Midterm and Final N582 Questions With
Complete Solutions Latest update
A 14-year-old male is seen with complaints of severe testicular pain. The clinician
suspects testicular torsion. Which of the following is the appropriate action?
a. Instruct the patient to elevate the scrotum.
b. Prescribe ibuprofen.
c. Refer to immediately to the emergency department for evaluation
d. Obtain a computed tomography (CT) scan. - ANSWER-C. Refer to ED
immediately
A 30-year-old man is seen with a chief complaint of loss of libido. Which of the
following laboratory tests would help establish a diagnosis?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity - ANSWER-A. Testosterone level
A 35-year-old man presents with complaints of painful erections, and he notices
his penis is crooked when erect. What is the most likely diagnosis?
a. Peyronie's disease
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion - ANSWER-A. Peyronie's disease
,An 82-year-old man is seen in the primary-care office with complaints of dribbling
urine and difficulty starting his stream. Which of the following should be included
in the list of differential diagnoses?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia - ANSWER-C. All of the above
Peter is a 40-year-old male with a recent diagnosis of low testosterone. Which of
the following counseling points is correct regarding low testosterone?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on testosterone
d.Testosterone deficiency is due to hypergonadism. - ANSWER-B. Lowering your
A1C may improve your testosterone levels
The 56-year-old man with chronic prostatitis should be treated with levofloxacin
for how long?
a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days - ANSWER-B. 4 to 6 weeks
, The patient with BPH is seen for follow-up. He has been taking finasteride
(Proscar) for 6 months. The clinician should assess this patient for which of these
side effects?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma - ANSWER-C. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer Society)
recommendation of when to begin prostate screening?
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in good health should
start screening at age 70.
c.Caucasian men should start screening at age 55.
d.African American men who have had a brother diagnosed with prostate cancer
before the age of 65 should start screening at 45. - ANSWER-D. African American
men who have had a brother diagnosed with prostate cancer before the age of 65
should start screening at 45.
Which of the following is an aerobic gram-negative bacteria involved in
prostatitis?
a.Streptococcus faecalis
b.Staphylococcus
c.Pseudomonas
d.Diphtheroids - ANSWER-C. Pseudomonas
Complete Solutions Latest update
A 14-year-old male is seen with complaints of severe testicular pain. The clinician
suspects testicular torsion. Which of the following is the appropriate action?
a. Instruct the patient to elevate the scrotum.
b. Prescribe ibuprofen.
c. Refer to immediately to the emergency department for evaluation
d. Obtain a computed tomography (CT) scan. - ANSWER-C. Refer to ED
immediately
A 30-year-old man is seen with a chief complaint of loss of libido. Which of the
following laboratory tests would help establish a diagnosis?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity - ANSWER-A. Testosterone level
A 35-year-old man presents with complaints of painful erections, and he notices
his penis is crooked when erect. What is the most likely diagnosis?
a. Peyronie's disease
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion - ANSWER-A. Peyronie's disease
,An 82-year-old man is seen in the primary-care office with complaints of dribbling
urine and difficulty starting his stream. Which of the following should be included
in the list of differential diagnoses?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia - ANSWER-C. All of the above
Peter is a 40-year-old male with a recent diagnosis of low testosterone. Which of
the following counseling points is correct regarding low testosterone?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on testosterone
d.Testosterone deficiency is due to hypergonadism. - ANSWER-B. Lowering your
A1C may improve your testosterone levels
The 56-year-old man with chronic prostatitis should be treated with levofloxacin
for how long?
a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days - ANSWER-B. 4 to 6 weeks
, The patient with BPH is seen for follow-up. He has been taking finasteride
(Proscar) for 6 months. The clinician should assess this patient for which of these
side effects?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma - ANSWER-C. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer Society)
recommendation of when to begin prostate screening?
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in good health should
start screening at age 70.
c.Caucasian men should start screening at age 55.
d.African American men who have had a brother diagnosed with prostate cancer
before the age of 65 should start screening at 45. - ANSWER-D. African American
men who have had a brother diagnosed with prostate cancer before the age of 65
should start screening at 45.
Which of the following is an aerobic gram-negative bacteria involved in
prostatitis?
a.Streptococcus faecalis
b.Staphylococcus
c.Pseudomonas
d.Diphtheroids - ANSWER-C. Pseudomonas
