when you examine them. What should you do? - CORRECT ANSWER -Ask how she
acquired them.
A 58-year-old man comes to your office complaining of bilateral back pain that now
awakens him at night. This has been steadily increasing for the past 2 months. Which
one of the following is the most reassuring in this patient with back pain? - CORRECT
ANSWER -Pain that is bilateral
The Phalen's test is used to evaluate: - CORRECT ANSWER -inflammation of the
median nerve
Which of the following would lead you to suspect a hydrocele versus other causes of
scrotal swelling? - CORRECT ANSWER -A positive transillumination test
You are examining a newborn and note that the right testicle is not in the scrotum. What
should you do next? - CORRECT ANSWER -Attempt to bring down the testis from the
inguinal canal
A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper
respiratory, cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system
complaints. His past medical history is significant for mild arthritis and prior knee
surgery in college. He is married and just changed jobs, working for a different trucking
company. He smokes one pack of cigarettes a day, drinks less than six beers a week,
and denies using any illegal drugs. His mother has high blood pressure and arthritis and
his father died of lung cancer in his sixties. On examination, his blood pressure is
130/80 and his pulse is 80. His cardiac, lung, and abdominal examinations are normal.
He has no inguinal hernia, but on his digital rectal examination you palpate a soft,
smooth, and nontender pedunculated mass on the posterior wall of the rectum. What
anal, rectal, or prostate disorder best fits his presentation? - CORRECT ANSWER -
Rectal polyp
A 15-year-old high school football player is brought to your office by his mother. He is
complaining of severe testicular pain since exactly 8:00 this morning. He denies any
sexual activity and states that he hurts so bad he can't even urinate. He is nauseated
and is throwing up. He denies any recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or drug use. His parents are both in
good health. On examination, you see a young teenager lying on the bed with an
emesis basin. He is very uncomfortable and keeps shifting his position. His blood
pressure is 150/100, his pulse is 110, and his respirations are 24. On visualization of the
penis, he is circumcised and there are no lesions and no discharge from the meatus.
His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and
the patient begins to cry. His prostate examination is unremarkable. His - CORRECT
ANSWER -Torsion of the spermatic cord
Which is true of prostate cancer? - CORRECT ANSWER -Ethnicity is a risk factor.
, Which lof lthe lfollowing lconditions linvolves la ltight lprepuce lwhich, lonce lretracted, lcannot
lbe lreturned? l- lCORRECT lANSWER l-Paraphimosis
A l12-year-old lis lbrought lto lyour lclinic lby lhis lfather. lHe lwas ltaught lin lhis lhealth lclass lat
lschool lto ldo lmonthly ltesticular lself-examinations. lYesterday, lwhen lhe lfelt lhis lleft
ltesticle, lit lwas lenlarged land ltender. lHe lisn't lsure lif lhe lhas lhad lburning lwith lurination
land lhe lsays lhe lhas lnever lhad lsexual lintercourse. lHe lhas lhad la lsore lthroat, lcough, land
lrunny lnose lfor lthe llast lthree ldays. lHis lpast lmedical lhistory lis lsignificant lfor la
ltonsillectomy las la lsmall lchild. lHis lfather lhas lhigh lblood lpressure land lhis lmother lis
lhealthy. lOn lexamination, lyou lsee la lchild lin lno lacute ldistress. lHis ltemperature lis l100.8
land lhis lblood lpressure land lpulse lare lunremarkable. lOn lvisualization lof lhis lpenis, lhe lis
luncircumcised land lhas lno llesions lor ldischarge. lHis lscrotum lis lred land ltense lon lthe lleft
land lnormal lappearing lon lthe lright. lPalpating lhis lleft ltesticle lreveals la lmildly lsore
lswollen ltesticle. lThe lright ltesticle lis lunremarkable. lAn lexamin l- lCORRECT lANSWER l-
lAcute lorchitis
The lmost lcommon lcause lof lcancer ldeaths lin lmales lis: l- lCORRECT lANSWER l-Colon
lcancer
Important ltechniques lin lperforming lthe lrectal lexamination linclude lwhich lof lthe
lfollowing? l- lCORRECT lANSWER l-All lof lthe labove
Jim lis la l47-year-old lman lwho lis lhaving ldifficulties lwith lsexual lfunction. lHe lis lrecently
lseparated lfrom lhis lwife lof l20 lyears. lHe lnotes lthat lhe lhas learly lmorning lerections lbut
lotherwise lcannot lfunction. lWhich lof lthe lfollowing lis la llikely lcause lfor lhis lproblem? l-
lCORRECT lANSWER l-Psychological lissues
Which lof lthe lfollowing lis ltrue lof lhuman lpapilloma lvirus l(HPV) linfection? l- lCORRECT
lANSWER l-It lcommonly lresolves lspontaneously lin lone lto ltwo lyears.
Which lof lthe lfollowing lis lthe lmost leffective lpattern lof lpalpation lfor lbreast lcancer? l-
lCORRECT lANSWER l-Beginning lat lthe lnipple, lmake lan lever-enlarging lspiral.
A l14-year-old ljunior lhigh lschool lstudent lis lbrought lin lby lhis lmother land lfather lbecause
lhe lseems lto lbe ldeveloping lbreasts. lThe lmother lis lupset lbecause lshe lread lon lthe
lInternet lthat lsmoking lmarijuana lleads lto lbreast lenlargement lin lmales. lThe lyoung lman
ladamantly ldenies lusing lany ltobacco, lalcohol, lor ldrugs. lHe lhas lrecently lnoticed
lchanges lin lhis lpenis, ltesticles, land lpubic lhair lpattern. lOtherwise, lhis lpast lmedical
lhistory lis lunremarkable. lHis lparents lare lboth lin lgood lhealth. lHe lhas ltwo lolder lbrothers
lwho lnever lhad lthis lproblem. lOn lexamination, lyou lsee la lmildly loverweight lteenager lwith
lenlarged lbreast ltissue lthat lis lslightly ltender lon lboth lsides. lOtherwise, lhis lexamination
l is lnormal. lHe lis lagreeable lto ltaking la ldrug ltest. lWhat lis lthe lmost llikely lcause lof lhis
lgynecomastia? l- lCORRECT lANSWER l-Imbalance lof lhormones lof lpuberty
Which lof lthe lfollowing lrepresents lmetrorrhagia? l- lCORRECT lANSWER l-Bleeding
lbetween lperiods
acquired them.
A 58-year-old man comes to your office complaining of bilateral back pain that now
awakens him at night. This has been steadily increasing for the past 2 months. Which
one of the following is the most reassuring in this patient with back pain? - CORRECT
ANSWER -Pain that is bilateral
The Phalen's test is used to evaluate: - CORRECT ANSWER -inflammation of the
median nerve
Which of the following would lead you to suspect a hydrocele versus other causes of
scrotal swelling? - CORRECT ANSWER -A positive transillumination test
You are examining a newborn and note that the right testicle is not in the scrotum. What
should you do next? - CORRECT ANSWER -Attempt to bring down the testis from the
inguinal canal
A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper
respiratory, cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system
complaints. His past medical history is significant for mild arthritis and prior knee
surgery in college. He is married and just changed jobs, working for a different trucking
company. He smokes one pack of cigarettes a day, drinks less than six beers a week,
and denies using any illegal drugs. His mother has high blood pressure and arthritis and
his father died of lung cancer in his sixties. On examination, his blood pressure is
130/80 and his pulse is 80. His cardiac, lung, and abdominal examinations are normal.
He has no inguinal hernia, but on his digital rectal examination you palpate a soft,
smooth, and nontender pedunculated mass on the posterior wall of the rectum. What
anal, rectal, or prostate disorder best fits his presentation? - CORRECT ANSWER -
Rectal polyp
A 15-year-old high school football player is brought to your office by his mother. He is
complaining of severe testicular pain since exactly 8:00 this morning. He denies any
sexual activity and states that he hurts so bad he can't even urinate. He is nauseated
and is throwing up. He denies any recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or drug use. His parents are both in
good health. On examination, you see a young teenager lying on the bed with an
emesis basin. He is very uncomfortable and keeps shifting his position. His blood
pressure is 150/100, his pulse is 110, and his respirations are 24. On visualization of the
penis, he is circumcised and there are no lesions and no discharge from the meatus.
His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and
the patient begins to cry. His prostate examination is unremarkable. His - CORRECT
ANSWER -Torsion of the spermatic cord
Which is true of prostate cancer? - CORRECT ANSWER -Ethnicity is a risk factor.
, Which lof lthe lfollowing lconditions linvolves la ltight lprepuce lwhich, lonce lretracted, lcannot
lbe lreturned? l- lCORRECT lANSWER l-Paraphimosis
A l12-year-old lis lbrought lto lyour lclinic lby lhis lfather. lHe lwas ltaught lin lhis lhealth lclass lat
lschool lto ldo lmonthly ltesticular lself-examinations. lYesterday, lwhen lhe lfelt lhis lleft
ltesticle, lit lwas lenlarged land ltender. lHe lisn't lsure lif lhe lhas lhad lburning lwith lurination
land lhe lsays lhe lhas lnever lhad lsexual lintercourse. lHe lhas lhad la lsore lthroat, lcough, land
lrunny lnose lfor lthe llast lthree ldays. lHis lpast lmedical lhistory lis lsignificant lfor la
ltonsillectomy las la lsmall lchild. lHis lfather lhas lhigh lblood lpressure land lhis lmother lis
lhealthy. lOn lexamination, lyou lsee la lchild lin lno lacute ldistress. lHis ltemperature lis l100.8
land lhis lblood lpressure land lpulse lare lunremarkable. lOn lvisualization lof lhis lpenis, lhe lis
luncircumcised land lhas lno llesions lor ldischarge. lHis lscrotum lis lred land ltense lon lthe lleft
land lnormal lappearing lon lthe lright. lPalpating lhis lleft ltesticle lreveals la lmildly lsore
lswollen ltesticle. lThe lright ltesticle lis lunremarkable. lAn lexamin l- lCORRECT lANSWER l-
lAcute lorchitis
The lmost lcommon lcause lof lcancer ldeaths lin lmales lis: l- lCORRECT lANSWER l-Colon
lcancer
Important ltechniques lin lperforming lthe lrectal lexamination linclude lwhich lof lthe
lfollowing? l- lCORRECT lANSWER l-All lof lthe labove
Jim lis la l47-year-old lman lwho lis lhaving ldifficulties lwith lsexual lfunction. lHe lis lrecently
lseparated lfrom lhis lwife lof l20 lyears. lHe lnotes lthat lhe lhas learly lmorning lerections lbut
lotherwise lcannot lfunction. lWhich lof lthe lfollowing lis la llikely lcause lfor lhis lproblem? l-
lCORRECT lANSWER l-Psychological lissues
Which lof lthe lfollowing lis ltrue lof lhuman lpapilloma lvirus l(HPV) linfection? l- lCORRECT
lANSWER l-It lcommonly lresolves lspontaneously lin lone lto ltwo lyears.
Which lof lthe lfollowing lis lthe lmost leffective lpattern lof lpalpation lfor lbreast lcancer? l-
lCORRECT lANSWER l-Beginning lat lthe lnipple, lmake lan lever-enlarging lspiral.
A l14-year-old ljunior lhigh lschool lstudent lis lbrought lin lby lhis lmother land lfather lbecause
lhe lseems lto lbe ldeveloping lbreasts. lThe lmother lis lupset lbecause lshe lread lon lthe
lInternet lthat lsmoking lmarijuana lleads lto lbreast lenlargement lin lmales. lThe lyoung lman
ladamantly ldenies lusing lany ltobacco, lalcohol, lor ldrugs. lHe lhas lrecently lnoticed
lchanges lin lhis lpenis, ltesticles, land lpubic lhair lpattern. lOtherwise, lhis lpast lmedical
lhistory lis lunremarkable. lHis lparents lare lboth lin lgood lhealth. lHe lhas ltwo lolder lbrothers
lwho lnever lhad lthis lproblem. lOn lexamination, lyou lsee la lmildly loverweight lteenager lwith
lenlarged lbreast ltissue lthat lis lslightly ltender lon lboth lsides. lOtherwise, lhis lexamination
l is lnormal. lHe lis lagreeable lto ltaking la ldrug ltest. lWhat lis lthe lmost llikely lcause lof lhis
lgynecomastia? l- lCORRECT lANSWER l-Imbalance lof lhormones lof lpuberty
Which lof lthe lfollowing lrepresents lmetrorrhagia? l- lCORRECT lANSWER l-Bleeding
lbetween lperiods
