N582 MIDTERM AND FINAL PRACTICE EXAM UPDATE QUESTIONS AND ANSWERS

N582 MIDTERM AND FINAL PRACTICE EXAM UPDATE QUESTIONS AND ANSWERS

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. - Answer 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 - Answer 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 - 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? a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia - 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
d.Testosterone deficiency is due to hypergonadism. - 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 - 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 - 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.
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. - Answer D. African American men who have had a
brother diagnosed with prostate cancer before the age of 65
should start screening at 45. 

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