1 | Page
Midterm and Final N582 Questions and
Answers
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?
a. Instruct the patient to elevate the scrotum.
b. Prescribe ibuprofen.
c. Refer to immediately to the emergency department for
evaluation
d. Obtain a computed tomography (CT) scan.
Ans: C. Refer to ED immediately
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?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity
Ans: A. 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?
a. Peyronie's disease
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion
Ans: A. Peyronie's disease
An 82-year-old man is seen in the primary-care office with
complaints of dribbling urine and difficulty starting his stream.
© 2025 All rights reserved
, 2 | Page
Which of the following should be included in the list of differential
diagnoses?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia
Ans: C. All of the above
Peter is a 40-year-old male with a recent diagnosis of low
testosterone. Which of the following counseling points is correct
regarding low testosterone?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on testosterone
d.Testosterone deficiency is due to hypergonadism.
Ans: B. Lowering your A1C may improve your testosterone levels
The 56-year-old man with chronic prostatitis should be treated
with levofloxacin for how long?
a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days
Ans: B. 4 to 6 weeks
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?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma
Ans: C. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer
Society) recommendation of when to begin prostate screening?
© 2025 All rights reserved
, 3 | Page
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in good
health should start screening at age 70.
c.Caucasian men should start screening at age 55.
d.African American men who have had a brother diagnosed with
prostate cancer before the age of 65 should start screening at 45.
Ans: D. African American men who have had a brother diagnosed with
prostate cancer before the age of 65 should start screening at 45.
Which of the following is an aerobic gram-negative bacteria
involved in prostatitis?
a.Streptococcus faecalis
b.Staphylococcus
c.Pseudomonas
d.Diphtheroids
Ans: C. Pseudomonas
Which of the following would be an appropriate treatment for a
patient with mild benign prostatic hyperplasia (BPH)?
a.Prescribe a trial of canagliflozin.
b.Referral to urologist for surgery.
c.Have a period of watchful waiting.
d.Recommend cranberry supplements.
Ans: C. Have a period of watchful waiting
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.Acyclovir 400mg po tid for 10 days
b.Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
c.Metronidazole 500mg po q4h for 5 days
d.Amoxicillin 500mg po q8h for 7 days
Ans: B. Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
© 2025 All rights reserved
Midterm and Final N582 Questions and
Answers
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?
a. Instruct the patient to elevate the scrotum.
b. Prescribe ibuprofen.
c. Refer to immediately to the emergency department for
evaluation
d. Obtain a computed tomography (CT) scan.
Ans: C. Refer to ED immediately
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?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity
Ans: A. 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?
a. Peyronie's disease
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion
Ans: A. Peyronie's disease
An 82-year-old man is seen in the primary-care office with
complaints of dribbling urine and difficulty starting his stream.
© 2025 All rights reserved
, 2 | Page
Which of the following should be included in the list of differential
diagnoses?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia
Ans: C. All of the above
Peter is a 40-year-old male with a recent diagnosis of low
testosterone. Which of the following counseling points is correct
regarding low testosterone?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on testosterone
d.Testosterone deficiency is due to hypergonadism.
Ans: B. Lowering your A1C may improve your testosterone levels
The 56-year-old man with chronic prostatitis should be treated
with levofloxacin for how long?
a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days
Ans: B. 4 to 6 weeks
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?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma
Ans: C. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer
Society) recommendation of when to begin prostate screening?
© 2025 All rights reserved
, 3 | Page
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in good
health should start screening at age 70.
c.Caucasian men should start screening at age 55.
d.African American men who have had a brother diagnosed with
prostate cancer before the age of 65 should start screening at 45.
Ans: D. African American men who have had a brother diagnosed with
prostate cancer before the age of 65 should start screening at 45.
Which of the following is an aerobic gram-negative bacteria
involved in prostatitis?
a.Streptococcus faecalis
b.Staphylococcus
c.Pseudomonas
d.Diphtheroids
Ans: C. Pseudomonas
Which of the following would be an appropriate treatment for a
patient with mild benign prostatic hyperplasia (BPH)?
a.Prescribe a trial of canagliflozin.
b.Referral to urologist for surgery.
c.Have a period of watchful waiting.
d.Recommend cranberry supplements.
Ans: C. Have a period of watchful waiting
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.Acyclovir 400mg po tid for 10 days
b.Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
c.Metronidazole 500mg po q4h for 5 days
d.Amoxicillin 500mg po q8h for 7 days
Ans: B. Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
© 2025 All rights reserved
