Advanced Health Assessment Test
4 Exam With Correct Answers
2025
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 hasnt gone away. he
says it doesnt 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 consits of nongonococcal urthreitis
from chlamydia and prostatitis. he denies any surgeries. he smokes two
packs of cigarettes a day, drinks a case of beer a week and smoks 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 RA and he
doesnt know anything babout his father. on examination you see a young
man appearing deconditioned but unplesant. his vital signs are
unremarkable. on visualization of his penis there is a 6mm red, oval ulcer
with an indurated base just proximal to the<correct answers>C. syphilitic
chancre
primary syphilis causes a large ulcer that is firm and painless
syphillis is high in people with illegal drugs
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
havent gone away. in fact, he thinks there may be more now. he denies any
pain with intercourse or urination. he has had 3 former partners and has
been with his current girlfriend for 6 months. he says that because she is on
the pill they dont use condome. he denies any fever, weight loss, or night
sweats. his past medical history is 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 .
which abnormality of the penis does this patient most likely have?
`A. condylomata acuminata
B. genital herpes
C. syphilitic chancre
D. penile carcinoma<correct answers>`A. condylomata acuminata
generally painless papules along the shaft and corona
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 adn 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 consist 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. 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 scrotom 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. no<correct answers>B. scrotal
hernia
because the examiner cannot get a finger above the hernia into the ring
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 icnreases, but when he wakes up in
the morning he is pain free. he denies any pain with urination adn states that
,the pain doesnt 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 have 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 w<correct answers>D. varicocele
are varicose veins surrounding the spermatic cord, coming through the
inguinal ring. these veins feel like spaghetti adn are often referred to as a
bag of worms.
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 pain with urination. because he is
impotent he doesnt know if intercourse would hurt. he states he has become
more tired lately and has also gained 10 pounds in the last month. he denies
any fever or weight loss. he has had some SOB with exertion. his past
medical hisotry consists of type 2 diabets for 20 years, high blood pressure,
and coronary artery disease. he is on insulin, three high blood pressure pills,
and a water pill. he has had his gallbladder removed. he is married and has
five children. he is currently on disability because of his health problems.
both of his parents died of complciation from diabetes. on examination you
see a pleasant male appearing chronical<correct answers>C. scrotal edema
scrotal edema is a generalized swelling of the scrotom
, a 36 year old security officer comes to your clinic, complaining of a painless
mass in his scrotom. he found it 3 days ago during a testicular self-
examinaiton. he has had no burning with urination and no pain during sexual
intercourse. he denies any weight loss, weight gain, fever, or night sweats.
his past medical history is notable for high blood pressure. he is married and
has three healthy children. he denies using illegal drugs, smokes two to
three ciggs a week, and drinks 6 to 8 alcoholic beverages per week. his
mother is in good health and his fatehr had high blood pressure and coronary
artery disease. on physical exam he appears anxious but in no pain. his vital
signs are unremarkable. on visualization of his penis, he is circumcised and
has no lesions. his inguinal region has no lymphadenopathy. palpation on his
scrotom shows a soft cystic like lesion measure 2 cm over his right testicle.
there is no diffic<correct answers>A. hydrocele
a 22 year old unemployed roofer presents to your clinic, complaining of pain
in his testicle and penis. he states the pain began last night and has steadily
become worse. he states it hurts when he urinates and he has not attempted
intercourse since the pain began. he has tried tylenol and ibuprofen without
improvement. he denies any fever or night sweats. his past medical history
is unremarkable. he has had four previous sexual partners and has had a
new partner for the last month. he appears mildly ill. his temp is 100,2.
visualization of the penis he is circumcised with no lesions or discharge from
the meatus. visualization of the scrotal skin appears unremarkable. palpation
of the tests shows severe tenderness at the superior pole of the normal sized
left testicle. he also has tenderness when you palpate the structures superior
to the testicle through the scrotal wall. the right testicle is unremarkable. an
exami<correct answers>B. acute epididymitis
a 15 year old high school football player is brought to your office by his
mother. he is complaining of severe testicular pain since exactly 8 AM. he
denies any sexual activity and states that he hurts so bad he cant even
4 Exam With Correct Answers
2025
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 hasnt gone away. he
says it doesnt 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 consits of nongonococcal urthreitis
from chlamydia and prostatitis. he denies any surgeries. he smokes two
packs of cigarettes a day, drinks a case of beer a week and smoks 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 RA and he
doesnt know anything babout his father. on examination you see a young
man appearing deconditioned but unplesant. his vital signs are
unremarkable. on visualization of his penis there is a 6mm red, oval ulcer
with an indurated base just proximal to the<correct answers>C. syphilitic
chancre
primary syphilis causes a large ulcer that is firm and painless
syphillis is high in people with illegal drugs
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
havent gone away. in fact, he thinks there may be more now. he denies any
pain with intercourse or urination. he has had 3 former partners and has
been with his current girlfriend for 6 months. he says that because she is on
the pill they dont use condome. he denies any fever, weight loss, or night
sweats. his past medical history is 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 .
which abnormality of the penis does this patient most likely have?
`A. condylomata acuminata
B. genital herpes
C. syphilitic chancre
D. penile carcinoma<correct answers>`A. condylomata acuminata
generally painless papules along the shaft and corona
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 adn 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 consist 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. 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 scrotom 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. no<correct answers>B. scrotal
hernia
because the examiner cannot get a finger above the hernia into the ring
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 icnreases, but when he wakes up in
the morning he is pain free. he denies any pain with urination adn states that
,the pain doesnt 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 have 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 w<correct answers>D. varicocele
are varicose veins surrounding the spermatic cord, coming through the
inguinal ring. these veins feel like spaghetti adn are often referred to as a
bag of worms.
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 pain with urination. because he is
impotent he doesnt know if intercourse would hurt. he states he has become
more tired lately and has also gained 10 pounds in the last month. he denies
any fever or weight loss. he has had some SOB with exertion. his past
medical hisotry consists of type 2 diabets for 20 years, high blood pressure,
and coronary artery disease. he is on insulin, three high blood pressure pills,
and a water pill. he has had his gallbladder removed. he is married and has
five children. he is currently on disability because of his health problems.
both of his parents died of complciation from diabetes. on examination you
see a pleasant male appearing chronical<correct answers>C. scrotal edema
scrotal edema is a generalized swelling of the scrotom
, a 36 year old security officer comes to your clinic, complaining of a painless
mass in his scrotom. he found it 3 days ago during a testicular self-
examinaiton. he has had no burning with urination and no pain during sexual
intercourse. he denies any weight loss, weight gain, fever, or night sweats.
his past medical history is notable for high blood pressure. he is married and
has three healthy children. he denies using illegal drugs, smokes two to
three ciggs a week, and drinks 6 to 8 alcoholic beverages per week. his
mother is in good health and his fatehr had high blood pressure and coronary
artery disease. on physical exam he appears anxious but in no pain. his vital
signs are unremarkable. on visualization of his penis, he is circumcised and
has no lesions. his inguinal region has no lymphadenopathy. palpation on his
scrotom shows a soft cystic like lesion measure 2 cm over his right testicle.
there is no diffic<correct answers>A. hydrocele
a 22 year old unemployed roofer presents to your clinic, complaining of pain
in his testicle and penis. he states the pain began last night and has steadily
become worse. he states it hurts when he urinates and he has not attempted
intercourse since the pain began. he has tried tylenol and ibuprofen without
improvement. he denies any fever or night sweats. his past medical history
is unremarkable. he has had four previous sexual partners and has had a
new partner for the last month. he appears mildly ill. his temp is 100,2.
visualization of the penis he is circumcised with no lesions or discharge from
the meatus. visualization of the scrotal skin appears unremarkable. palpation
of the tests shows severe tenderness at the superior pole of the normal sized
left testicle. he also has tenderness when you palpate the structures superior
to the testicle through the scrotal wall. the right testicle is unremarkable. an
exami<correct answers>B. acute epididymitis
a 15 year old high school football player is brought to your office by his
mother. he is complaining of severe testicular pain since exactly 8 AM. he
denies any sexual activity and states that he hurts so bad he cant even
