Differential Diagnosis & Primary Care| Practicum
Questions with Answers 100% Correct (2025 /
2026)
_____________________________________________________________________________________
A young women presents w/the CC of "irritation in the vaginal area". This is the first time it has
occurred. On examination you note the cervix to be inflamed and friable. Flagellated protozoa are
seen on wet prep. The most likely diagnosis is:
trichomoniasis
A 45-year-old nurse presents to the gynecologist for her annual checkup. She is currently divorced and
is sexually active; she has had more than 10 partners in her lifetime. On physical examination, you see
a bright red, pedunculated mass protruding from the cervix. What is your most likely diagnosis?
Cervical polyp
After a vaginal exam you prepare a slide with potassium hydroxide on wet preparation and visualize
hyphae and pseudohyphae. Your diagnosis is
Candidiasis
An 18-year-old college student comes to the Student Health Clinic because he has found a growth on
his penis. He has had 10 sexual partners in the past 2 years. He is unsure of his sexual partners'
medical histories. Upon examination, you find a cauliflower-like growth that is somewhat moist on
the surface of the circumcised penis. There is no inguinal adenopathy. What is your most likely
diagnosis?
Venereal wart - AKA Genital wart and or condylomata acuminata.
A 15-year-old high school student is brought to the emergency room by his father because of the
sudden onset of excruciating pain in his right testicle. The pain started 2 hours prior and has gotten
worse in intensity. He denies fever, chills, or urethral discharge. He is not sexually active. On physical
examination, the testicle is swollen and tender to palpation. It appears to be retracted upward in the
scrotum. He has no other evidence of infection. What is your most likely diagnosis?
Testicular torsion
A 29-year-old radio disc jockey comes to your office because he has noticed a mass on his testicle. He
denies fever or chills. He is in a monogamous relationship with his wife. They have been married for 5
years and have been unable to get pregnant, although they have been trying for the past 2 years. On
physical examination, the appearance of his penis is normal. He has a soft rubbery mass in the left
scrotum, near the testis. It does not transilluminate. When the patient is supine, the mass slowly
collapses. What is your most likely diagnosis?
, Varicocele - abnormal enlargement of the main testicular blood vessels resulting in swelling of the
scrotum.
When calling to schedule an annual pelvic examination and pap smear, the client asks if she should
abstain from intercourse before the test. What is your best response?
Yes, avoid having intercourse for 24 hours before the test." :(
A young adult female client presents with a history of vaginal itching and heavy white discharge. The
client gives a history of no sexual activity. On exam, the nurse practitioner finds a red, edematous
vulva and white patches on the vaginal walls. There is no odor to the discharge. The nurse practitioner
expects what factor in the client's history?
Recent antibiotic use (candidiases)
Tanner Stage 2
Breast bud stage, some small straight pubic hair
Jane Smith age 19 calls about a Pap test, she wants to know if she should have one. Which
information do you give/ask her?
"No not until you are twenty-one."
During examination of the male client's external genitalia, you observe a discharge from the urethra
when compressing the glans. What is your best action?
Obtain a specimen for culture.
You are examining an infant in the newborn nursery. You notice that he is urinating in an odd manner.
You examine his penis and find that the urethra is on the inferior surface of the penis. This physical
examination finding is most consistent with a diagnosis of:
Hypospadias
Mr. Jones is a black male who is concerned about prostate cancer. What should you advise him to do?
begin DRE (Digital Rectal Exam) & PSA (Prostate Cancer Testing) at age 40
When examining the scrotum of an adult Hispanic male, a normal finding is
Asymmetrical sac with the left side lower than the right side
Ms. Bench presents with *HPV and wonders about possible complications. You explain that it can lead
to...
Cervical dysplasia (Abnormal cells, but not cancer)
A 33-year-old environmental scientist presents to the clinic because she has had a foul-smelling
discharge from her vagina for the past 3 weeks. She has tried to douche, but it has not improved the
odor. She denies itching or burning. On physical examination, you see a gray, thin, homogenous
discharge in the vagina without discharge from the cervix. The discharge has a musty odor. The vulva
Questions with Answers 100% Correct (2025 /
2026)
_____________________________________________________________________________________
A young women presents w/the CC of "irritation in the vaginal area". This is the first time it has
occurred. On examination you note the cervix to be inflamed and friable. Flagellated protozoa are
seen on wet prep. The most likely diagnosis is:
trichomoniasis
A 45-year-old nurse presents to the gynecologist for her annual checkup. She is currently divorced and
is sexually active; she has had more than 10 partners in her lifetime. On physical examination, you see
a bright red, pedunculated mass protruding from the cervix. What is your most likely diagnosis?
Cervical polyp
After a vaginal exam you prepare a slide with potassium hydroxide on wet preparation and visualize
hyphae and pseudohyphae. Your diagnosis is
Candidiasis
An 18-year-old college student comes to the Student Health Clinic because he has found a growth on
his penis. He has had 10 sexual partners in the past 2 years. He is unsure of his sexual partners'
medical histories. Upon examination, you find a cauliflower-like growth that is somewhat moist on
the surface of the circumcised penis. There is no inguinal adenopathy. What is your most likely
diagnosis?
Venereal wart - AKA Genital wart and or condylomata acuminata.
A 15-year-old high school student is brought to the emergency room by his father because of the
sudden onset of excruciating pain in his right testicle. The pain started 2 hours prior and has gotten
worse in intensity. He denies fever, chills, or urethral discharge. He is not sexually active. On physical
examination, the testicle is swollen and tender to palpation. It appears to be retracted upward in the
scrotum. He has no other evidence of infection. What is your most likely diagnosis?
Testicular torsion
A 29-year-old radio disc jockey comes to your office because he has noticed a mass on his testicle. He
denies fever or chills. He is in a monogamous relationship with his wife. They have been married for 5
years and have been unable to get pregnant, although they have been trying for the past 2 years. On
physical examination, the appearance of his penis is normal. He has a soft rubbery mass in the left
scrotum, near the testis. It does not transilluminate. When the patient is supine, the mass slowly
collapses. What is your most likely diagnosis?
, Varicocele - abnormal enlargement of the main testicular blood vessels resulting in swelling of the
scrotum.
When calling to schedule an annual pelvic examination and pap smear, the client asks if she should
abstain from intercourse before the test. What is your best response?
Yes, avoid having intercourse for 24 hours before the test." :(
A young adult female client presents with a history of vaginal itching and heavy white discharge. The
client gives a history of no sexual activity. On exam, the nurse practitioner finds a red, edematous
vulva and white patches on the vaginal walls. There is no odor to the discharge. The nurse practitioner
expects what factor in the client's history?
Recent antibiotic use (candidiases)
Tanner Stage 2
Breast bud stage, some small straight pubic hair
Jane Smith age 19 calls about a Pap test, she wants to know if she should have one. Which
information do you give/ask her?
"No not until you are twenty-one."
During examination of the male client's external genitalia, you observe a discharge from the urethra
when compressing the glans. What is your best action?
Obtain a specimen for culture.
You are examining an infant in the newborn nursery. You notice that he is urinating in an odd manner.
You examine his penis and find that the urethra is on the inferior surface of the penis. This physical
examination finding is most consistent with a diagnosis of:
Hypospadias
Mr. Jones is a black male who is concerned about prostate cancer. What should you advise him to do?
begin DRE (Digital Rectal Exam) & PSA (Prostate Cancer Testing) at age 40
When examining the scrotum of an adult Hispanic male, a normal finding is
Asymmetrical sac with the left side lower than the right side
Ms. Bench presents with *HPV and wonders about possible complications. You explain that it can lead
to...
Cervical dysplasia (Abnormal cells, but not cancer)
A 33-year-old environmental scientist presents to the clinic because she has had a foul-smelling
discharge from her vagina for the past 3 weeks. She has tried to douche, but it has not improved the
odor. She denies itching or burning. On physical examination, you see a gray, thin, homogenous
discharge in the vagina without discharge from the cervix. The discharge has a musty odor. The vulva
