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MIDTERM AND FINAL N582 2025
UPDATED ACTUAL EXAM WITH
CORRECT 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?
a. Instruct the patient to elevate the scrotum.
b. Prescribe ibuprofen.
c. Refer to immediately to the emergency department for
evaluation
d. Obtain a computed tomography (CT) scan. - correct 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?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity - correct answer- A.
Testosterone level
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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?
a. Peyronie's disease
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion - correct 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?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia - correct 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?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on
testosterone
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d.Testosterone deficiency is due to hypergonadism. - correct
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?
a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days - correct 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?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma - correct answer- C. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer
Society) recommendation of when to begin prostate screening?
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in
good health should start screening at age 70.
MIDTERM AND FINAL N582 2025
UPDATED ACTUAL EXAM WITH
CORRECT 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?
a. Instruct the patient to elevate the scrotum.
b. Prescribe ibuprofen.
c. Refer to immediately to the emergency department for
evaluation
d. Obtain a computed tomography (CT) scan. - correct 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?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity - correct answer- A.
Testosterone level
,2 | Page
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?
a. Peyronie's disease
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion - correct 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?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia - correct 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?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on
testosterone
, 3 | Page
d.Testosterone deficiency is due to hypergonadism. - correct
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?
a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days - correct 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?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma - correct answer- C. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer
Society) recommendation of when to begin prostate screening?
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in
good health should start screening at age 70.
