NSG 6001 Midterm Exam with Actual
Solutions
Which of the following medications is the treatment of choice for trichomonas
✔️✔️Metronidazole
A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last
month. Which of the following should be explored as the likely cause of her dyspareunia?
✔️✔️Menopause
. A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the
following should be included in the differential diagnosis? ✔️✔️Benign prostatic hypertrophy
A 76-year-old man is seen in the office for complaints of urinary incontinence. The clinician
should explore which of these causes of incontinence in men? ✔️✔️UTI
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? ✔️✔️Refer to a urologist
immediately
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 ✔️✔️
,Which of the following would be an appropriate treatment for a patient with mild BPH?
✔️✔️Reevaluate symptoms in 1 to 3 months.
. 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? ✔️✔️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? ✔️✔️Peyronie's disease
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? ✔️✔️Erectile
dysfunction
The clinician should prescribe an antibiotic that covers which of these organisms for a patient
with acute prostatitis? ✔️✔️Gram-negative bacillus
. The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80
mgsulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long? ✔️✔️6 to 12 weeks
, A 46-year-old man presents with urinary hesitancy and low back pain. He has no history of UTI.
Digital rectal examination (DRE) reveals a normal prostate, and a diagnosis of prostatodynia is
made. Which is the appropriate treatment? ✔️✔️Terazosin 2 mg PO once a day
A 23-year-old sexually active man is seen in the clinic with unilateral painful testicular swelling,
and he is diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must
understand that which of these is the most common causative organism? ✔️✔️Chlamydia
trachomatis
Which test is used to confirm a diagnosis of epididymitis? ✔️✔️Ultrasound of the scrotum
Treatment for epididymitis includes which of the following? ✔️✔️Scrotal elevation
Which of the following data is indicative of testicular torsion? ✔️✔️Absent cremasteric reflex
A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to
transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to
find? ✔️✔️The scrotum will appear light pink or yellow.
During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What
physical finding should make the clinician suspicious? ✔️✔️An enlarged rubbery gland
Solutions
Which of the following medications is the treatment of choice for trichomonas
✔️✔️Metronidazole
A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last
month. Which of the following should be explored as the likely cause of her dyspareunia?
✔️✔️Menopause
. A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the
following should be included in the differential diagnosis? ✔️✔️Benign prostatic hypertrophy
A 76-year-old man is seen in the office for complaints of urinary incontinence. The clinician
should explore which of these causes of incontinence in men? ✔️✔️UTI
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? ✔️✔️Refer to a urologist
immediately
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 ✔️✔️
,Which of the following would be an appropriate treatment for a patient with mild BPH?
✔️✔️Reevaluate symptoms in 1 to 3 months.
. 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? ✔️✔️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? ✔️✔️Peyronie's disease
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? ✔️✔️Erectile
dysfunction
The clinician should prescribe an antibiotic that covers which of these organisms for a patient
with acute prostatitis? ✔️✔️Gram-negative bacillus
. The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80
mgsulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long? ✔️✔️6 to 12 weeks
, A 46-year-old man presents with urinary hesitancy and low back pain. He has no history of UTI.
Digital rectal examination (DRE) reveals a normal prostate, and a diagnosis of prostatodynia is
made. Which is the appropriate treatment? ✔️✔️Terazosin 2 mg PO once a day
A 23-year-old sexually active man is seen in the clinic with unilateral painful testicular swelling,
and he is diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must
understand that which of these is the most common causative organism? ✔️✔️Chlamydia
trachomatis
Which test is used to confirm a diagnosis of epididymitis? ✔️✔️Ultrasound of the scrotum
Treatment for epididymitis includes which of the following? ✔️✔️Scrotal elevation
Which of the following data is indicative of testicular torsion? ✔️✔️Absent cremasteric reflex
A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to
transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to
find? ✔️✔️The scrotum will appear light pink or yellow.
During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What
physical finding should make the clinician suspicious? ✔️✔️An enlarged rubbery gland
