the clinician
must understand that which of these is the most common
causative organism? Correct Answer a) Escherichia coli
b) Staphylococcus aureus
c) Chlamydia trachomatis
d) Pseudomonas aeruginosa
Answer: Chlamydia trachomatis
A 27-year-old female presents with a chief complaint of burning
and pain on urination. She has no previous history of urinary
tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI? Correct Answer a)
Back and abdominal pain
b) Fever, chills, costovertebral angle (CVA) tenderness
c) Blood in urine and frequency
,d) Foul-smelling discharge, perineal itch
Answer: Blood in urine and frequency. Think acute and
common.
A 30-year-old patient presents with pain on urination. The urine
microscopy of unspun urine shows greater than 10
leukocytes/mL, and a dipstick is positive for nitrites. What is the
probable diagnosis? Correct Answer a) Lower urinary tract
infection
b) Chlamydia infection
c) Candidiasis
d) Pyelonephritis
Answer: Lower urinary tract infection
A 34-year-old patient was treated for a UTI and has not
responded to antibiotic therapy. Which of the following actions
should be taken next? Correct Answer a) Send a urine
specimen for microscopy and evaluate for fungal colonies.
b) Increase the dose of antibiotic.
c) Order a cytoscopy.
d) Order a different antibiotic.
Answer: Send a urine specimen for microscopy and evaluate for
fungal colonies.
A 35-year-old man presents with complaints of painful
erections, and he notices his penis is crooked when erect. What
is the most likely diagnosis? Correct Answer a) Peyronie's
disease
, b) Damage to the pudendal artery
c) Scarring of the cavernosa
d) All of the above
Answer: Peyronie's disease
A 42-year-old woman is seen in the clinic with fever, chills,
vomiting, and severe dysuria. She is diagnosed with acute
pyelonephritis. How should this patient be managed? Correct
Answer a) 3-day course of oral antibiotics
b) Hospitalization
c) Encourage cranberry juice intake.
d) 6-week course of antibiotics
Answer: Hospitalization
A 46-year-old man presents with urinary hesitancy and low back
pain. He has no history of UTI. Digital rectal examination
(DRE) reveals a normal prostate, and a diagnosis of
prostatodynia is made. Which is the appropriate treatment?
Correct Answer a) Terazosin 2 mg PO once a day
b) Ice pack to the scrotal area
c) Saw palmetto 320 mg per day
d) All of the above
Answer: Terazosin 2 mg PO once a day.
It is an alpha-blocker. It relieves the symptoms of BPH by
relaxing the muscles of the bladder and prostate. It lowers blood
pressure by relaxing the blood vessels.
Complete Solutions
A 14-year-old male is seen with complaints of severe testicular
pain. The clinician suspects testicular torsion. Which of the
following is the appropriate action? Correct Answer a) Refer to
a urologist immediately.
b) Obtain a computed tomography (CT) scan.
c) Instruct the patient to elevate the scrotum.
d) Prescribe ibuprofen.
Answer: Refer to a urologist immediately. *Medical Emergency.
A 23-year-old sexually active man is seen in the clinic with
unilateral painful testicular swelling, and he is diagnosed with
epididymitis. In order to prescribe the correct drug, the clinician
must understand that which of these is the most common
causative organism? Correct Answer a) Escherichia coli
b) Staphylococcus aureus
c) Chlamydia trachomatis
d) Pseudomonas aeruginosa
Answer: Chlamydia trachomatis
A 27-year-old female presents with a chief complaint of burning
and pain on urination. She has no previous history of urinary
tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI? Correct Answer a)
Back and abdominal pain
b) Fever, chills, costovertebral angle (CVA) tenderness
c) Blood in urine and frequency
,d) Foul-smelling discharge, perineal itch
Answer: Blood in urine and frequency. Think acute and
common.
A 30-year-old patient presents with pain on urination. The urine
microscopy of unspun urine shows greater than 10
leukocytes/mL, and a dipstick is positive for nitrites. What is the
probable diagnosis? Correct Answer a) Lower urinary tract
infection
b) Chlamydia infection
c) Candidiasis
d) Pyelonephritis
Answer: Lower urinary tract infection
A 34-year-old patient was treated for a UTI and has not
responded to antibiotic therapy. Which of the following actions
should be taken next? Correct Answer a) Send a urine
specimen for microscopy and evaluate for fungal colonies.
b) Increase the dose of antibiotic.
c) Order a cytoscopy.
d) Order a different antibiotic.
Answer: Send a urine specimen for microscopy and evaluate for
fungal colonies.
A 35-year-old man presents with complaints of painful
erections, and he notices his penis is crooked when erect. What
is the most likely diagnosis? Correct Answer a) Peyronie's
disease
, b) Damage to the pudendal artery
c) Scarring of the cavernosa
d) All of the above
Answer: Peyronie's disease
A 42-year-old woman is seen in the clinic with fever, chills,
vomiting, and severe dysuria. She is diagnosed with acute
pyelonephritis. How should this patient be managed? Correct
Answer a) 3-day course of oral antibiotics
b) Hospitalization
c) Encourage cranberry juice intake.
d) 6-week course of antibiotics
Answer: Hospitalization
A 46-year-old man presents with urinary hesitancy and low back
pain. He has no history of UTI. Digital rectal examination
(DRE) reveals a normal prostate, and a diagnosis of
prostatodynia is made. Which is the appropriate treatment?
Correct Answer a) Terazosin 2 mg PO once a day
b) Ice pack to the scrotal area
c) Saw palmetto 320 mg per day
d) All of the above
Answer: Terazosin 2 mg PO once a day.
It is an alpha-blocker. It relieves the symptoms of BPH by
relaxing the muscles of the bladder and prostate. It lowers blood
pressure by relaxing the blood vessels.
