NU 518
FINAL EXAM
Tested Questions with Verified
Answers and Rationales
University of South Alabama.
TTTT DTTTTTTT TTTTTTTTTTT:
This document contains a collection of tested and verified
questions with accurate answers from Final Exam of NU 518 at
the University of South Alabama. It covers core topics assessed
in the course and reflects the actual exam format and question
style. Ideal for exam preparation and concept reinforcement.
,1. 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. He denies any
surgeries. He smokes two packs of cigarettes a day, drinks a case of beer a
week, and smokes marijuana and occasionally crack. He has injected IV
drugs before but not in the last few years. He is single and currently
unemployed. His mother has rheumatoid arthritis and he doesn't know
anything about his father. On examination you see a young man appearing
deconditioned but pleasant. 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. There is no prepuce because of neonatal
circumcision. On palpation the ulcer is nontender. In the inguinal region
there is nontender lymphadenopathy. What disorder of the penis is most
likely the diagnosis?
A) Condylomata acuminata
B) Genital herpes
C) Syphilitic chancre
D) Penile carcinoma
Ans: C
Chapter: 13
Page and Header: 516, Table 13-2
Feedback: Primary syphilis causes a larger ulcer that is firm and painless.
Syphilis is fairly uncommon but does occur in the highly promiscuous population,
especially when coupled with illegal drug use. You should consider further
questions and workup regarding HIV status.
2. 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
because she is on the pill they don't use condoms. He denies any fever,
weight loss, or night sweats. His past medical history is unremarkable. In
addition to college, he works part-time for his father in construction. He is
engaged to be married and has no children. His father is healthy and his
mother has hypothyroidism. On examination the young man appears
healthy. His vital signs are unremarkable. 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?
A) Condylomata acuminata
B) Genital herpes
C) Syphilitic chancre
D) Penile carcinoma
Ans: A
Chapter: 13
Page and Header: 516, Table 13-2
Feedback: Warts are generally painless papules along the shaft and corona. They
are likely to spread and are caused by the human papilloma virus, transmitted
through sexual contact. You should discuss prevention of STIs with him.
Although his girlfriend's contraceptive pill protects her from pregnancy, he and
she are unprotected from sharing STIs. She should receive regular Pap
examinations and consider the HPV vaccine.
3. 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 selfexamination 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. He eats a healthy diet and works out
at the gym five times a week. He denies any tobacco or illegal drugs and
drinks alcohol occasionally. His parents are both healthy. On examination
you see a muscular, healthy, young-appearing man with unremarkable vital
signs. 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 down. Nothing is felt. You attempt to place your finger
through the left inguinal ring but cannot get above the mass. On rectal
examination his prostate is unremarkable. What disorder of the testes is
most likely the diagnosis?
A) Hydrocele
B) Scrotal hernia
C) Scrotal edema
D) Varicocele
Ans: B
Chapter: 13
Page and Header: 519, Table 13-5
Feedback: Scrotal hernias occur when the small intestine passes through a weak
spot of the inguinal ring. The examiner cannot get a finger above the hernia into
the ring. Hernias are often caused by increased abdominal pressure, such as in
weight lifting. Patients who have a hernia on one side often have another hernia
on the opposite side. In this patient's case, a right-sided hernia was repaired as an
infant.
4. 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
FINAL EXAM
Tested Questions with Verified
Answers and Rationales
University of South Alabama.
TTTT DTTTTTTT TTTTTTTTTTT:
This document contains a collection of tested and verified
questions with accurate answers from Final Exam of NU 518 at
the University of South Alabama. It covers core topics assessed
in the course and reflects the actual exam format and question
style. Ideal for exam preparation and concept reinforcement.
,1. 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. He denies any
surgeries. He smokes two packs of cigarettes a day, drinks a case of beer a
week, and smokes marijuana and occasionally crack. He has injected IV
drugs before but not in the last few years. He is single and currently
unemployed. His mother has rheumatoid arthritis and he doesn't know
anything about his father. On examination you see a young man appearing
deconditioned but pleasant. 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. There is no prepuce because of neonatal
circumcision. On palpation the ulcer is nontender. In the inguinal region
there is nontender lymphadenopathy. What disorder of the penis is most
likely the diagnosis?
A) Condylomata acuminata
B) Genital herpes
C) Syphilitic chancre
D) Penile carcinoma
Ans: C
Chapter: 13
Page and Header: 516, Table 13-2
Feedback: Primary syphilis causes a larger ulcer that is firm and painless.
Syphilis is fairly uncommon but does occur in the highly promiscuous population,
especially when coupled with illegal drug use. You should consider further
questions and workup regarding HIV status.
2. 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
because she is on the pill they don't use condoms. He denies any fever,
weight loss, or night sweats. His past medical history is unremarkable. In
addition to college, he works part-time for his father in construction. He is
engaged to be married and has no children. His father is healthy and his
mother has hypothyroidism. On examination the young man appears
healthy. His vital signs are unremarkable. 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?
A) Condylomata acuminata
B) Genital herpes
C) Syphilitic chancre
D) Penile carcinoma
Ans: A
Chapter: 13
Page and Header: 516, Table 13-2
Feedback: Warts are generally painless papules along the shaft and corona. They
are likely to spread and are caused by the human papilloma virus, transmitted
through sexual contact. You should discuss prevention of STIs with him.
Although his girlfriend's contraceptive pill protects her from pregnancy, he and
she are unprotected from sharing STIs. She should receive regular Pap
examinations and consider the HPV vaccine.
3. 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 selfexamination 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. He eats a healthy diet and works out
at the gym five times a week. He denies any tobacco or illegal drugs and
drinks alcohol occasionally. His parents are both healthy. On examination
you see a muscular, healthy, young-appearing man with unremarkable vital
signs. 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 down. Nothing is felt. You attempt to place your finger
through the left inguinal ring but cannot get above the mass. On rectal
examination his prostate is unremarkable. What disorder of the testes is
most likely the diagnosis?
A) Hydrocele
B) Scrotal hernia
C) Scrotal edema
D) Varicocele
Ans: B
Chapter: 13
Page and Header: 519, Table 13-5
Feedback: Scrotal hernias occur when the small intestine passes through a weak
spot of the inguinal ring. The examiner cannot get a finger above the hernia into
the ring. Hernias are often caused by increased abdominal pressure, such as in
weight lifting. Patients who have a hernia on one side often have another hernia
on the opposite side. In this patient's case, a right-sided hernia was repaired as an
infant.
4. 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
