2026 WITH 150 QUESTIONS AND
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MARYVILLE ACTUAL EXAM 2026
A 24 year old male has scrotal pain and marked erythema. The examiner considers
epidydimitis. Which other finding is most consistent with this finding?
A. Absent cremasteric reflex
B. Anorexia and nausea
C. Acute onset of severe pain
D. urethral discharge - ANSWER-D. Urethral discharge
Hypospadias is a congenital defect in which the urethra meatus is located on the
ventral surface of the glans penis. This is thought to occur embryologically during
urethral development during which stage of gestation?
A. 4-6 weeks
B. 8-20 weeks
C. 15-25 weeks
,D. 20-30 weeks - ANSWER-B. 8-20 weeks
Which of the following hernias occur more often in females and is the least
common of all hernias?
A. Indirect
B. Direct
C. Femoral
D. Ventral - ANSWER-C. Femoral
Which finding on exam of a scrotal mass which is neither a testicle or spermatic
cord, suggests a problem with an incarcerated hernia?
A. mass does not transilluminate or change in size when reduction is attempted.
B. Mass doe not transilluminate but decreased in size when reduction is attempted.
C. Mass does transilluminate but does not change in size when reduction is
attempted
D. Mass does transilluminate and change size when reduction is attempted. -
ANSWER-A. Mass does not transilluminate or change in size when reduction is
attempted.
You examine Mr. Lacosta 22 year old male. CC is penile pain and swelling. On
exam you notice a constricting band of tissue directly behind the head of the penis.
You diagnosis this as:
A. paraphimosis
B. hypospadius
C. orchitis
D. torsion - ANSWER-A. paraphimosis
, You examine a patient and note pearly gray, smooth umbilicated lesions. The most
common cause of these is:
A. syphilis
B. condyloma acuminata
C. molluscum contagasioum
D. lymphogranuloma venereum - ANSWER-C. Molloscum contagious
Which finding indicates a normal cremasteric reflex?
A. penile erection in response to light touch
B. descent of testicle into scrotum in response to pressure on abdominal wall
C. Drop of urine appearing at urethral meatus in response to pressing glans
D. Elevation of left testicle and scrotum in response to stroking left inner thigh. -
ANSWER-D. Elevation of left testicle and scrotum in response to stroking left
inner thigh.
Which characteristics suggests that a lesion on a patients breast is Paget disease
and not eczema?
A. Itchy predominantly at night
B. Erythemtous and crusty
C. Confined to nipple and areola of one breast
D. Does not respond to steroids - ANSWER-D. Does not response to steroids
How should a breast examination on a patient who had a lumpectomy for breast
cancer differ from a breast examination on one who has not had breast cancer?
A. Supraclavicular and infraclavicular lymph nodes are palplated
B. Lateral position with hands over head is used for palpation
C. Area of scar is palpated using a circular motion