NSG 6020 wk 8 | Questions with 100% Verified Answers | Latest
Update 2026/2027
Question: A 14-year-old junior high school student is brought in by his mother and father because he seems to
be developing breasts. The mother is upset because she read on the Internet that smoking marijuana leads to
breast enlargement in males. The young man adamantly denies using any tobacco, alcohol, or drugs. He has
recently noticed changes in his penis, testicles, and pubic hair pattern. Otherwise, his past medical history is
unremarkable. His parents are both in good health. He has two older brothers who never had this problem. On
examination you see a mildly overweight teenager with enlarged breast tissue that is slightly tender on both
sides. Otherwise his examination is normal. He is agreeable to taking a drug test. What is the most likely cause
of his gynecomastia?
Answer: - Imbalance of hormones of puberty
Question: A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other symptoms and no
diagnosis of breast cancer in his first-degree relatives. What is the most likely diagnosis?
Answer: - Breast tissue - Approximately one third of adult men will have palpable breast tissue
under the areola. While males can have breast cancer, this is much less common. There are no lymph nodes in
this area
Question: A 28-year-old musician comes to your clinic, complaining of a "spot" on his penis. He states his
partner noticed it 2 days ago and it hasn't gone away. He says it doesn't hurt. He has had no burning with
urination and no pain during intercourse. He has had several partners in the last year and uses condoms
occasionally. His past medical history consists of nongonococcal urethritis from Chlamydia and prostatitis. His
vital signs are unremarkable. On visualization of his penis there is a 6-mm red, oval ulcer with an indurated
base just proximal to the corona. On palpation the ulcer is nontender. In the inguinal region there is nontender
lymphadenopathy. What disorder of the penis is most likely the diagnosis?
Answer: - Syphilitic chancre
Question: A 20-year-old part-time college student comes to your clinic, complaining of growths on his penile
shaft. They have been there for about 6 weeks and haven't gone away. In fact, he thinks there may be more
now. He denies any pain with intercourse or urination. He has had three former partners and has been with his
current girlfriend for 6 months. He says that because she is on the pill they don't use condoms. He denies any
fever, weight loss, or night sweats. He is engaged to be married and has no children. On visualization of his
penis you see several moist papules along all sides of his penile shaft and even two on the corona. He has been
circumcised. On palpation of his inguinal region there is no inguinal lymphadenopathy. Which abnormality of
the penis does this patient most likely have?
Answer: - Condylomata acuminate
Question: A 29-year-old married computer programmer comes to your clinic, complaining of "something
strange" going on in his scrotum. Last month while he was doing his testicular selfexamination he felt a lump in
his left testis. He waited a month and felt the area again, but the lump was still there. He has had some aching
in his left testis but denies any pain with urination or sexual intercourse. He denies any fever, malaise, or night
sweats. His past medical history consists of groin surgery when he was a baby and a tonsillectomy as a
teenager. His parents are both healthy. On visualization the penis is circumcised with no lesions; there is a scar
in his right inguinal region. There is no lymphadenopathy. Palpation of his scrotum is unremarkable on the right
but indicates a large mass on the left. Placing a finger through the inguinal ring on the right, you have the
patient bear down. Nothing is felt. You attempt to place your finger through the left inguinal ring but cannot
get above the mass. On rectal examination his prostate is unremarkable. What disorder of the testes is most
likely the diagnosis?
Answer: - Scrotal (inguinal) hernia
, Question: A 32-year-old white male comes to your clinic, complaining of aching on the right side of his testicle.
He has felt this aching for several months. He states that as the day progresses the aching increases, but when
he wakes up in the morning he is pain-free. He denies any pain with urination and states that the pain doesn't
change with sexual activity. He denies any fatigue, weight gain, weight loss, fever, or night sweats. His past
medical history is unremarkable. He is a married hospital administrator with two children. He notes that he and
his wife have been trying to have another baby this year but have so far been unsuccessful despite frequent
intercourse. He denies using tobacco, alcohol, or illegal drugs. His father has high blood pressure but his
mother is healthy. On examination you see a young man appearing his stated age with unremarkable vital
signs. On visualization of his penis, he is circumcised with no lesions. He has no scars along his inguinal area,
and palpation of the area shows no lymphadenopathy. On palpation of his scrotum you feel testes with no
discrete masses. Upon placing your finger through the right inguinal ring you feel what seems like a bunch of
spaghetti. Asking him to bear down, you feel no bulges. The left inguinal ring is unremarkable, with no bulges
on bearing down. His prostate examination is unremarkable. What abnormality of the scrotum does he most
likely have?
Answer: - Variocele
Question: A 48-year-old policeman comes to your clinic, complaining of a swollen scrotum. He states it began a
couple of weeks ago and has steadily worsened. He says the longer he stands up the worse it gets, but when
he lies down it improves. He denies any pain with urination. Because he is impotent he doesn't know if
intercourse would hurt. He states he has become more tired lately and has also gained 10 pounds in the last
month. He denies any fever or weight loss. He has had some shortness of breath with exertion. His past
medical history consists of type 2 diabetes for 20 years, high blood pressure, and coronary artery disease. He
is on insulin, three high blood pressure pills, and a water pill. He has had his gallbladder removed. He is
married and has five children. He is currently on disability because of his health problems. Both of his parents
died of complications of diabetes. On examination you see a pleasant male appearing chronically ill. He is
afebrile but his blood pressure is 160/100 and his pulse is
90. His head, eyes, ears, nose, throat, and neck examinations
are normal. There are some crackles in the bases of each lung. During his cardiac examination there is an
extra heart sound. Visualization of his penis shows an uncircumcised prepuce but no lesions or masses.
Palpation of his scrotum shows generalized swelling, with no discrete masses. A gloved finger is placed through
each inguinal ring, and with bearing down there are no bulges. The prostate is smooth and nontender. What
abnormality of the scrotum is most likely the diagnosis?
Answer: - Scrotal edema - Scrotal edema is a generalized swelling of the scrotum due to a
systemic illness. No discrete masses are palpated. In this case, with the history of diabetes, hypertension, and
coronary artery disease, the symptom of weight gain, and the signs of crackles in the lungs and an extra heart
sound, the patient is probably suffering from congestive heart failure.
Question: A 36-year-old security officer comes to your clinic, complaining of a painless mass in his scrotum. He
found it 3 days ago during a testicular self-examination. He has had no burning with urination and no pain
during sexual intercourse. He denies any weight loss, weight gain, fever, or night sweats. His past medical
history is notable for high blood pressure. He is married and has three healthy children. He denies using illegal
drugs, smokes two to three cigars a week, and drinks six to eight alcoholic beverages per week. His mother is
in good health and his father had high blood pressure and coronary artery disease. On physical examination he
appears anxious but in no pain. His vital signs are unremarkable. On visualization of his penis, he is
circumcised and has no lesions. His inguinal region has no lymphadenopathy. Palpation of his scrotum shows a
soft cystic-like lesion measuring 2 cm over his right testicle. There is no difficulty getting a gloved finger
through either inguinal ring. With weight bearing there are no bulges. His prostate examination is
unremarkable. What disorder of the scrotum does he most likely have?
Answer: - Hydrocele
Update 2026/2027
Question: A 14-year-old junior high school student is brought in by his mother and father because he seems to
be developing breasts. The mother is upset because she read on the Internet that smoking marijuana leads to
breast enlargement in males. The young man adamantly denies using any tobacco, alcohol, or drugs. He has
recently noticed changes in his penis, testicles, and pubic hair pattern. Otherwise, his past medical history is
unremarkable. His parents are both in good health. He has two older brothers who never had this problem. On
examination you see a mildly overweight teenager with enlarged breast tissue that is slightly tender on both
sides. Otherwise his examination is normal. He is agreeable to taking a drug test. What is the most likely cause
of his gynecomastia?
Answer: - Imbalance of hormones of puberty
Question: A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other symptoms and no
diagnosis of breast cancer in his first-degree relatives. What is the most likely diagnosis?
Answer: - Breast tissue - Approximately one third of adult men will have palpable breast tissue
under the areola. While males can have breast cancer, this is much less common. There are no lymph nodes in
this area
Question: A 28-year-old musician comes to your clinic, complaining of a "spot" on his penis. He states his
partner noticed it 2 days ago and it hasn't gone away. He says it doesn't hurt. He has had no burning with
urination and no pain during intercourse. He has had several partners in the last year and uses condoms
occasionally. His past medical history consists of nongonococcal urethritis from Chlamydia and prostatitis. His
vital signs are unremarkable. On visualization of his penis there is a 6-mm red, oval ulcer with an indurated
base just proximal to the corona. On palpation the ulcer is nontender. In the inguinal region there is nontender
lymphadenopathy. What disorder of the penis is most likely the diagnosis?
Answer: - Syphilitic chancre
Question: A 20-year-old part-time college student comes to your clinic, complaining of growths on his penile
shaft. They have been there for about 6 weeks and haven't gone away. In fact, he thinks there may be more
now. He denies any pain with intercourse or urination. He has had three former partners and has been with his
current girlfriend for 6 months. He says that because she is on the pill they don't use condoms. He denies any
fever, weight loss, or night sweats. He is engaged to be married and has no children. On visualization of his
penis you see several moist papules along all sides of his penile shaft and even two on the corona. He has been
circumcised. On palpation of his inguinal region there is no inguinal lymphadenopathy. Which abnormality of
the penis does this patient most likely have?
Answer: - Condylomata acuminate
Question: A 29-year-old married computer programmer comes to your clinic, complaining of "something
strange" going on in his scrotum. Last month while he was doing his testicular selfexamination he felt a lump in
his left testis. He waited a month and felt the area again, but the lump was still there. He has had some aching
in his left testis but denies any pain with urination or sexual intercourse. He denies any fever, malaise, or night
sweats. His past medical history consists of groin surgery when he was a baby and a tonsillectomy as a
teenager. His parents are both healthy. On visualization the penis is circumcised with no lesions; there is a scar
in his right inguinal region. There is no lymphadenopathy. Palpation of his scrotum is unremarkable on the right
but indicates a large mass on the left. Placing a finger through the inguinal ring on the right, you have the
patient bear down. Nothing is felt. You attempt to place your finger through the left inguinal ring but cannot
get above the mass. On rectal examination his prostate is unremarkable. What disorder of the testes is most
likely the diagnosis?
Answer: - Scrotal (inguinal) hernia
, Question: A 32-year-old white male comes to your clinic, complaining of aching on the right side of his testicle.
He has felt this aching for several months. He states that as the day progresses the aching increases, but when
he wakes up in the morning he is pain-free. He denies any pain with urination and states that the pain doesn't
change with sexual activity. He denies any fatigue, weight gain, weight loss, fever, or night sweats. His past
medical history is unremarkable. He is a married hospital administrator with two children. He notes that he and
his wife have been trying to have another baby this year but have so far been unsuccessful despite frequent
intercourse. He denies using tobacco, alcohol, or illegal drugs. His father has high blood pressure but his
mother is healthy. On examination you see a young man appearing his stated age with unremarkable vital
signs. On visualization of his penis, he is circumcised with no lesions. He has no scars along his inguinal area,
and palpation of the area shows no lymphadenopathy. On palpation of his scrotum you feel testes with no
discrete masses. Upon placing your finger through the right inguinal ring you feel what seems like a bunch of
spaghetti. Asking him to bear down, you feel no bulges. The left inguinal ring is unremarkable, with no bulges
on bearing down. His prostate examination is unremarkable. What abnormality of the scrotum does he most
likely have?
Answer: - Variocele
Question: A 48-year-old policeman comes to your clinic, complaining of a swollen scrotum. He states it began a
couple of weeks ago and has steadily worsened. He says the longer he stands up the worse it gets, but when
he lies down it improves. He denies any pain with urination. Because he is impotent he doesn't know if
intercourse would hurt. He states he has become more tired lately and has also gained 10 pounds in the last
month. He denies any fever or weight loss. He has had some shortness of breath with exertion. His past
medical history consists of type 2 diabetes for 20 years, high blood pressure, and coronary artery disease. He
is on insulin, three high blood pressure pills, and a water pill. He has had his gallbladder removed. He is
married and has five children. He is currently on disability because of his health problems. Both of his parents
died of complications of diabetes. On examination you see a pleasant male appearing chronically ill. He is
afebrile but his blood pressure is 160/100 and his pulse is
90. His head, eyes, ears, nose, throat, and neck examinations
are normal. There are some crackles in the bases of each lung. During his cardiac examination there is an
extra heart sound. Visualization of his penis shows an uncircumcised prepuce but no lesions or masses.
Palpation of his scrotum shows generalized swelling, with no discrete masses. A gloved finger is placed through
each inguinal ring, and with bearing down there are no bulges. The prostate is smooth and nontender. What
abnormality of the scrotum is most likely the diagnosis?
Answer: - Scrotal edema - Scrotal edema is a generalized swelling of the scrotum due to a
systemic illness. No discrete masses are palpated. In this case, with the history of diabetes, hypertension, and
coronary artery disease, the symptom of weight gain, and the signs of crackles in the lungs and an extra heart
sound, the patient is probably suffering from congestive heart failure.
Question: A 36-year-old security officer comes to your clinic, complaining of a painless mass in his scrotum. He
found it 3 days ago during a testicular self-examination. He has had no burning with urination and no pain
during sexual intercourse. He denies any weight loss, weight gain, fever, or night sweats. His past medical
history is notable for high blood pressure. He is married and has three healthy children. He denies using illegal
drugs, smokes two to three cigars a week, and drinks six to eight alcoholic beverages per week. His mother is
in good health and his father had high blood pressure and coronary artery disease. On physical examination he
appears anxious but in no pain. His vital signs are unremarkable. On visualization of his penis, he is
circumcised and has no lesions. His inguinal region has no lymphadenopathy. Palpation of his scrotum shows a
soft cystic-like lesion measuring 2 cm over his right testicle. There is no difficulty getting a gloved finger
through either inguinal ring. With weight bearing there are no bulges. His prostate examination is
unremarkable. What disorder of the scrotum does he most likely have?
Answer: - Hydrocele
