NCA 622 Exam 3 PlayPosit and Quiz Questions with Correct Answers 100% Verified By
Experts| 2025/2026 Latest Update
A 19 year old male presents to the ED with complaints of right testicular pain that started 3
days ago. Patient denies penile discharge. What should be included in his differential diagnosis?
Select all that apply.
- Acute epididymitis
- STI
- Testicular torsion
- Varicocele
- Hydrocele
- Spermatocele/Epididymal cyst
- Fournier's gangrene All of the above.
- Acute epididymitis: fever, pos Cremasteric, pos Prehn sign
- STI: discharge
- Testicular torsion: extreme pain, N/V, neg Cremasteric reflex
- Varicocele: dull ache, bag o' worms
- Hydrocele: painless swelling anterior or lateral to the testicle
- Spermatocele/Epididymal cyst: painless swelling from the head of the testicle
- Fournier's gangrene
The AGACNP is concerned with acute epididymitis after eliciting a positive:
- Prehn's sign
- Cremasteric reflex
- Tinel sign
- Phalen test Prehn sign
- Elevation of the scrotal contents alleviates the pain associated with epididymitis.
,- Cremasteric reflex: lifting of the testicle in response to stroking of the thigh
- Due to STI in young men and UTI in older men
- R/O amiodarone as a cause
A 15yo male presents with complaints of testicular pain the woke him up while sleeping. The
AGACNP has a high suspicion that:
- the patient needs to be treated with antibiotics and notify their partners to be treated as well
- the patient will need to be evaluated by GI surgery for concerns for an inguinal hernia
incarceration
- the patient needs to be evaluated by urology for concerns of testicular torsion
- the patient has a spermatocele an will need to follow up with urology in clinic The patient
needs to be evaluated by urology for concerns of testicular torsion
The most common age range for testicular cancer is:
- 10-20 years
- 20-35 years
- 35-55 years
- 55-75 years 20-35 years, involves painless testicular enlargement
Check HCG, AFP, and LDH
Where is the most common origin for testicular cancer?
- Lung
- Colon
- Prostate
- Thyroid Prostate
- Discrete painless mass
,- Follow up every 3-6 months for the first two years and every 4-6 month in the 3rd year
Using the TNM staging system, when there are signs of distant metastasis, this would indicated
stage ___. When lesions are confined to the testes, this would be stage ___.
When regional lymph node involvement is seen in the retroperitoneum, this would be stage
___. Stage 3 - distant metastases; primary chemo, radical orchiectomy and resection of
residual retroperitoneal nodes
Stage 1 - confined to the testes; surveillance, single-agent chemo, or adjuvant radiation
Stage 2 - lymph node involvement in the retroperitoneum; treat with radical orchiectomy and
retroperitoneal irradiation
A male patient present to urgent care with complaints of penile discharge and lesions. What are
your differentials?
- Gonorrhea/chlamydia
- Acute bacterial prostatitis
- Herpes simplex
- Syphilis All of the above
Discharge: gonorrhea/chlamydia, epididymitis
Chancre: syphilis, treat with penicillin G
What are the symptoms of primary, secondary, tertiary, and latent syphilis? 1: Chancre,
local lymphadenopathy
2: Flu-like symptoms, maculopapular rash on the palms, and systemic lymphadenopathy
3: Cardiac and gummous lesions
L: Lacking clinical manifestations
, Neurosyphilis can occur at any stage. Tabes dorsales and general paresis are late signs.
A 19yo presents with complaints of dysuria and denies any other complaint. What diagnostics
will you order?
- Urine
- Gonorrhea urine test
- Chlamydia urine test
- CBC
- BMP Urine, gonorrhea, and chlamydia
What are the potential complications of not treating gonorrhea in men?
- Sterility
- epididymitis
- spreading to blood and joints, increased chances of getting HIV
- all of the above All of the above
Treat with Rocephin (gonorrhea) and Doxycycline or azithromycin (chlamydia)
Inflammation of the glans penis is known as _____.
Condition where the foreskin of an uncircumsized male patient cannot be retracted over the
glans penis is known as _____.
Condition of the foreskin of an uncircumsized male patient is trapped behind the glans penis
and cannot be pulled to its original state is known as _____. Balanitis - better hygiene and
treatment of candidiasis with an -azole if present
Phimosis - circumcision
Paraphimosis - consult urologist
Experts| 2025/2026 Latest Update
A 19 year old male presents to the ED with complaints of right testicular pain that started 3
days ago. Patient denies penile discharge. What should be included in his differential diagnosis?
Select all that apply.
- Acute epididymitis
- STI
- Testicular torsion
- Varicocele
- Hydrocele
- Spermatocele/Epididymal cyst
- Fournier's gangrene All of the above.
- Acute epididymitis: fever, pos Cremasteric, pos Prehn sign
- STI: discharge
- Testicular torsion: extreme pain, N/V, neg Cremasteric reflex
- Varicocele: dull ache, bag o' worms
- Hydrocele: painless swelling anterior or lateral to the testicle
- Spermatocele/Epididymal cyst: painless swelling from the head of the testicle
- Fournier's gangrene
The AGACNP is concerned with acute epididymitis after eliciting a positive:
- Prehn's sign
- Cremasteric reflex
- Tinel sign
- Phalen test Prehn sign
- Elevation of the scrotal contents alleviates the pain associated with epididymitis.
,- Cremasteric reflex: lifting of the testicle in response to stroking of the thigh
- Due to STI in young men and UTI in older men
- R/O amiodarone as a cause
A 15yo male presents with complaints of testicular pain the woke him up while sleeping. The
AGACNP has a high suspicion that:
- the patient needs to be treated with antibiotics and notify their partners to be treated as well
- the patient will need to be evaluated by GI surgery for concerns for an inguinal hernia
incarceration
- the patient needs to be evaluated by urology for concerns of testicular torsion
- the patient has a spermatocele an will need to follow up with urology in clinic The patient
needs to be evaluated by urology for concerns of testicular torsion
The most common age range for testicular cancer is:
- 10-20 years
- 20-35 years
- 35-55 years
- 55-75 years 20-35 years, involves painless testicular enlargement
Check HCG, AFP, and LDH
Where is the most common origin for testicular cancer?
- Lung
- Colon
- Prostate
- Thyroid Prostate
- Discrete painless mass
,- Follow up every 3-6 months for the first two years and every 4-6 month in the 3rd year
Using the TNM staging system, when there are signs of distant metastasis, this would indicated
stage ___. When lesions are confined to the testes, this would be stage ___.
When regional lymph node involvement is seen in the retroperitoneum, this would be stage
___. Stage 3 - distant metastases; primary chemo, radical orchiectomy and resection of
residual retroperitoneal nodes
Stage 1 - confined to the testes; surveillance, single-agent chemo, or adjuvant radiation
Stage 2 - lymph node involvement in the retroperitoneum; treat with radical orchiectomy and
retroperitoneal irradiation
A male patient present to urgent care with complaints of penile discharge and lesions. What are
your differentials?
- Gonorrhea/chlamydia
- Acute bacterial prostatitis
- Herpes simplex
- Syphilis All of the above
Discharge: gonorrhea/chlamydia, epididymitis
Chancre: syphilis, treat with penicillin G
What are the symptoms of primary, secondary, tertiary, and latent syphilis? 1: Chancre,
local lymphadenopathy
2: Flu-like symptoms, maculopapular rash on the palms, and systemic lymphadenopathy
3: Cardiac and gummous lesions
L: Lacking clinical manifestations
, Neurosyphilis can occur at any stage. Tabes dorsales and general paresis are late signs.
A 19yo presents with complaints of dysuria and denies any other complaint. What diagnostics
will you order?
- Urine
- Gonorrhea urine test
- Chlamydia urine test
- CBC
- BMP Urine, gonorrhea, and chlamydia
What are the potential complications of not treating gonorrhea in men?
- Sterility
- epididymitis
- spreading to blood and joints, increased chances of getting HIV
- all of the above All of the above
Treat with Rocephin (gonorrhea) and Doxycycline or azithromycin (chlamydia)
Inflammation of the glans penis is known as _____.
Condition where the foreskin of an uncircumsized male patient cannot be retracted over the
glans penis is known as _____.
Condition of the foreskin of an uncircumsized male patient is trapped behind the glans penis
and cannot be pulled to its original state is known as _____. Balanitis - better hygiene and
treatment of candidiasis with an -azole if present
Phimosis - circumcision
Paraphimosis - consult urologist
