N582 FINAL EXAM 2025-2026 SUMMER QTR.COMPLETE
QUESTIONS AND ANSWERS SCORED A
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?
- Answer C. Refer to ED immediately
A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests
would help establish a diagnosis?
- Answer A. Testosterone level
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?
- Answer A. Peyronie's disease
An 82-year-old man is seen in the primary-care office with complaints of dribbling urine and difficulty
starting his stream. Which of the following should be included in the list of differential diagnoses?
- Answer C. All of the above
Peter is a 40-year-old male with a recent diagnosis of low testosterone. Which of the following counseling
points is correct regarding low testosterone?
- Answer B. Lowering your A1C may improve your testosterone levels
The 56-year-old man with chronic prostatitis should be treated with levofloxacin for how long?
- Answer B. 4 to 6 weeks
The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The
clinician should assess this patient for which of these side effects?
- Answer C. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer Society) recommendation of when to begin
prostate screening?
- Answer D. African American men who have had a brother diagnosed with prostate cancer before the age
of 65 should start screening at 45.
, Which of the following is an aerobic gram-negative bacteria involved in prostatitis?
- Answer C. Pseudomonas
Which of the following would be an appropriate treatment for a patient with mild benign prostatic
hyperplasia (BPH)? a.
- Answer C. Have a period of watchful waiting
A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of
the following is the treatment of choice for gonorrhea?
- Answer B. Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the following tests is
essential before prescribing any oral contraceptive?
- Answer B. Pregnancy test
A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium
hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae. Which of the following
treatments would be appropriate?
- Answer D. Fluconazole
A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last month.
Which of the following should be explored as the likely cause of her dyspareunia?
- Answer D. Menopause
A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies
clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?
- Answer D. Bacterial vaginosis
Alice has been diagnosed with breast cancer. Its TNM staging is T2, N1, M0. She would like to know what
this means. Which statement made by the clinician is accurate?
- Answer A. Your tumor is 4 cm, has metastasized to a moveable lymph node, but has not metastasized to
another location
Tina is an 18-year-old female who would like to start using the transdermal contraceptive patch. Which of
the following instructions should the clinician discuss with Tina?
- Answer D. Obesity can decrease the effectiveness of the patch
Which of the following is true of the IUD (intrauterine device)?
- Answer B. The IUD has an inhibitory effect on sperm capacitation.
Which of the following medications is the treatment of choice for Trichomonas?
- Answer A. Metronidazole
According to the USPSTF guideline, which of these patients needs a cervical cancer screening?
- Answer c.Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago
A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet
radiation?
- Answer C. 15
Most adult poisonings are:
QUESTIONS AND ANSWERS SCORED A
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?
- Answer C. Refer to ED immediately
A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests
would help establish a diagnosis?
- Answer A. Testosterone level
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?
- Answer A. Peyronie's disease
An 82-year-old man is seen in the primary-care office with complaints of dribbling urine and difficulty
starting his stream. Which of the following should be included in the list of differential diagnoses?
- Answer C. All of the above
Peter is a 40-year-old male with a recent diagnosis of low testosterone. Which of the following counseling
points is correct regarding low testosterone?
- Answer B. Lowering your A1C may improve your testosterone levels
The 56-year-old man with chronic prostatitis should be treated with levofloxacin for how long?
- Answer B. 4 to 6 weeks
The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The
clinician should assess this patient for which of these side effects?
- Answer C. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer Society) recommendation of when to begin
prostate screening?
- Answer D. African American men who have had a brother diagnosed with prostate cancer before the age
of 65 should start screening at 45.
, Which of the following is an aerobic gram-negative bacteria involved in prostatitis?
- Answer C. Pseudomonas
Which of the following would be an appropriate treatment for a patient with mild benign prostatic
hyperplasia (BPH)? a.
- Answer C. Have a period of watchful waiting
A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of
the following is the treatment of choice for gonorrhea?
- Answer B. Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the following tests is
essential before prescribing any oral contraceptive?
- Answer B. Pregnancy test
A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium
hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae. Which of the following
treatments would be appropriate?
- Answer D. Fluconazole
A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last month.
Which of the following should be explored as the likely cause of her dyspareunia?
- Answer D. Menopause
A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies
clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?
- Answer D. Bacterial vaginosis
Alice has been diagnosed with breast cancer. Its TNM staging is T2, N1, M0. She would like to know what
this means. Which statement made by the clinician is accurate?
- Answer A. Your tumor is 4 cm, has metastasized to a moveable lymph node, but has not metastasized to
another location
Tina is an 18-year-old female who would like to start using the transdermal contraceptive patch. Which of
the following instructions should the clinician discuss with Tina?
- Answer D. Obesity can decrease the effectiveness of the patch
Which of the following is true of the IUD (intrauterine device)?
- Answer B. The IUD has an inhibitory effect on sperm capacitation.
Which of the following medications is the treatment of choice for Trichomonas?
- Answer A. Metronidazole
According to the USPSTF guideline, which of these patients needs a cervical cancer screening?
- Answer c.Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago
A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet
radiation?
- Answer C. 15
Most adult poisonings are:
