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
Ans: 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
Ans: 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?
A) Hydrocele
B) Scrotal hernia
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
Ans: 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
Ans: 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?
A) Hydrocele
B) Scrotal hernia
