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MIDTERM AND FINAL N58 2
UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
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?
- Instruct the patient to elevate the scrotum.
- Prescribe ibuprofen.
- Refer to immediately to the emergency department for
- Obtain a computed tomography (CT) scan. - correct answer-
- Refer to ED immediately
evaluation
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?
- Testosterone level
- Prostate-specific antigen
- Prolactin level
- Nocturnal penile tumescence and rigidity - correct answer- A.
Testosterone level
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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?
- Peyronie's disease
- Damage to the pudendal artery
- Erectile dysfunction
- Testicular torsion - correct answer- 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?
- Urethral stricture
- Prostate cancer
- All above
- Benign prostatic hyperplasia - correct answer- 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 2 / 3
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d.Testosterone deficiency is due to hypergonadism. - correct answer- 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 - correct answer- 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 - correct answer- 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.
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