N582 STUDY GUIDE EXAM QUESTIONS AND ANSWERS
GRADED A+
✔✔Which of the following symptoms is not part of the diagnostic criteria for post-
traumatic stress disorder (PTSD)?
a. Hypersomnolence
b. Blunted feelings
c. Loss of interest in significant activities
d. Intrusive recurrent recollections of the event - ✔✔a. hypersomnolence
✔✔ 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. - ✔✔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 - ✔✔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 - ✔✔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. 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 - ✔✔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. - ✔✔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 - ✔✔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 - ✔✔C. Erectile dysfunction
✔✔Which of the following is a correct ACS (the American Cancer Society)
recommendation of when to begin prostate screening?
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. - ✔✔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 - ✔✔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. - ✔✔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
GRADED A+
✔✔Which of the following symptoms is not part of the diagnostic criteria for post-
traumatic stress disorder (PTSD)?
a. Hypersomnolence
b. Blunted feelings
c. Loss of interest in significant activities
d. Intrusive recurrent recollections of the event - ✔✔a. hypersomnolence
✔✔ 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. - ✔✔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 - ✔✔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 - ✔✔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. 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 - ✔✔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. - ✔✔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 - ✔✔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 - ✔✔C. Erectile dysfunction
✔✔Which of the following is a correct ACS (the American Cancer Society)
recommendation of when to begin prostate screening?
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. - ✔✔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 - ✔✔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. - ✔✔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
