N582 Exam UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
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. - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT ANSWER C. Pseudomonas
Which of the following would be an appropriate treatment for a patient with mild benign
prostatic hyperplasia (BPH)?
a.Prescribe a trial of canagliflozin.
b.Referral to urologist for surgery.
c.Have a period of watchful waiting.
d.Recommend cranberry supplements. - CORRECT ANSWER C. Have a period of
watchful waiting
A 20-year-old woman is seen in the clinic because her boyfriend was found to have
gonorrhea. Which of the following is the treatment of choice for gonorrhea?
a.Acyclovir 400mg po tid for 10 days
b.Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
c.Metronidazole 500mg po q4h for 5 days
d.Amoxicillin 500mg po q8h for 7 days - CORRECT ANSWER B. Ceftriaxone 250mg
IM plus single dose of azithromycin 1g orally
A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the
following tests is essential before prescribing any oral contraceptive?
a.Urine dip for protein
b.Pregnancy test
AND CORRECT ANSWERS
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. - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT ANSWER C. Pseudomonas
Which of the following would be an appropriate treatment for a patient with mild benign
prostatic hyperplasia (BPH)?
a.Prescribe a trial of canagliflozin.
b.Referral to urologist for surgery.
c.Have a period of watchful waiting.
d.Recommend cranberry supplements. - CORRECT ANSWER C. Have a period of
watchful waiting
A 20-year-old woman is seen in the clinic because her boyfriend was found to have
gonorrhea. Which of the following is the treatment of choice for gonorrhea?
a.Acyclovir 400mg po tid for 10 days
b.Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
c.Metronidazole 500mg po q4h for 5 days
d.Amoxicillin 500mg po q8h for 7 days - CORRECT ANSWER B. Ceftriaxone 250mg
IM plus single dose of azithromycin 1g orally
A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the
following tests is essential before prescribing any oral contraceptive?
a.Urine dip for protein
b.Pregnancy test
