NUR3069 FINAL EXAM WITH
GUARANTEED PASS SOLUTIONS
2025-2026 UPDATED.
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 b - Answer Ans: C 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 - Answer
Ans: A
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 self-
examination 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 -
Answer Ans: B
4. 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 increases, but when he wakes up in the morning he is pain-free. He denies any pain with
,urination and states that the pain doesn't 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 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 wi - Answer Ans: D
5. 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 doesn't 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 shortness of breath with exertion. His past medical history consists of type 2
diabetes 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 complications of diabetes. On examination you see a pleasant male - Answer
Ans: C
less mass in his scrotum. He found it 3 days ago during a testicular self-examination. 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
cigars a week, and drinks six to eight alcoholic beverages per week. His mother is in good health
and his father had high blood pressure and coronary artery disease. On physical examination 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 of his
scrotum shows a soft cystic-like lesion measuring 2 cm over his right testicle. There is no
difficulty getting a gloved finger through either inguinal ring. - Answer Ans: A
7. 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. She is on oral contraceptives so he has not used condoms. His
parents are both in good health. On examination you see a young man lying on his side. He
appears mildly ill. His temperature is 100.2 and his blood pressure, respirations, and pulse are
normal. On 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 testes shows s -
Answer Ans: B
8. 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 8:00 this morning. He denies any sexual
activity and states that he hurts so bad he can't 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 good health. On examination you see
a young teenager lying on the bed with an emesis basin. He is very uncomfortable and keeps
shifting his position. His blood pressure is 150/100, his pulse is 110, and his respirations are 24.
On visualization of the penis he is circumcised and there are no lesions and no discharge from
the meatus. His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and
the patient begins to cry. His prostate examination is unremarkable. His - Answer Ans: C
9. A 16-year-old high school junior is brought to your clinic by his father. The teenager was
taught in his health class at school to do monthly testicular self-examinations. Yesterday when
he felt his left testicle it was enlarged and tender. He isn't sure if he has had burning with
urination and he says he has never had sexual intercourse. He has had a sore throat, cough, and
runny nose for the last 3 days. His past medical history is significant for a tonsillectomy as a
small child. His father has high blood pressure and his mother is healthy. On examination you
see a teenager in no acute distress. His temperature is 100.8 and his blood pressure and pulse
are unremarkable. On visualization of his penis, he is uncircumcised and has no lesions or
discharge. His scrotum is red and tense on the left and normal appearing on the right. Palpating
his left testicle reveals a mildly sore swollen testicle. The right testicl - Answer Ans: A
10. A 45-year-old electrical engineer presents to your clinic, complaining of spots on his
scrotum. He first noticed the spots several months ago, and they have gotten bigger. He denies
any pain with urination or with sexual intercourse. He has had no fever, night sweats, weight
gain, or weight loss. His past medical history consists of a vasectomy 10 years ago and mild
obesity. He is on medication for hyperlipidemia. He denies any tobacco or illegal drug use and
drinks alcohol socially. His mother has Alzheimer's disease and his father died of leukemia. On
examination he appears relaxed and has unremarkable vital signs. On visualization of his penis,
he is circumcised and has no lesions on his penis. Visualization of his scrotum shows three
yellow nodules 2-3 millimeters in diameter. During palpation they are firm and nontender. What
abnormality of the male genitalia is this most likely to be? A) Condylomata acumina - Answer
Ans: D
11. Jim is a 47-year-old man who is having difficulties with sexual function. He is recently
separated from his wife of 20 years. He notes that he has early morning erections but otherwise
cannot function. Which of the following is a likely cause for his problem? A) Decreased
testosterone levels B) Psychological issues C) Abnormal hypogastric arterial circulation D)
Impaired neural innervation - Answer Ans: B
12. Which of the following conditions involves a tight prepuce which, once retracted, cannot be
returned? A) Phimosis B) Paraphimosis C) Balanitis D) Balanoposthitis - Answer Ans: B
13. Induration along the ventral surface of the penis suggests which of the following? A)
Urethral stricture B) Testicular carcinoma C) Peyronie's disease D) Epidermoid cysts - Answer
Ans: A
, 14. A tender, painful swelling of the scrotum should suggest which of the following? A) Acute
epididymitis B) Strangulated inguinal hernia C) Torsion of the spermatic cord D) All of the above
- Answer Ans: D
15. A young man feels something in his scrotum and comes to you for clarification. On your
examination, you note what feels like a "bag of worms" in the left scrotum, superior to the
testicles. Which of the following is most likely? A) Hydrocele of the spermatic cord B) Varicocele
C) Testicular carcinoma D) A normal vas deferens - Answer Ans: B
16. Which of the following would lead you to suspect a hydrocele versus other causes of scrotal
swelling? A) The presence of bowel sounds in the scrotum B) Being unable to palpate superior
to the mass C) A positive transillumination test D) Normal thickness of the skin of the scrotum -
Answer Ans: C
17. You are examining a newborn and note that the right testicle is not in the scrotum. What
should you do next? A) Refer to urology B) Recheck in 6 months C) Tell the parent the testicle is
absent but that this should not affect fertility D) Attempt to bring down the testis from the
inguinal canal - Answer Ans: D
18. Francis is a middle-aged man who noted right-sided lower abdominal pain after straining
with yard work. Which of the following would make a hernia more likely? A) Absence of pain
with straining B) Absence of bowel sounds in the scrotum C) Absence of a varicocele D) Absence
of symmetry of the inguinal areas with straining - Answer Ans: D
19. Frank is a 24-year-old man who presents with multiple burning erosions on the shaft of his
penis and some tender inguinal adenopathy. Which of the following is most likely? A) Primary
syphilis B) Herpes simplex C) Chancroid D) Gonorrhea - Answer Ans: B
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has
smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned
that he may
have peripheral vascular disease. Which of the following is part of common or concerning
symptoms for
the peripheral vascular system?
A) Intermittent claudication
B) Chest pressure with exertion
C) Shortness of breath
D) Knee pain - Answer A
A 72-year-old teacher comes to your clinic for an annual examination. She is concerned about
her risk
GUARANTEED PASS SOLUTIONS
2025-2026 UPDATED.
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 b - Answer Ans: C 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 - Answer
Ans: A
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 self-
examination 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 -
Answer Ans: B
4. 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 increases, but when he wakes up in the morning he is pain-free. He denies any pain with
,urination and states that the pain doesn't 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 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 wi - Answer Ans: D
5. 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 doesn't 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 shortness of breath with exertion. His past medical history consists of type 2
diabetes 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 complications of diabetes. On examination you see a pleasant male - Answer
Ans: C
less mass in his scrotum. He found it 3 days ago during a testicular self-examination. 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
cigars a week, and drinks six to eight alcoholic beverages per week. His mother is in good health
and his father had high blood pressure and coronary artery disease. On physical examination 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 of his
scrotum shows a soft cystic-like lesion measuring 2 cm over his right testicle. There is no
difficulty getting a gloved finger through either inguinal ring. - Answer Ans: A
7. 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. She is on oral contraceptives so he has not used condoms. His
parents are both in good health. On examination you see a young man lying on his side. He
appears mildly ill. His temperature is 100.2 and his blood pressure, respirations, and pulse are
normal. On 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 testes shows s -
Answer Ans: B
8. 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 8:00 this morning. He denies any sexual
activity and states that he hurts so bad he can't 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 good health. On examination you see
a young teenager lying on the bed with an emesis basin. He is very uncomfortable and keeps
shifting his position. His blood pressure is 150/100, his pulse is 110, and his respirations are 24.
On visualization of the penis he is circumcised and there are no lesions and no discharge from
the meatus. His scrotal skin is tense and red. Palpation of the left testicle causes severe pain and
the patient begins to cry. His prostate examination is unremarkable. His - Answer Ans: C
9. A 16-year-old high school junior is brought to your clinic by his father. The teenager was
taught in his health class at school to do monthly testicular self-examinations. Yesterday when
he felt his left testicle it was enlarged and tender. He isn't sure if he has had burning with
urination and he says he has never had sexual intercourse. He has had a sore throat, cough, and
runny nose for the last 3 days. His past medical history is significant for a tonsillectomy as a
small child. His father has high blood pressure and his mother is healthy. On examination you
see a teenager in no acute distress. His temperature is 100.8 and his blood pressure and pulse
are unremarkable. On visualization of his penis, he is uncircumcised and has no lesions or
discharge. His scrotum is red and tense on the left and normal appearing on the right. Palpating
his left testicle reveals a mildly sore swollen testicle. The right testicl - Answer Ans: A
10. A 45-year-old electrical engineer presents to your clinic, complaining of spots on his
scrotum. He first noticed the spots several months ago, and they have gotten bigger. He denies
any pain with urination or with sexual intercourse. He has had no fever, night sweats, weight
gain, or weight loss. His past medical history consists of a vasectomy 10 years ago and mild
obesity. He is on medication for hyperlipidemia. He denies any tobacco or illegal drug use and
drinks alcohol socially. His mother has Alzheimer's disease and his father died of leukemia. On
examination he appears relaxed and has unremarkable vital signs. On visualization of his penis,
he is circumcised and has no lesions on his penis. Visualization of his scrotum shows three
yellow nodules 2-3 millimeters in diameter. During palpation they are firm and nontender. What
abnormality of the male genitalia is this most likely to be? A) Condylomata acumina - Answer
Ans: D
11. Jim is a 47-year-old man who is having difficulties with sexual function. He is recently
separated from his wife of 20 years. He notes that he has early morning erections but otherwise
cannot function. Which of the following is a likely cause for his problem? A) Decreased
testosterone levels B) Psychological issues C) Abnormal hypogastric arterial circulation D)
Impaired neural innervation - Answer Ans: B
12. Which of the following conditions involves a tight prepuce which, once retracted, cannot be
returned? A) Phimosis B) Paraphimosis C) Balanitis D) Balanoposthitis - Answer Ans: B
13. Induration along the ventral surface of the penis suggests which of the following? A)
Urethral stricture B) Testicular carcinoma C) Peyronie's disease D) Epidermoid cysts - Answer
Ans: A
, 14. A tender, painful swelling of the scrotum should suggest which of the following? A) Acute
epididymitis B) Strangulated inguinal hernia C) Torsion of the spermatic cord D) All of the above
- Answer Ans: D
15. A young man feels something in his scrotum and comes to you for clarification. On your
examination, you note what feels like a "bag of worms" in the left scrotum, superior to the
testicles. Which of the following is most likely? A) Hydrocele of the spermatic cord B) Varicocele
C) Testicular carcinoma D) A normal vas deferens - Answer Ans: B
16. Which of the following would lead you to suspect a hydrocele versus other causes of scrotal
swelling? A) The presence of bowel sounds in the scrotum B) Being unable to palpate superior
to the mass C) A positive transillumination test D) Normal thickness of the skin of the scrotum -
Answer Ans: C
17. You are examining a newborn and note that the right testicle is not in the scrotum. What
should you do next? A) Refer to urology B) Recheck in 6 months C) Tell the parent the testicle is
absent but that this should not affect fertility D) Attempt to bring down the testis from the
inguinal canal - Answer Ans: D
18. Francis is a middle-aged man who noted right-sided lower abdominal pain after straining
with yard work. Which of the following would make a hernia more likely? A) Absence of pain
with straining B) Absence of bowel sounds in the scrotum C) Absence of a varicocele D) Absence
of symmetry of the inguinal areas with straining - Answer Ans: D
19. Frank is a 24-year-old man who presents with multiple burning erosions on the shaft of his
penis and some tender inguinal adenopathy. Which of the following is most likely? A) Primary
syphilis B) Herpes simplex C) Chancroid D) Gonorrhea - Answer Ans: B
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has
smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned
that he may
have peripheral vascular disease. Which of the following is part of common or concerning
symptoms for
the peripheral vascular system?
A) Intermittent claudication
B) Chest pressure with exertion
C) Shortness of breath
D) Knee pain - Answer A
A 72-year-old teacher comes to your clinic for an annual examination. She is concerned about
her risk
