1 | Page
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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
| |
,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. Testiculartorsion - 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. AsianAmerican 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. Testiculartorsion - 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. AsianAmerican 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.
| | | | | | |
