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NR509 Final TD Questions and Answers with Verified
Solutions 2025 | 2026
A young man feels something in his scrotum and comes to you
for clarification. On your examination, you note what feels like a
"bag of worms" in the left scrotum, superior to the testicles.
Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
Varicocle
Varicoceles are common in normal men. They are often found
in the left scrotum or bilaterally and should normally resolve
in the supine position. This is because they represent
varicosities within the scrotum. These require further
investigation if they occur only on the right side or do not
resolve in the supine position. They can contribute to
infertility because the testicles are unable to achieve a cool
enough temperature for sperm production, due to increased
blood flow from the varicocele. A hydrocele would be a
painless mass on the spermatic cord and the vas deferens is
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palpated as part of the spermatic cord. You should lightly
pinch the scrotum medially and move laterally until you feel
the spermatic cord pass between your fingers.
Which of the following changes are expected in vision as part of
the normal aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
Ans: D
The lens loses its elasticity over time as part of the normal aging
process, and the eye is less able to accommodate and focus on
near objects; therefore, the patient will be expected to have
blurring of near vision.
A 68-year-old mechanic presents to the emergency room for
shortness of breath. You are concerned about a cardiac cause
and measure his jugular venous pressure (JVP). It is elevated.
Which one of the following conditions is a potential cause of
elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
Constrictive pericarditis
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Which of the following lymph node groups is most commonly
involved in breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
D.) Central
You are beginning the examination of the skin on a 25-year-old
teacher. You have previously elicited that she came to the office
for evaluation of fatigue, weight gain, and hair loss. You strongly
suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
D) Dry and rough
Mrs. Hill is a 28-year-old African-American with a history of SLE
(systemic lupus erythematosus). She has noticed a raised, dark
red rash on her legs. When you press on the rash, it doesn't
blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
NR509 Final TD Questions and Answers with Verified
Solutions 2025 | 2026
A young man feels something in his scrotum and comes to you
for clarification. On your examination, you note what feels like a
"bag of worms" in the left scrotum, superior to the testicles.
Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
Varicocle
Varicoceles are common in normal men. They are often found
in the left scrotum or bilaterally and should normally resolve
in the supine position. This is because they represent
varicosities within the scrotum. These require further
investigation if they occur only on the right side or do not
resolve in the supine position. They can contribute to
infertility because the testicles are unable to achieve a cool
enough temperature for sperm production, due to increased
blood flow from the varicocele. A hydrocele would be a
painless mass on the spermatic cord and the vas deferens is
,2|Page
palpated as part of the spermatic cord. You should lightly
pinch the scrotum medially and move laterally until you feel
the spermatic cord pass between your fingers.
Which of the following changes are expected in vision as part of
the normal aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
Ans: D
The lens loses its elasticity over time as part of the normal aging
process, and the eye is less able to accommodate and focus on
near objects; therefore, the patient will be expected to have
blurring of near vision.
A 68-year-old mechanic presents to the emergency room for
shortness of breath. You are concerned about a cardiac cause
and measure his jugular venous pressure (JVP). It is elevated.
Which one of the following conditions is a potential cause of
elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
Constrictive pericarditis
, 3|Page
Which of the following lymph node groups is most commonly
involved in breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
D.) Central
You are beginning the examination of the skin on a 25-year-old
teacher. You have previously elicited that she came to the office
for evaluation of fatigue, weight gain, and hair loss. You strongly
suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
D) Dry and rough
Mrs. Hill is a 28-year-old African-American with a history of SLE
(systemic lupus erythematosus). She has noticed a raised, dark
red rash on her legs. When you press on the rash, it doesn't
blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
