when lyou lexamine lthem. lWhat lshould lyou ldo? l- lCORRECT lANSWER l-Ask lhow lshe
lacquired lthem.
A l58-year-old lman lcomes lto lyour loffice lcomplaining lof lbilateral lback lpain lthat lnow
lawakens lhim lat lnight. lThis lhas lbeen lsteadily lincreasing lfor lthe lpast l2 lmonths. lWhich
lone lof lthe lfollowing lis lthe lmost lreassuring lin lthis lpatient lwith lback lpain? l- lCORRECT
lANSWER l-Pain lthat lis lbilateral
The lPhalen's ltest lis lused lto levaluate: l- lCORRECT lANSWER l-inflammation lof lthe
lmedian lnerve
Which lof lthe lfollowing lwould llead lyou lto lsuspect la lhydrocele lversus lother lcauses lof
lscrotal lswelling? l- lCORRECT lANSWER l-A lpositive ltransillumination ltest
You lare lexamining la lnewborn land lnote lthat lthe lright ltesticle lis lnot lin lthe lscrotum. lWhat
lshould lyou ldo lnext? l- lCORRECT lANSWER l-Attempt lto lbring ldown lthe ltestis lfrom lthe
linguinal lcanal
A l50-year-old ltruck ldriver lcomes lto lyour lclinic lfor la lwork lphysical. lHe lhas lhad lno lupper
lrespiratory, lcardiac, lpulmonary, lgastrointestinal, lurinary, lor lmusculoskeletal lsystem
lcomplaints. lHis lpast lmedical lhistory lis lsignificant lfor lmild larthritis land lprior lknee
l surgery lin lcollege. lHe lis lmarried land ljust lchanged ljobs, lworking lfor la ldifferent ltrucking
lcompany. lHe lsmokes lone lpack lof lcigarettes la lday, ldrinks lless lthan lsix lbeers la lweek,
land ldenies lusing lany lillegal ldrugs. lHis lmother lhas lhigh lblood lpressure land larthritis land
lhis lfather ldied lof llung lcancer lin lhis lsixties. lOn lexamination, lhis lblood lpressure lis l130/80
land lhis lpulse lis l80. lHis lcardiac, llung, land labdominal lexaminations lare lnormal. lHe lhas
lno linguinal lhernia, lbut lon lhis ldigital lrectal lexamination lyou lpalpate la lsoft, lsmooth, land
lnontender lpedunculated lmass lon lthe lposterior lwall lof lthe lrectum. lWhat lanal, lrectal, lor
lprostate ldisorder lbest lfits lhis lpresentation? l- lCORRECT lANSWER l- lRectal lpolyp
A l15-year-old lhigh lschool lfootball lplayer lis lbrought lto lyour loffice lby lhis lmother. lHe lis
lcomplaining lof lsevere ltesticular lpain lsince lexactly l8:00 lthis lmorning. lHe ldenies lany
lsexual lactivity land lstates lthat lhe lhurts lso lbad lhe lcan't leven lurinate. lHe lis lnauseated
land lis lthrowing lup. lHe ldenies lany lrecent lillness lor lfever. lHis lpast lmedical lhistory lis
lunremarkable. lHe ldenies lany ltobacco, lalcohol, lor ldrug luse. lHis lparents lare lboth lin
lgood lhealth. lOn lexamination, lyou lsee la lyoung lteenager llying lon lthe lbed lwith lan lemesis
lbasin. lHe lis lvery luncomfortable land lkeeps lshifting lhis lposition. lHis lblood lpressure lis
l150/100, lhis lpulse lis l110, land lhis lrespirations lare l24. lOn lvisualization lof lthe lpenis, lhe lis
lcircumcised land lthere lare lno llesions land lno ldischarge lfrom lthe lmeatus.
His lscrotal lskin lis ltense land lred. lPalpation lof lthe lleft ltesticle lcauses lsevere lpain land
lthe lpatient lbegins lto lcry. lHis lprostate lexamination lis lunremarkable. lHis l- lCORRECT
lANSWER l-Torsion lof lthe lspermatic lcord
Which lis ltrue lof lprostate lcancer? l- lCORRECT lANSWER l-Ethnicity lis la lrisk lfactor.
lacquired lthem.
A l58-year-old lman lcomes lto lyour loffice lcomplaining lof lbilateral lback lpain lthat lnow
lawakens lhim lat lnight. lThis lhas lbeen lsteadily lincreasing lfor lthe lpast l2 lmonths. lWhich
lone lof lthe lfollowing lis lthe lmost lreassuring lin lthis lpatient lwith lback lpain? l- lCORRECT
lANSWER l-Pain lthat lis lbilateral
The lPhalen's ltest lis lused lto levaluate: l- lCORRECT lANSWER l-inflammation lof lthe
lmedian lnerve
Which lof lthe lfollowing lwould llead lyou lto lsuspect la lhydrocele lversus lother lcauses lof
lscrotal lswelling? l- lCORRECT lANSWER l-A lpositive ltransillumination ltest
You lare lexamining la lnewborn land lnote lthat lthe lright ltesticle lis lnot lin lthe lscrotum. lWhat
lshould lyou ldo lnext? l- lCORRECT lANSWER l-Attempt lto lbring ldown lthe ltestis lfrom lthe
linguinal lcanal
A l50-year-old ltruck ldriver lcomes lto lyour lclinic lfor la lwork lphysical. lHe lhas lhad lno lupper
lrespiratory, lcardiac, lpulmonary, lgastrointestinal, lurinary, lor lmusculoskeletal lsystem
lcomplaints. lHis lpast lmedical lhistory lis lsignificant lfor lmild larthritis land lprior lknee
l surgery lin lcollege. lHe lis lmarried land ljust lchanged ljobs, lworking lfor la ldifferent ltrucking
lcompany. lHe lsmokes lone lpack lof lcigarettes la lday, ldrinks lless lthan lsix lbeers la lweek,
land ldenies lusing lany lillegal ldrugs. lHis lmother lhas lhigh lblood lpressure land larthritis land
lhis lfather ldied lof llung lcancer lin lhis lsixties. lOn lexamination, lhis lblood lpressure lis l130/80
land lhis lpulse lis l80. lHis lcardiac, llung, land labdominal lexaminations lare lnormal. lHe lhas
lno linguinal lhernia, lbut lon lhis ldigital lrectal lexamination lyou lpalpate la lsoft, lsmooth, land
lnontender lpedunculated lmass lon lthe lposterior lwall lof lthe lrectum. lWhat lanal, lrectal, lor
lprostate ldisorder lbest lfits lhis lpresentation? l- lCORRECT lANSWER l- lRectal lpolyp
A l15-year-old lhigh lschool lfootball lplayer lis lbrought lto lyour loffice lby lhis lmother. lHe lis
lcomplaining lof lsevere ltesticular lpain lsince lexactly l8:00 lthis lmorning. lHe ldenies lany
lsexual lactivity land lstates lthat lhe lhurts lso lbad lhe lcan't leven lurinate. lHe lis lnauseated
land lis lthrowing lup. lHe ldenies lany lrecent lillness lor lfever. lHis lpast lmedical lhistory lis
lunremarkable. lHe ldenies lany ltobacco, lalcohol, lor ldrug luse. lHis lparents lare lboth lin
lgood lhealth. lOn lexamination, lyou lsee la lyoung lteenager llying lon lthe lbed lwith lan lemesis
lbasin. lHe lis lvery luncomfortable land lkeeps lshifting lhis lposition. lHis lblood lpressure lis
l150/100, lhis lpulse lis l110, land lhis lrespirations lare l24. lOn lvisualization lof lthe lpenis, lhe lis
lcircumcised land lthere lare lno llesions land lno ldischarge lfrom lthe lmeatus.
His lscrotal lskin lis ltense land lred. lPalpation lof lthe lleft ltesticle lcauses lsevere lpain land
lthe lpatient lbegins lto lcry. lHis lprostate lexamination lis lunremarkable. lHis l- lCORRECT
lANSWER l-Torsion lof lthe lspermatic lcord
Which lis ltrue lof lprostate lcancer? l- lCORRECT lANSWER l-Ethnicity lis la lrisk lfactor.
