NR 511 FINAL EXAM QUESTION WITH
DETAILED VERIFIED ANSWERS
A 14 year old male is seen with complains of severe testicular
pain. The clinician suspects testicular torsion. Which of the
following is the appropriate actions
A Refer to a urologist immediately
B Obtain a CT scan
C Instruct the patient to elevate the scrotum
D Prescribe Ibuprofen - correct answer- A Refer to a
urologist immediately
A 22 year old male is seen in the clinic because he found a hard
lump in his testicle when performing testicular self exam. Which
of the following should be included in the list of differential
diagnosis
A Testicular cancer
B Inguinal hernia
C Varicocele
D All of the above - correct answer- D All of the above
,A 23 year old male patient with hemophilia A says, How can I
keep my children from having hemophilia A. What of the
following is the informative response.
A You need to select a very dependable mode of birth control
B You can only pass hemophilia B to your sons
C Your daughter may be a carrier and her children may have
hemophilia A. Your son is not at risk
D Your sons should have coagulation studies - correct answer-
C Your daughter may be a carrier and her children may have
hemophilia A. Your son is not at risk
A 23 year old sexually active man is seen in the clinic with
unilateral painful testicular swelling and he is diagnosed with
epididymitis. In order to prescribe the correct drug, the clinician
much understand that which of these is the most common
causative organism?
A E Coli
B S Aureus
C Chlamydia trachomatis
D Pseudomonas aeruginosa - correct answer- C Chlamydia
trachomatis
,A 27 year old patient with hypothyroidism is referred to the
dietitian for dietary consultation. What should nutritional
interventions include
A Frequent small meals high in carbs
B Calorie restricted meals
C caffeine rich beverages
D Fluid restrictions - correct answer- B Calorie restricted
meals
A 30 year old man is seen with a CC of loss of libido. Which of
the following lab tests would help establish a diagnosis
A Testosterone level
B PSA
C Nocturnal penile tumescence and rigidity
D Prolactin level - correct answer- A Testosterone level
A 35 year old man presents with companies of painful erections,
and he notices his penis is crooked when erect. What is the most
likely diagnosis
A Peyronies disease
B Damage to the pudendal artery
C Scarring of the cavernosa
, D All of the above - correct answer- A Peyronies disease
A 46 year old man presents with urinary hesitancy and low back
pain. he has no history of UTI. DRE reveals a normal prostate and
a diagnosis of prostatodynia is made. Which is the appropriate
treatment?
A Terazosin 2 mg PO once a day
B Ice pack to the scrotal area
C Saw palmetto 320 mg per day
D All of the above - correct answer- A Terazosin 2 mg PO
once a day
A 58 year old patient has been receiving leuprolide as treatment
for prostate cancer. The clinician should instruct the patient
about which of these side effects
A Risk of osteopo
B May have hot flashes
C May have impotence
D All of the above - correct answer- D All of the above
DETAILED VERIFIED ANSWERS
A 14 year old male is seen with complains of severe testicular
pain. The clinician suspects testicular torsion. Which of the
following is the appropriate actions
A Refer to a urologist immediately
B Obtain a CT scan
C Instruct the patient to elevate the scrotum
D Prescribe Ibuprofen - correct answer- A Refer to a
urologist immediately
A 22 year old male is seen in the clinic because he found a hard
lump in his testicle when performing testicular self exam. Which
of the following should be included in the list of differential
diagnosis
A Testicular cancer
B Inguinal hernia
C Varicocele
D All of the above - correct answer- D All of the above
,A 23 year old male patient with hemophilia A says, How can I
keep my children from having hemophilia A. What of the
following is the informative response.
A You need to select a very dependable mode of birth control
B You can only pass hemophilia B to your sons
C Your daughter may be a carrier and her children may have
hemophilia A. Your son is not at risk
D Your sons should have coagulation studies - correct answer-
C Your daughter may be a carrier and her children may have
hemophilia A. Your son is not at risk
A 23 year old sexually active man is seen in the clinic with
unilateral painful testicular swelling and he is diagnosed with
epididymitis. In order to prescribe the correct drug, the clinician
much understand that which of these is the most common
causative organism?
A E Coli
B S Aureus
C Chlamydia trachomatis
D Pseudomonas aeruginosa - correct answer- C Chlamydia
trachomatis
,A 27 year old patient with hypothyroidism is referred to the
dietitian for dietary consultation. What should nutritional
interventions include
A Frequent small meals high in carbs
B Calorie restricted meals
C caffeine rich beverages
D Fluid restrictions - correct answer- B Calorie restricted
meals
A 30 year old man is seen with a CC of loss of libido. Which of
the following lab tests would help establish a diagnosis
A Testosterone level
B PSA
C Nocturnal penile tumescence and rigidity
D Prolactin level - correct answer- A Testosterone level
A 35 year old man presents with companies of painful erections,
and he notices his penis is crooked when erect. What is the most
likely diagnosis
A Peyronies disease
B Damage to the pudendal artery
C Scarring of the cavernosa
, D All of the above - correct answer- A Peyronies disease
A 46 year old man presents with urinary hesitancy and low back
pain. he has no history of UTI. DRE reveals a normal prostate and
a diagnosis of prostatodynia is made. Which is the appropriate
treatment?
A Terazosin 2 mg PO once a day
B Ice pack to the scrotal area
C Saw palmetto 320 mg per day
D All of the above - correct answer- A Terazosin 2 mg PO
once a day
A 58 year old patient has been receiving leuprolide as treatment
for prostate cancer. The clinician should instruct the patient
about which of these side effects
A Risk of osteopo
B May have hot flashes
C May have impotence
D All of the above - correct answer- D All of the above
