N582 Midterm and Final Exam with complete
solution 100% verified
A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects
II! II! II! II! II! II! II! II! II! II! II! II! II!
testicular torsion. Which of the following is the appropriate action?
II! II! II! II! II! II! II! II! II! II!
a. Instruct the patient to elevate the scrotum.
II! II! II! II! II! II! II!
b. Prescribe ibuprofen.
II! II!
c. Refer to immediately to the emergency department for evaluation
II! II! II! II! II! II! II! II! II!
d. Obtain a computed tomography (CT) scan. - Correct Answers C. Refer to ED immediately
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! laboratory tests would help establish a diagnosis? II! II! II! II! II! II!
a. Testosterone level
II! II!
b. Prostate-specific antigen
II! II!
c. Prolactin level
II! II!
d. Nocturnal penile tumescence and rigidity - Correct Answers A. Testosterone level
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! A 35-year-old man presents with complaints of painful erections, and he notices his penis is
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! crooked when erect. What is the most likely diagnosis?
II! II! II! II! II! II! II! II!
a. Peyronie's disease
II! II!
b. Damage to the pudendal artery
II! II! II! II! II!
c. Erectile dysfunction
II! II!
d. Testicular torsion - Correct Answers A. Peyronie's disease
II! II! II! II! II! II! II! II! II! II! II! II!
II! An 82-year-old man is seen in the primary-care office with complaints of dribbling urine and
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! difficulty starting his stream. Which of the following should be included in the list of differential
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! diagnoses?
,a. Urethral stricture
II! II!
b. Prostate cancer
II! II!
c. All above
II! II!
d. Benign prostatic hyperplasia - Correct Answers C. All of the above
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Peter is a 40-year-old male with a recent diagnosis of low testosterone. Which of the following
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! counseling points is correct regarding low testosterone? II! II! II! II! II! II!
a.Stress has no effect on testosterone levels. II! II! II! II! II! II!
b.Lowering your HbA1c may improve your testosterone levels. II! II! II! II! II! II! II!
c.Abstaining from cigarette smoking has no effect on testosterone II! II! II! II! II! II! II! II!
d.Testosterone deficiency is due to hypergonadism. - Correct Answers B. Lowering your A1C may II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
improve your testosterone levels
II! II! II! II!
II! The 56-year-old man with chronic prostatitis should be treated with levofloxacin for how long?
II! II! II! II! II! II! II! II! II! II! II! II! II!
a.3 to 7 days II! II! II!
b.4 to 6 weeks II! II! II!
c.6 to 12 weeksII! II! II!
d.14 to 21 days - Correct Answers B. 4 to 6 weeks
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! The clinician should assess this patient for which of these side effects?
II! II! II! II! II! II! II! II! II! II! II!
a.Hypertension
b.Headache
c.Erectile dysfunction II!
d.Glaucoma - Correct Answers C. Erectile dysfunction II! II! II! II! II! II! II! II! II! II!
, II! Which of the following is a correct ACS (the American Cancer Society) recommendation of when
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! to begin prostate screening?
II! II! II!
a.Asian American men should start screening at age 45.
II! II! II! II! II! II! II! II!
b.Men with no symptoms of prostate cancer and who are in good health should start screening at
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
age 70.
II! II!
c.Caucasian men should start screening at age 55. II! II! II! II! II! II! II!
d.African American men who have had a brother diagnosed with prostate cancer before the age
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
of 65 should start screening at 45. - Correct Answers D. African American men who have had a
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
brother diagnosed with prostate cancer before the age of 65 should start screening at 45.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Which of the following is an aerobic gram-negative bacteria involved in prostatitis?
II! II! II! II! II! II! II! II! II! II! II!
a.Streptococcus faecalis II!
b.Staphylococcus
c.Pseudomonas
d.Diphtheroids - Correct Answers C. Pseudomonas II! II! II! II! II! II! II! II! II!
II! Which of the following would be an appropriate treatment for a patient with mild benign
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! prostatic hyperplasia (BPH)? II! II!
a.Prescribe a trial of canagliflozin. II! II! II! II!
b.Referral to urologist for surgery. II! II! II! II!
c.Have a period of watchful waiting.
II! II! II! II! II!
d.Recommend cranberry supplements. - Correct Answers C. Have a period of watchful waiting II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Which of the following is the treatment of choice for gonorrhea?
II! II! II! II! II! II! II! II! II! II!
a.Acyclovir 400mg po tid for 10 days II! II! II! II! II! II!
b.Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally II! II! II! II! II! II! II! II! II!
c.Metronidazole 500mg po q4h for 5 days II! II! II! II! II! II!
solution 100% verified
A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects
II! II! II! II! II! II! II! II! II! II! II! II! II!
testicular torsion. Which of the following is the appropriate action?
II! II! II! II! II! II! II! II! II! II!
a. Instruct the patient to elevate the scrotum.
II! II! II! II! II! II! II!
b. Prescribe ibuprofen.
II! II!
c. Refer to immediately to the emergency department for evaluation
II! II! II! II! II! II! II! II! II!
d. Obtain a computed tomography (CT) scan. - Correct Answers C. Refer to ED immediately
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! laboratory tests would help establish a diagnosis? II! II! II! II! II! II!
a. Testosterone level
II! II!
b. Prostate-specific antigen
II! II!
c. Prolactin level
II! II!
d. Nocturnal penile tumescence and rigidity - Correct Answers A. Testosterone level
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! A 35-year-old man presents with complaints of painful erections, and he notices his penis is
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! crooked when erect. What is the most likely diagnosis?
II! II! II! II! II! II! II! II!
a. Peyronie's disease
II! II!
b. Damage to the pudendal artery
II! II! II! II! II!
c. Erectile dysfunction
II! II!
d. Testicular torsion - Correct Answers A. Peyronie's disease
II! II! II! II! II! II! II! II! II! II! II! II!
II! An 82-year-old man is seen in the primary-care office with complaints of dribbling urine and
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! difficulty starting his stream. Which of the following should be included in the list of differential
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! diagnoses?
,a. Urethral stricture
II! II!
b. Prostate cancer
II! II!
c. All above
II! II!
d. Benign prostatic hyperplasia - Correct Answers C. All of the above
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Peter is a 40-year-old male with a recent diagnosis of low testosterone. Which of the following
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! counseling points is correct regarding low testosterone? II! II! II! II! II! II!
a.Stress has no effect on testosterone levels. II! II! II! II! II! II!
b.Lowering your HbA1c may improve your testosterone levels. II! II! II! II! II! II! II!
c.Abstaining from cigarette smoking has no effect on testosterone II! II! II! II! II! II! II! II!
d.Testosterone deficiency is due to hypergonadism. - Correct Answers B. Lowering your A1C may II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
improve your testosterone levels
II! II! II! II!
II! The 56-year-old man with chronic prostatitis should be treated with levofloxacin for how long?
II! II! II! II! II! II! II! II! II! II! II! II! II!
a.3 to 7 days II! II! II!
b.4 to 6 weeks II! II! II!
c.6 to 12 weeksII! II! II!
d.14 to 21 days - Correct Answers B. 4 to 6 weeks
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! The clinician should assess this patient for which of these side effects?
II! II! II! II! II! II! II! II! II! II! II!
a.Hypertension
b.Headache
c.Erectile dysfunction II!
d.Glaucoma - Correct Answers C. Erectile dysfunction II! II! II! II! II! II! II! II! II! II!
, II! Which of the following is a correct ACS (the American Cancer Society) recommendation of when
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! to begin prostate screening?
II! II! II!
a.Asian American men should start screening at age 45.
II! II! II! II! II! II! II! II!
b.Men with no symptoms of prostate cancer and who are in good health should start screening at
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
age 70.
II! II!
c.Caucasian men should start screening at age 55. II! II! II! II! II! II! II!
d.African American men who have had a brother diagnosed with prostate cancer before the age
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
of 65 should start screening at 45. - Correct Answers D. African American men who have had a
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
brother diagnosed with prostate cancer before the age of 65 should start screening at 45.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Which of the following is an aerobic gram-negative bacteria involved in prostatitis?
II! II! II! II! II! II! II! II! II! II! II!
a.Streptococcus faecalis II!
b.Staphylococcus
c.Pseudomonas
d.Diphtheroids - Correct Answers C. Pseudomonas II! II! II! II! II! II! II! II! II!
II! Which of the following would be an appropriate treatment for a patient with mild benign
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! prostatic hyperplasia (BPH)? II! II!
a.Prescribe a trial of canagliflozin. II! II! II! II!
b.Referral to urologist for surgery. II! II! II! II!
c.Have a period of watchful waiting.
II! II! II! II! II!
d.Recommend cranberry supplements. - Correct Answers C. Have a period of watchful waiting II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Which of the following is the treatment of choice for gonorrhea?
II! II! II! II! II! II! II! II! II! II!
a.Acyclovir 400mg po tid for 10 days II! II! II! II! II! II!
b.Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally II! II! II! II! II! II! II! II! II!
c.Metronidazole 500mg po q4h for 5 days II! II! II! II! II! II!
