N582- Quiz, Midterm, and Final Study Guide Dunphy Latest edition with complete solution

N582- Quiz, Midterm, and Final Study Guide
Dunphy Latest edition with complete solution

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 |Answers | 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 |Answers | 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?



a. Peyronie's |disease

b. Damage |to |the |pudendal |artery

c. Erectile |dysfunction

d. Testicular |torsion |- |Correct |Answers | 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 |Answers | 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
|



d.Testosterone |deficiency |is |due |to |hypergonadism. |- |Correct |Answers | 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 |Answers | | 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 |Answers | 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.

c. Caucasian |men |should |start |screening |at |age |55.

d. African |American |men |who |have |had |a |brother |diagnosed |with |prostate |cancer |before |the
|age |of |65 |should |start |screening |at |45. |- |Correct |Answers | 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?

a.Streptococcus |faecalis
|



b. Staphylococcus

c.Pseudomonas
|



d.Diphtheroids |- | Correct |Answers | C. |Pseudomonas



Which |of |the |following |would |be |an |appropriate |treatment |for |a |patient |with |mild |benign
|prostatic |hyperplasia |(BPH)?



a. Prescribe |a |trial |of |canagliflozin.

b. Referral |to |urologist |for |surgery.

c. Have |a |period |of |watchful |waiting.

d. Recommend |cranberry |supplements. |- |Correct |Answers | 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?



a. Acyclovir |400mg |po |tid |for |10 |days

b. Ceftriaxone |250mg |IM |plus |single |dose |of |azithromycin |1g

orally |c.Metronidazole |500mg |po |q4h |for |5 |days
|