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H&P Practice Q's – GU Questions and Answers with
Complete Solutions UPDATED!!!
A 28-year-old musician comes to your clinic, complaining of a
"spot" on his penis. *He states his partner noticed it 2 days ago
and it hasn't gone away. He says it doesn't hurt.* He has had no
burning with urination and no pain during intercourse. He has
had several partners in the last year and uses condoms
occasionally. His past medical history consists of nongonococcal
urethritis from Chlamydia and prostatitis. His vital signs are
unremarkable. On visualization of his penis there is a *6-mm
red, oval ulcer with an indurated base just proximal to the
corona. On palpation the ulcer is nontender.* In the inguinal
region there is nontender lymphadenopathy.
What disorder of the penis is most likely the diagnosis? -
ANSWER Syphilitic chancre
A 20-year-old part-time college student comes to your clinic,
complaining of growths on his penile shaft. They have been
there for about 6 weeks and haven't gone away. In fact, he
thinks there may be more now. He denies any pain with
intercourse or urination. He has had three former partners and
has been with his current girlfriend for 6 months. He says that
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because she is on the pill they don't use condoms. He denies
any fever, weight loss, or night sweats. He is engaged to be
married and has no children. On visualization of his penis you
see several moist papules along all sides of his penile shaft and
even two on the corona. He has been circumcised. On palpation
of his inguinal region there is no inguinal lymphadenopathy.
Which abnormality of the penis does this patient most likely
have? - ANSWER Condylomata acuminata
A 29-year-old married computer programmer comes to your
clinic, complaining of "something strange" going on in his
scrotum. Last month while he was doing his testicular self-
examination he felt a lump in his left testis. He waited a month
and felt the area again, but the lump was still there. He has had
some aching in his left testis but denies any pain with urination
or sexual intercourse. He denies any fever, malaise, or night
sweats. His past medical history consists of groin surgery when
he was a baby and a tonsillectomy as a teenager. His parents
are both healthy. On visualization the penis is circumcised with
no lesions; there is a scar in his right inguinal region. There is no
lymphadenopathy. Palpation of his scrotum is unremarkable on
the right but indicates a large mass on the left. Placing a finger
through the inguinal ring on the right, you have the patient bear
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down. Nothing is felt. *You attempt to plac - ANSWER Scrotal
(Inguinal) hernia
A 32-year-old white male comes to your clinic, complaining of
aching on the right side of his testicle. He has felt this aching for
several months. He states that as the day progresses the aching
increases, but when he wakes up in the morning he is pain-free.
He denies any pain with urination and states that the pain
doesn't change with sexual activity. He denies any fatigue,
weight gain, weight loss, fever, or night sweats. His past medical
history is unremarkable. He is a married hospital administrator
with two children. He notes that he and his wife have been
trying to have another baby this year but have so far been
unsuccessful despite frequent intercourse. He denies using
tobacco, alcohol, or illegal drugs. His father has high blood
pressure but his mother is healthy. On examination you see a
young man appearing his stated age with unremarkable vital
signs. On visualization of his penis, he is circumcised with -
ANSWER Varicocele
A 48-year-old policeman comes to your clinic, complaining of a
swollen scrotum. He states it began a couple of weeks ago and
has steadily worsened. He says the longer he stands up the
worse it gets, but when he lies down it improves. He denies any
H&P Practice Q's – GU Questions and Answers with
Complete Solutions UPDATED!!!
A 28-year-old musician comes to your clinic, complaining of a
"spot" on his penis. *He states his partner noticed it 2 days ago
and it hasn't gone away. He says it doesn't hurt.* He has had no
burning with urination and no pain during intercourse. He has
had several partners in the last year and uses condoms
occasionally. His past medical history consists of nongonococcal
urethritis from Chlamydia and prostatitis. His vital signs are
unremarkable. On visualization of his penis there is a *6-mm
red, oval ulcer with an indurated base just proximal to the
corona. On palpation the ulcer is nontender.* In the inguinal
region there is nontender lymphadenopathy.
What disorder of the penis is most likely the diagnosis? -
ANSWER Syphilitic chancre
A 20-year-old part-time college student comes to your clinic,
complaining of growths on his penile shaft. They have been
there for about 6 weeks and haven't gone away. In fact, he
thinks there may be more now. He denies any pain with
intercourse or urination. He has had three former partners and
has been with his current girlfriend for 6 months. He says that
,2|Page
because she is on the pill they don't use condoms. He denies
any fever, weight loss, or night sweats. He is engaged to be
married and has no children. On visualization of his penis you
see several moist papules along all sides of his penile shaft and
even two on the corona. He has been circumcised. On palpation
of his inguinal region there is no inguinal lymphadenopathy.
Which abnormality of the penis does this patient most likely
have? - ANSWER Condylomata acuminata
A 29-year-old married computer programmer comes to your
clinic, complaining of "something strange" going on in his
scrotum. Last month while he was doing his testicular self-
examination he felt a lump in his left testis. He waited a month
and felt the area again, but the lump was still there. He has had
some aching in his left testis but denies any pain with urination
or sexual intercourse. He denies any fever, malaise, or night
sweats. His past medical history consists of groin surgery when
he was a baby and a tonsillectomy as a teenager. His parents
are both healthy. On visualization the penis is circumcised with
no lesions; there is a scar in his right inguinal region. There is no
lymphadenopathy. Palpation of his scrotum is unremarkable on
the right but indicates a large mass on the left. Placing a finger
through the inguinal ring on the right, you have the patient bear
, 3|Page
down. Nothing is felt. *You attempt to plac - ANSWER Scrotal
(Inguinal) hernia
A 32-year-old white male comes to your clinic, complaining of
aching on the right side of his testicle. He has felt this aching for
several months. He states that as the day progresses the aching
increases, but when he wakes up in the morning he is pain-free.
He denies any pain with urination and states that the pain
doesn't change with sexual activity. He denies any fatigue,
weight gain, weight loss, fever, or night sweats. His past medical
history is unremarkable. He is a married hospital administrator
with two children. He notes that he and his wife have been
trying to have another baby this year but have so far been
unsuccessful despite frequent intercourse. He denies using
tobacco, alcohol, or illegal drugs. His father has high blood
pressure but his mother is healthy. On examination you see a
young man appearing his stated age with unremarkable vital
signs. On visualization of his penis, he is circumcised with -
ANSWER Varicocele
A 48-year-old policeman comes to your clinic, complaining of a
swollen scrotum. He states it began a couple of weeks ago and
has steadily worsened. He says the longer he stands up the
worse it gets, but when he lies down it improves. He denies any
