when you examine them. What should you do? - CORRECT ANSWER -Ask how she
acquired them.
A 58-year-old man comes to your office complaining of bilateral back pain that now
awakens him at night. This has been steadily increasing for the past 2 months. Which
one of the following is the most reassuring in this patient with back pain? - CORRECT
ANSWER -Pain that is bilateral
The Phalen's test is used to evaluate: - CORRECT ANSWER -inflammation of the
median nerve
Which of the following would lead you to suspect a hydrocele versus other causes of
scrotal swelling? - CORRECT ANSWER -A positive transillumination test
You are examining a newborn and note that the right testicle is not in the scrotum. What
should you do next? - CORRECT ANSWER -Attempt to bring down the testis from the
inguinal canal
A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper
respiratory, cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system
complaints. His past medical history is significant for mild arthritis and prior knee
surgery in college. He is married and just changed jobs, working for a different trucking
company. He smokes one pack of cigarettes a day, drinks less than six beers a week,
and denies using any illegal drugs. His mother has high blood pressure and arthritis and
his father died of lung cancer in his sixties. On examination, his blood pressure is
130/80 and his pulse is 80. His cardiac, lung, and abdominal examinations are normal.
He has no inguinal hernia, but on his digital rectal examination you palpate a soft,
smooth, and nontender pedunculated mass on the posterior wall of the rectum. What
anal, rectal, or prostate disorder best fits his presentation? - CORRECT ANSWER -
Rectal polyp
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 8:00 this morning. He denies any
sexual activity and states that he hurts so bad he can't even urinate. He is nauseated
and is throwing up. He denies any recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or drug use. His parents are both in
good health. On examination, you see a young teenager lying on the bed with an
emesis basin. He is very uncomfortable and keeps shifting his position. His blood
pressure is 150/100, his pulse is 110, and his respirations are 24. On visualization of the
penis, he is circumcised and there are no lesions and no discharge from the meatus.
His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and
the patient begins to cry. His prostate examination is unremarkable. His - CORRECT
ANSWER -Torsion of the spermatic cord
Which is true of prostate cancer? - CORRECT ANSWER -Ethnicity is a risk factor.
, Which of the following conditions involves a tight prepuce which, once retracted, cannot
be returned? - CORRECT ANSWER -Paraphimosis
A 12-year-old is brought to your clinic by his father. He was taught in his health class at
school to do monthly testicular self-examinations. Yesterday, when he felt his left
testicle, it was enlarged and tender. He isn't sure if he has had burning with urination
and he says he has never had sexual intercourse. He has had a sore throat, cough, and
runny nose for the last three days. His past medical history is significant for a
tonsillectomy as a small child. His father has high blood pressure and his mother is
healthy. On examination, you see a child in no acute distress. His temperature is 100.8
and his blood pressure and pulse are unremarkable. On visualization of his penis, he is
uncircumcised and has no lesions or discharge. His scrotum is red and tense on the left
and normal appearing on the right. Palpating his left testicle reveals a mildly sore
swollen testicle. The right testicle is unremarkable. An examin - CORRECT ANSWER -
Acute orchitis
The most common cause of cancer deaths in males is: - CORRECT ANSWER -Colon
cancer
Important techniques in performing the rectal examination include which of the
following? - CORRECT ANSWER -All of the above
Jim is a 47-year-old man who is having difficulties with sexual function. He is recently
separated from his wife of 20 years. He notes that he has early morning erections but
otherwise cannot function. Which of the following is a likely cause for his problem? -
CORRECT ANSWER -Psychological issues
Which of the following is true of human papilloma virus (HPV) infection? - CORRECT
ANSWER -It commonly resolves spontaneously in one to two years.
Which of the following is the most effective pattern of palpation for breast cancer? -
CORRECT ANSWER -Beginning at the nipple, make an ever-enlarging spiral.
A 14-year-old junior high school student is brought in by his mother and father because
he seems to be developing breasts. The mother is upset because she read on the
Internet that smoking marijuana leads to breast enlargement in males. The young man
adamantly denies using any tobacco, alcohol, or drugs. He has recently noticed
changes in his penis, testicles, and pubic hair pattern. Otherwise, his past medical
history is unremarkable. His parents are both in good health. He has two older brothers
who never had this problem. On examination, you see a mildly overweight teenager with
enlarged breast tissue that is slightly tender on both sides. Otherwise, his examination
is normal. He is agreeable to taking a drug test. What is the most likely cause of his
gynecomastia? - CORRECT ANSWER -Imbalance of hormones of puberty
Which of the following represents metrorrhagia? - CORRECT ANSWER -Bleeding
between periods