QUESTIONS WITH SOLUTIONS GRADED A+
◍ In heterosexual men the most common cause of epididymitis is:A. e coliB.
Neisseria gonnorhoaeC. Chlamydia trachomatisD. B and c.
Answer: D. B and c
◍ A 65-year-old male patient complains of frequency, urgency, hesitancy, and
weak urine stream. Physical examination is unremarkable except DRE
reveals an enlarged, firm, non-tender prostate gland. Urine culture reveals
100 bacteria CFU/mL. The clinician should suspect:A. Lower urinary tract
infection due to benign prostatic hyperplasiaB. Bacteriuria due to
prostatitisC. Obstructive uropathy due to prostate cancerD. Upper urinary
tract infection due to benign prostatic hyperplasia.
Answer: A. Lower urinary tract infection due to benign prostatic hyperplasia
◍ A 16-year-old female complains of sudden left-sided lower quadrant
abdominal pain. Last menstrual period was 2 weeks ago. On physical
examination, the abdomen is non-tender with no masses and no
organomegaly. Bowel sounds are normal in 4 quadrants. Pelvic examination
is within normal limits. Abdominal CT scan is negative. Pregnancy test is
negative. These signs and symptoms are consistent with:A. Ovarian
cancerB. Hydatidiform moleC. EndometriosisD. Follicular cyst.
Answer: D. Follicular cyst
◍ Strabismus may be a symptom of damage to the third cranial nerve..
Answer: False
◍ It is important for the clinician to ask the female patient about multiple
sexual partners. It is known that multiple sexual partners increases patient
risk for:A. Human papilloma virus infectionB. EndometriosisC. Uterine
cancerD. Ovarian cysts.
, Answer: A. Human papilloma virus infection
◍ An 18-year-old female patient presents with repeated urinary tract
infections. She has no risk factors in her history, and her physical
examination is unremarkable. She also has a normal pelvic exam. Which of
the following should be obtained if anatomic abnormalities are suspected?A.
Intravenous pyelogramB. Ultrasound of the kidneysC. CystoscopyD.
Transvaginal ultrasound of the bladder.
Answer: A. Intravenous pyelogram
◍ The definitive diagnosis of endometriosis is made with:A.
HysterosalpingoscopyB. Pelvic CT scanC. LaparoscopyD. Pelvic MRI.
Answer: C. Laparoscopy
◍ What are the numbers and names of the cranial nerves that function to bring
the sense of taste to the brain?.
Answer: VII, facial; IX, glossopharyngeal
◍ A condition that increases risk of breast cancer in a male is:A.
PseudogynecomastiaB. BRCA1 and 2C. Klinefelter's syndromeD. BandC.
Answer: C. Klinefelter's syndrome
◍ A 45-year-old female patient presents in the emergency department due to
multiple chest injuries as a result of a motor vehicle accident. There is a
palpable, tender, irregular 3 cm soft mass located in the left breast, with
erythema and swelling of the breast. Which of the following is indicated?A.
Compression wrap for chest and breast trauma;B. MammogramC.
Re-evaluation following complete resolution of obvious injuriesD.
Ultrasound.
Answer: Mammogram
◍ Your patient is a 46-year-old woman suffering from psychosis complains of
milky discharge from both her breasts. Upon examination, there are no
significant findings and the patient is not pregnant, breastfeeding, or in the
postpartum period. You should:A. Order CT scan of head to rule out
pituitary tumorB. Obtain a complete list of the patient's medicationsC. Have
, the patient keep a menstrual cycle diaryD. Refer the patient for
mammogram.
Answer: B obtain a complete list of patient's mediacations
◍ Your 61-year-old female patient complains of dyspareunia. On pelvic
examination, you note atrophic vaginitis. The clinician should explain that
these are most likely:A. Signs of vaginismusB. Postmenopausal
symptomsC. Signs of estrogen deficiencyD. B and C.
Answer: B. Postmenopausal symptoms
◍ 33-year-old female patient visits the clinic multiple times over the last year
complaining of dysuria, frequency, urgency, suprapubic pain, and
dyspareunia. Her physical examination, including a pelvic exam, is normal.
Urinalysis and urine culture is repeatedly negative. Her intravenous
pyelogram is also normal. The clinician should recognize that this
presentation is consistent with symptoms of:A. Asymptomatic bacteriuriaB.
Upper urinary tract infectionC. Interstitial cystitisD. Polycystic kidneys.
Answer: C. Interstitial cystitis
◍ In order for the clinician to diagnose a varicocele, the patient needs to:A. Lie
in the left lateral recumbent positionB. Stand and bear downC. Lean over for
digital rectal examD. Lie in the supine position.
Answer: B. Stand and bear down
◍ Which of the following organisms can cause a syndrome that includes
arthritis and conjunctivitis ? A. Neisseria gonorrheaB. Chlamydia
trachomatisC. Trichomonas vaginalisD. Gardnerella vaginalis.
Answer: B. Chlamydia trachomatis
◍ Your 26-year-old female patient reports a history of herpes simplex type II
infection. On physical examination, you note red blisters over the vulva
region. When questioned about sexual activity, she explains that her partner
uses a condom whenever her infectious blisters are present. The clinician
should recognize:A. The herpes virus can be transmitted during the patient's
asymptomatic periodsB. If the lesions are herpes simplex type I, then the
virus is not contagiousC. Only herpes simplex type II infects the genital