Advanced Health Assessment Test 4
Exam QUESTIONS AND ANSWERS
100% RATED CORRECT WITH 100%
SURE PASS|GRADED
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 hasnt gone away. he says it doesnt 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 consits of nongonococcal urthreitis from chlamydia and prostatitis.
he denies any surgeries. he smokes two packs of cigarettes a day, drinks a case of beer a week and
smoks 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 RA and he doesnt know anything babout his father.
on examination you see a young man appearing deconditioned but unplesant. his vital signs are
unremarkable. on visualization of his penis there is a 6mm red, oval ulcer with an indurated base just
proximal to the - CORRECT ANSWERS C. syphilitic chancre
primary syphilis causes a large ulcer that is firm and painless
syphillis is high in people with illegal drugs
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 havent gone away. in fact, he thinks there may be more
now. he denies any pain with intercourse or urination. he has had 3 former partners and has been with
his current girlfriend for 6 months. he says that because she is on the pill they dont use condome. he
denies any fever, weight loss, or night sweats. his past medical history is 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 .
which abnormality of the penis does this patient most likely have?
`A. condylomata acuminata
B. genital herpes
C. syphilitic chancre
,D. penile carcinoma - CORRECT ANSWERS `A. condylomata acuminata
generally painless papules along the shaft and corona
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 self examination he felt a lump in
his left testis. he waited a month adn 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 consist 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. 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 scrotom 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. no -
CORRECT ANSWERS B. scrotal hernia
because the examiner cannot get a finger above the hernia into the ring
a 32 year old white male comes to your clinic, complaining of aching on the right side of his testicle. he
has felt this aching for several months. he states that as the day progresses the aching icnreases, but
when he wakes up in the morning he is pain free. he denies any pain with urination adn states that the
pain doesnt change with sexual activity. he denies any fatigue, weight gain, weight loss, fever, or night
sweats. his past medical history is unremarkable. he is a married hospital administrator with two
children. he notes that he and his wife have been trying to have another baby this year but have so far
have been unsuccessful despite frequent intercourse. he denies using tobacco, alcohol, or illegal drugs.
his father has high blood pressure but his mother is healthy. on examination you see a young man
appearing his stated age with unremarkable vital signs. on visualization of his penis, he is circumcised w -
CORRECT ANSWERS D. varicocele
are varicose veins surrounding the spermatic cord, coming through the inguinal ring. these veins feel like
spaghetti adn are often referred to as a bag of worms.
a 48 year old policeman comes to your clinic, complaining of a swollen scrotum. he states it began a
couple of weeks ago and has steadily worsened. he says the longer he stands up the worse it gets, but
when he lies down it improves. he denies any pain with urination. because he is impotent he doesnt
, know if intercourse would hurt. he states he has become more tired lately and has also gained 10
pounds in the last month. he denies any fever or weight loss. he has had some SOB with exertion. his
past medical hisotry consists of type 2 diabets for 20 years, high blood pressure, and coronary artery
disease. he is on insulin, three high blood pressure pills, and a water pill. he has had his gallbladder
removed. he is married and has five children. he is currently on disability because of his health
problems. both of his parents died of complciation from diabetes. on examination you see a pleasant
male appearing chronical - CORRECT ANSWERS C. scrotal edema
scrotal edema is a generalized swelling of the scrotom
a 36 year old security officer comes to your clinic, complaining of a painless mass in his scrotom. he
found it 3 days ago during a testicular self-examinaiton. he has had no burning with urination and no
pain during sexual intercourse. he denies any weight loss, weight gain, fever, or night sweats. his past
medical history is notable for high blood pressure. he is married and has three healthy children. he
denies using illegal drugs, smokes two to three ciggs a week, and drinks 6 to 8 alcoholic beverages per
week. his mother is in good health and his fatehr had high blood pressure and coronary artery disease.
on physical exam he appears anxious but in no pain. his vital signs are unremarkable. on visualization of
his penis, he is circumcised and has no lesions. his inguinal region has no lymphadenopathy. palpation
on his scrotom shows a soft cystic like lesion measure 2 cm over his right testicle. there is no diffic -
CORRECT ANSWERS A. hydrocele
a 22 year old unemployed roofer presents to your clinic, complaining of pain in his testicle and penis. he
states the pain began last night and has steadily become worse. he states it hurts when he urinates and
he has not attempted intercourse since the pain began. he has tried tylenol and ibuprofen without
improvement. he denies any fever or night sweats. his past medical history is unremarkable. he has had
four previous sexual partners and has had a new partner for the last month. he appears mildly ill. his
temp is 100,2. visualization of the penis he is circumcised with no lesions or discharge from the meatus.
visualization of the scrotal skin appears unremarkable. palpation of the tests shows severe tenderness at
the superior pole of the normal sized left testicle. he also has tenderness when you palpate the
structures superior to the testicle through the scrotal wall. the right testicle is unremarkable. an exami -
CORRECT ANSWERS B. acute epididymitis
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 AM. he denies any sexual activity and states that he hurts so bad he
cant 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
Exam QUESTIONS AND ANSWERS
100% RATED CORRECT WITH 100%
SURE PASS|GRADED
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 hasnt gone away. he says it doesnt 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 consits of nongonococcal urthreitis from chlamydia and prostatitis.
he denies any surgeries. he smokes two packs of cigarettes a day, drinks a case of beer a week and
smoks 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 RA and he doesnt know anything babout his father.
on examination you see a young man appearing deconditioned but unplesant. his vital signs are
unremarkable. on visualization of his penis there is a 6mm red, oval ulcer with an indurated base just
proximal to the - CORRECT ANSWERS C. syphilitic chancre
primary syphilis causes a large ulcer that is firm and painless
syphillis is high in people with illegal drugs
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 havent gone away. in fact, he thinks there may be more
now. he denies any pain with intercourse or urination. he has had 3 former partners and has been with
his current girlfriend for 6 months. he says that because she is on the pill they dont use condome. he
denies any fever, weight loss, or night sweats. his past medical history is 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 .
which abnormality of the penis does this patient most likely have?
`A. condylomata acuminata
B. genital herpes
C. syphilitic chancre
,D. penile carcinoma - CORRECT ANSWERS `A. condylomata acuminata
generally painless papules along the shaft and corona
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 self examination he felt a lump in
his left testis. he waited a month adn 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 consist 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. 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 scrotom 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. no -
CORRECT ANSWERS B. scrotal hernia
because the examiner cannot get a finger above the hernia into the ring
a 32 year old white male comes to your clinic, complaining of aching on the right side of his testicle. he
has felt this aching for several months. he states that as the day progresses the aching icnreases, but
when he wakes up in the morning he is pain free. he denies any pain with urination adn states that the
pain doesnt change with sexual activity. he denies any fatigue, weight gain, weight loss, fever, or night
sweats. his past medical history is unremarkable. he is a married hospital administrator with two
children. he notes that he and his wife have been trying to have another baby this year but have so far
have been unsuccessful despite frequent intercourse. he denies using tobacco, alcohol, or illegal drugs.
his father has high blood pressure but his mother is healthy. on examination you see a young man
appearing his stated age with unremarkable vital signs. on visualization of his penis, he is circumcised w -
CORRECT ANSWERS D. varicocele
are varicose veins surrounding the spermatic cord, coming through the inguinal ring. these veins feel like
spaghetti adn are often referred to as a bag of worms.
a 48 year old policeman comes to your clinic, complaining of a swollen scrotum. he states it began a
couple of weeks ago and has steadily worsened. he says the longer he stands up the worse it gets, but
when he lies down it improves. he denies any pain with urination. because he is impotent he doesnt
, know if intercourse would hurt. he states he has become more tired lately and has also gained 10
pounds in the last month. he denies any fever or weight loss. he has had some SOB with exertion. his
past medical hisotry consists of type 2 diabets for 20 years, high blood pressure, and coronary artery
disease. he is on insulin, three high blood pressure pills, and a water pill. he has had his gallbladder
removed. he is married and has five children. he is currently on disability because of his health
problems. both of his parents died of complciation from diabetes. on examination you see a pleasant
male appearing chronical - CORRECT ANSWERS C. scrotal edema
scrotal edema is a generalized swelling of the scrotom
a 36 year old security officer comes to your clinic, complaining of a painless mass in his scrotom. he
found it 3 days ago during a testicular self-examinaiton. he has had no burning with urination and no
pain during sexual intercourse. he denies any weight loss, weight gain, fever, or night sweats. his past
medical history is notable for high blood pressure. he is married and has three healthy children. he
denies using illegal drugs, smokes two to three ciggs a week, and drinks 6 to 8 alcoholic beverages per
week. his mother is in good health and his fatehr had high blood pressure and coronary artery disease.
on physical exam he appears anxious but in no pain. his vital signs are unremarkable. on visualization of
his penis, he is circumcised and has no lesions. his inguinal region has no lymphadenopathy. palpation
on his scrotom shows a soft cystic like lesion measure 2 cm over his right testicle. there is no diffic -
CORRECT ANSWERS A. hydrocele
a 22 year old unemployed roofer presents to your clinic, complaining of pain in his testicle and penis. he
states the pain began last night and has steadily become worse. he states it hurts when he urinates and
he has not attempted intercourse since the pain began. he has tried tylenol and ibuprofen without
improvement. he denies any fever or night sweats. his past medical history is unremarkable. he has had
four previous sexual partners and has had a new partner for the last month. he appears mildly ill. his
temp is 100,2. visualization of the penis he is circumcised with no lesions or discharge from the meatus.
visualization of the scrotal skin appears unremarkable. palpation of the tests shows severe tenderness at
the superior pole of the normal sized left testicle. he also has tenderness when you palpate the
structures superior to the testicle through the scrotal wall. the right testicle is unremarkable. an exami -
CORRECT ANSWERS B. acute epididymitis
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 AM. he denies any sexual activity and states that he hurts so bad he
cant 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
