NU 518
FINAL EXAM
Tested Questions with Verified
Answers and Rationales
University of South Alabama.
This Document Description:
This document contains a collection of tested and verified questions
with accurate answers from Final Exam of NU 518 at the University of
South Alabama. It covers core topics assessed in the course and
reflects the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,1. 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. He denies any surgeries. He smokes two
packs of cigarettes a day, drinks a case of beer a week, and smokes
marijuana and occasionally crack. He has injected IV drugs before
but not in the last few years. He is single and currently
unemployed. His mother has rheumatoid arthritis and he doesn't
know anything about his father. On examination you see a young
man appearing deconditioned but pleasant. 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.
There is no prepuce because of neonatal circumcision. On palpation
the ulcer is nontender. In the inguinal region there is nontender
lymphadenopathy. What disorder of the penis is most likely the
diagnosis?
A) Condylomata acuminata
B) Genital herpes
C) Syphilitic chancre
D) Penile carcinoma
Answer: C
Chapter: 13
Page and Header: 516, Table 13-2
Feedback: Primary syphilis causes a larger ulcer that is firm and
painless. Syphilis is fairly uncommon but does occur in the highly
promiscuous population, especially when coupled with illegal drug use.
,You should consider further questions and workup regarding HIV
status.
2. 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. His past medical history is unremarkable. In
addition to college, he works part-time for his father in
construction. He is engaged to be married and has no children. His
father is healthy and his mother has hypothyroidism. On
examination the young man appears healthy. His vital signs are
unremarkable. 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?
A) Condylomata acuminata
B) Genital herpes
C) Syphilitic chancre
D) Penile carcinoma
Answer: A
Chapter: 13
Page and Header: 516, Table 13-2
Feedback: Warts are generally painless papules along the shaft and
corona. They are likely to spread and are caused by the human
, papilloma virus, transmitted through sexual contact. You should
discuss prevention of STIs with him. Although his girlfriend's
contraceptive pill protects her from pregnancy, he and she are
unprotected from sharing STIs. She should receive regular Pap
examinations and consider the HPV vaccine.
3. 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. He eats a healthy diet and works out
at the gym five times a week. He denies any tobacco or illegal
drugs and drinks alcohol occasionally. His parents are both
healthy. On examination you see a muscular, healthy, young-
appearing man with unremarkable vital signs. 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?
FINAL EXAM
Tested Questions with Verified
Answers and Rationales
University of South Alabama.
This Document Description:
This document contains a collection of tested and verified questions
with accurate answers from Final Exam of NU 518 at the University of
South Alabama. It covers core topics assessed in the course and
reflects the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
,1. 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. He denies any surgeries. He smokes two
packs of cigarettes a day, drinks a case of beer a week, and smokes
marijuana and occasionally crack. He has injected IV drugs before
but not in the last few years. He is single and currently
unemployed. His mother has rheumatoid arthritis and he doesn't
know anything about his father. On examination you see a young
man appearing deconditioned but pleasant. 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.
There is no prepuce because of neonatal circumcision. On palpation
the ulcer is nontender. In the inguinal region there is nontender
lymphadenopathy. What disorder of the penis is most likely the
diagnosis?
A) Condylomata acuminata
B) Genital herpes
C) Syphilitic chancre
D) Penile carcinoma
Answer: C
Chapter: 13
Page and Header: 516, Table 13-2
Feedback: Primary syphilis causes a larger ulcer that is firm and
painless. Syphilis is fairly uncommon but does occur in the highly
promiscuous population, especially when coupled with illegal drug use.
,You should consider further questions and workup regarding HIV
status.
2. 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. His past medical history is unremarkable. In
addition to college, he works part-time for his father in
construction. He is engaged to be married and has no children. His
father is healthy and his mother has hypothyroidism. On
examination the young man appears healthy. His vital signs are
unremarkable. 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?
A) Condylomata acuminata
B) Genital herpes
C) Syphilitic chancre
D) Penile carcinoma
Answer: A
Chapter: 13
Page and Header: 516, Table 13-2
Feedback: Warts are generally painless papules along the shaft and
corona. They are likely to spread and are caused by the human
, papilloma virus, transmitted through sexual contact. You should
discuss prevention of STIs with him. Although his girlfriend's
contraceptive pill protects her from pregnancy, he and she are
unprotected from sharing STIs. She should receive regular Pap
examinations and consider the HPV vaccine.
3. 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. He eats a healthy diet and works out
at the gym five times a week. He denies any tobacco or illegal
drugs and drinks alcohol occasionally. His parents are both
healthy. On examination you see a muscular, healthy, young-
appearing man with unremarkable vital signs. 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?
