DREXEL NUR 550 FINAL EXAM QUESTIONS
WITH COMPLETE AND 100% CORRECT
DETAILED ANSWERS |ALREADY GRADED A
(2026-2027)
A 15-month-old is brought to you for a fever of 38.6 degrees Celsius
and fussiness. The ear examination is as follows: external ear,
normal appearance and no tenderness with manipulation; canal,
normal diameter without evidence of inflammation; tympanic
membrane, bulging, erythematous, and opaque. Insufflation is
deferred due to pain. What is your diagnosis?
a). Ruptured tympanic membrane
b). Otitis media
c). Otitis externa
d). Cholesteatoma - correct answer - b). Otitis media
A 16-year-old high school junior is brought to your clinic by his
father. The teenager 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 3 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 teenager 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 i - correct
answer - c). Acute orchitis
Acute orchitis causes an inflamed, tender testicle. The scrotum will
be red and tense. Orchitis is usually unilateral and often associated
with viral infections such as mumps.
A 19-year-old college student, Todd, is brought to your clinic by his
mother. She is concerned that there is something seriously wrong
with him. She states for the past 6 months his behavior has become
peculiar and he has flunked out of college. Todd denies any recent
illness or injuries. His past medical history is remarkable only for a
broken foot. His parents are both healthy. He has a paternal uncle
who had similar symptoms in college. The patient admits to
smoking cigarettes and drinking alcohol. He also admits to
marijuana use but none in the last week. He denies using any other
substances. He denies any feelings of depression or anxiety. While
speaking with Todd and his mother you do a complete physical
examination, which is essentially normal. When you question him
, on how he is feeling, he says that he is very worried that Microsoft
has stolen his software for creating a better browser. He tells you he
has se - correct answer - b). Schizophrenia
A 20-year-old part-time college student comes to your clinic,
complaining of growths on his penile shaft. They have been there for
about 6 weeks and haven't gone away. In fact, he thinks there may
be more now. He denies any pain with intercourse or urination. He
has had three former partners and has been with his current
girlfriend for 6 months. He says that because she is on the pill they
don't use condoms. He denies any fever, weight loss, or night
sweats. His past medical history is unremarkable. In addition to
college, he works part-time for his father in construction. He is
engaged to be married and has no children. His father is healthy and
his mother has hypothyroidism. On examination the young man
appears healthy. His vital signs are unremarkable. On visualization
of his penis you see several moist papules along all sides of his
penile shaft and even two on the corona. He has been circumcised.
On palpation of - correct answer - b). Condylomata acuminata
aka: genital warts
A 21-year-old engineering student comes to your office, complaining
of leg and back pain and of tripping when he walks. He states this
started 3 months ago with back and buttock pain but has since
progressed to feeling weak in his left leg. He denies any bowel or
bladder symptoms. He can think of no specific traumatic incidences
but he was a defensive lineman in high school and junior college.
WITH COMPLETE AND 100% CORRECT
DETAILED ANSWERS |ALREADY GRADED A
(2026-2027)
A 15-month-old is brought to you for a fever of 38.6 degrees Celsius
and fussiness. The ear examination is as follows: external ear,
normal appearance and no tenderness with manipulation; canal,
normal diameter without evidence of inflammation; tympanic
membrane, bulging, erythematous, and opaque. Insufflation is
deferred due to pain. What is your diagnosis?
a). Ruptured tympanic membrane
b). Otitis media
c). Otitis externa
d). Cholesteatoma - correct answer - b). Otitis media
A 16-year-old high school junior is brought to your clinic by his
father. The teenager 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 3 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 teenager 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 i - correct
answer - c). Acute orchitis
Acute orchitis causes an inflamed, tender testicle. The scrotum will
be red and tense. Orchitis is usually unilateral and often associated
with viral infections such as mumps.
A 19-year-old college student, Todd, is brought to your clinic by his
mother. She is concerned that there is something seriously wrong
with him. She states for the past 6 months his behavior has become
peculiar and he has flunked out of college. Todd denies any recent
illness or injuries. His past medical history is remarkable only for a
broken foot. His parents are both healthy. He has a paternal uncle
who had similar symptoms in college. The patient admits to
smoking cigarettes and drinking alcohol. He also admits to
marijuana use but none in the last week. He denies using any other
substances. He denies any feelings of depression or anxiety. While
speaking with Todd and his mother you do a complete physical
examination, which is essentially normal. When you question him
, on how he is feeling, he says that he is very worried that Microsoft
has stolen his software for creating a better browser. He tells you he
has se - correct answer - b). Schizophrenia
A 20-year-old part-time college student comes to your clinic,
complaining of growths on his penile shaft. They have been there for
about 6 weeks and haven't gone away. In fact, he thinks there may
be more now. He denies any pain with intercourse or urination. He
has had three former partners and has been with his current
girlfriend for 6 months. He says that because she is on the pill they
don't use condoms. He denies any fever, weight loss, or night
sweats. His past medical history is unremarkable. In addition to
college, he works part-time for his father in construction. He is
engaged to be married and has no children. His father is healthy and
his mother has hypothyroidism. On examination the young man
appears healthy. His vital signs are unremarkable. On visualization
of his penis you see several moist papules along all sides of his
penile shaft and even two on the corona. He has been circumcised.
On palpation of - correct answer - b). Condylomata acuminata
aka: genital warts
A 21-year-old engineering student comes to your office, complaining
of leg and back pain and of tripping when he walks. He states this
started 3 months ago with back and buttock pain but has since
progressed to feeling weak in his left leg. He denies any bowel or
bladder symptoms. He can think of no specific traumatic incidences
but he was a defensive lineman in high school and junior college.
