Midterm and Final N582 Questions with Complete Solutions
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? Peter is a 40-year-old male with a recent
a. Instruct the patient to elevate the scrotum. diagnosis of low testosterone. Which of the
b. Prescribe ibuprofen. following counseling points is correct regarding
c. Refer to immediately to the emergency low testosterone?
department for evaluation a.Stress has no effect on testosterone levels.
d. Obtain a computed tomography (CT) scan. - b.Lowering your HbA1c may improve your
ANSWER -C. Refer to ED immediately testosterone levels.
c.Abstaining from cigarette smoking has no effect
on testosterone
d.Testosterone deficiency is due to
A 30-year-old man is seen with a chief complaint hypergonadism. - ANSWER -B. Lowering
of loss of libido. Which of the following laboratory your A1C may improve your testosterone levels
tests would help establish a diagnosis?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level The 56-year-old man with chronic prostatitis
d. Nocturnal penile tumescence and rigidity - should be treated with levofloxacin for how long?
ANSWER -A. Testosterone level a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days - ANSWER -B. 4 to 6
A 35-year-old man presents with complaints of weeks
painful erections, and he notices his penis is
crooked when erect. What is the most likely
diagnosis?
a. Peyronie's disease The patient with BPH is seen for follow-up. He
b. Damage to the pudendal artery has been taking finasteride (Proscar) for 6
c. Erectile dysfunction months. The clinician should assess this patient
d. Testicular torsion - ANSWER -A. for which of these side effects?
Peyronie's disease a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma - ANSWER -C. Erectile
An 82-year-old man is seen in the primary-care dysfunction
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 is a correct ACS (the
a. Urethral stricture American Cancer Society) recommendation of
b. Prostate cancer when to begin prostate screening?
c. All above a.Asian American men should start screening at
d. Benign prostatic hyperplasia - age 45.
ANSWER -C. All of the above b.Men with no symptoms of prostate cancer and
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, Midterm and Final N582 Questions with Complete Solutions
who are in good health should start screening at single dose of azithromycin 1g orally
age 70.
c.Caucasian men should start screening at age
55.
d.African American men who have had a brother A 21-year-old woman is seen in the clinic
diagnosed with prostate cancer before the age of requesting birth control pills. Which of the
65 should start screening at 45. - following tests is essential before prescribing any
ANSWER -D. African American men who oral contraceptive?
have had a brother diagnosed with prostate a.Urine dip for protein
cancer before the age of 65 should start b.Pregnancy test
screening at 45. c.Thyroid-stimulating hormone
d.Complete blood cell count - ANSWER -B.
Pregnancy test
Which of the following is an aerobic gram-
negative bacteria involved in prostatitis?
a.Streptococcus faecalis A 36-year-old woman is seen with complaints of
b.Staphylococcus vaginal itching, burning, and discharge. On
c.Pseudomonas potassium hydroxide (KOH) wet mount of vaginal
d.Diphtheroids - ANSWER -C. discharge, the clinician notices hyphae. Which of
Pseudomonas the following treatments would be appropriate?
a.Estrogen vaginal cream
b.Metronidazole
c.Doxycycline
Which of the following would be an appropriate d.Fluconazole - ANSWER -D. Fluconazole
treatment for a patient with mild benign prostatic
hyperplasia (BPH)?
a.Prescribe a trial of canagliflozin.
b.Referral to urologist for surgery. A 42-year-old woman presents to the clinic with
c.Have a period of watchful waiting. complaints of painful intercourse for the last
d.Recommend cranberry supplements. - month. Which of the following should be explored
ANSWER -C. Have a period of watchful as the likely cause of her dyspareunia?
waiting a.Dehydration
b.Excess lubrication
c.Excess progesterone
d.Menopause - ANSWER -D. Menopause
A 20-year-old woman is seen in the clinic
because her boyfriend was found to have
gonorrhea. Which of the following is the
treatment of choice for gonorrhea? A 45-year-old woman is seen in the clinic with
a.Acyclovir 400mg po tid for 10 days complaints of a vaginal discharge. The clinician
b.Ceftriaxone 250mg IM plus single dose of identifies clue cells on the vaginal smear. Which
azithromycin 1g orally of the following diagnoses is associated with this
c.Metronidazole 500mg po q4h for 5 days finding?
d.Amoxicillin 500mg po q8h for 7 days - a.HPV
ANSWER -B. Ceftriaxone 250mg IM plus b.Herpes simplex virus
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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? Peter is a 40-year-old male with a recent
a. Instruct the patient to elevate the scrotum. diagnosis of low testosterone. Which of the
b. Prescribe ibuprofen. following counseling points is correct regarding
c. Refer to immediately to the emergency low testosterone?
department for evaluation a.Stress has no effect on testosterone levels.
d. Obtain a computed tomography (CT) scan. - b.Lowering your HbA1c may improve your
ANSWER -C. Refer to ED immediately testosterone levels.
c.Abstaining from cigarette smoking has no effect
on testosterone
d.Testosterone deficiency is due to
A 30-year-old man is seen with a chief complaint hypergonadism. - ANSWER -B. Lowering
of loss of libido. Which of the following laboratory your A1C may improve your testosterone levels
tests would help establish a diagnosis?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level The 56-year-old man with chronic prostatitis
d. Nocturnal penile tumescence and rigidity - should be treated with levofloxacin for how long?
ANSWER -A. Testosterone level a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days - ANSWER -B. 4 to 6
A 35-year-old man presents with complaints of weeks
painful erections, and he notices his penis is
crooked when erect. What is the most likely
diagnosis?
a. Peyronie's disease The patient with BPH is seen for follow-up. He
b. Damage to the pudendal artery has been taking finasteride (Proscar) for 6
c. Erectile dysfunction months. The clinician should assess this patient
d. Testicular torsion - ANSWER -A. for which of these side effects?
Peyronie's disease a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma - ANSWER -C. Erectile
An 82-year-old man is seen in the primary-care dysfunction
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 is a correct ACS (the
a. Urethral stricture American Cancer Society) recommendation of
b. Prostate cancer when to begin prostate screening?
c. All above a.Asian American men should start screening at
d. Benign prostatic hyperplasia - age 45.
ANSWER -C. All of the above b.Men with no symptoms of prostate cancer and
1/9
, Midterm and Final N582 Questions with Complete Solutions
who are in good health should start screening at single dose of azithromycin 1g orally
age 70.
c.Caucasian men should start screening at age
55.
d.African American men who have had a brother A 21-year-old woman is seen in the clinic
diagnosed with prostate cancer before the age of requesting birth control pills. Which of the
65 should start screening at 45. - following tests is essential before prescribing any
ANSWER -D. African American men who oral contraceptive?
have had a brother diagnosed with prostate a.Urine dip for protein
cancer before the age of 65 should start b.Pregnancy test
screening at 45. c.Thyroid-stimulating hormone
d.Complete blood cell count - ANSWER -B.
Pregnancy test
Which of the following is an aerobic gram-
negative bacteria involved in prostatitis?
a.Streptococcus faecalis A 36-year-old woman is seen with complaints of
b.Staphylococcus vaginal itching, burning, and discharge. On
c.Pseudomonas potassium hydroxide (KOH) wet mount of vaginal
d.Diphtheroids - ANSWER -C. discharge, the clinician notices hyphae. Which of
Pseudomonas the following treatments would be appropriate?
a.Estrogen vaginal cream
b.Metronidazole
c.Doxycycline
Which of the following would be an appropriate d.Fluconazole - ANSWER -D. Fluconazole
treatment for a patient with mild benign prostatic
hyperplasia (BPH)?
a.Prescribe a trial of canagliflozin.
b.Referral to urologist for surgery. A 42-year-old woman presents to the clinic with
c.Have a period of watchful waiting. complaints of painful intercourse for the last
d.Recommend cranberry supplements. - month. Which of the following should be explored
ANSWER -C. Have a period of watchful as the likely cause of her dyspareunia?
waiting a.Dehydration
b.Excess lubrication
c.Excess progesterone
d.Menopause - ANSWER -D. Menopause
A 20-year-old woman is seen in the clinic
because her boyfriend was found to have
gonorrhea. Which of the following is the
treatment of choice for gonorrhea? A 45-year-old woman is seen in the clinic with
a.Acyclovir 400mg po tid for 10 days complaints of a vaginal discharge. The clinician
b.Ceftriaxone 250mg IM plus single dose of identifies clue cells on the vaginal smear. Which
azithromycin 1g orally of the following diagnoses is associated with this
c.Metronidazole 500mg po q4h for 5 days finding?
d.Amoxicillin 500mg po q8h for 7 days - a.HPV
ANSWER -B. Ceftriaxone 250mg IM plus b.Herpes simplex virus
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