NSG6020 Final Study Guide Exam with Questions and Answers – 100% Solved
A 12-year-old is brought to your clinic by his father. He 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 three 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 child 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 testicle is unremarkable. An examin - ✔✔✔-Acute orchitis
A 14-year-old junior high school student is brought in by his mother and father because he
seems to be developing breasts. The mother is upset because she read on the Internet that
smoking marijuana leads to breast enlargement in males. The young man adamantly denies
using any tobacco, alcohol, or drugs. He has recently noticed changes in his penis, testicles, and
pubic hair pattern. Otherwise, his past medical history is unremarkable. His parents are both in
good health. He has two older brothers who never had this problem. On examination, you see a
mildly overweight teenager with enlarged breast tissue that is slightly tender on both sides.
Otherwise, his examination is normal. He is agreeable to taking a drug test. What is the most
likely cause of his gynecomastia? - ✔✔✔-Imbalance of hormones of puberty
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 - ✔✔✔-Torsion of the
spermatic cord
A 23-year-old computer programmer comes to your office for an annual examination. She has
recently become sexually active and wants to be placed on birth control. Her only complaint is
, NSG6020 Final Study Guide Exam with Questions and Answers – 100% Solved
that the skin in her armpits has become darker. She states it looks like dirt, and she scrubs her
skin nightly with soap and water but the color stays. Her past medical symptoms consist of acne
and mild obesity. Her periods have been irregular for 3 years. Her mother has type 2 diabetes,
and her father has high blood pressure. The patient denies using tobacco but has four to five
drinks on Friday and Saturday nights. She denies any illegal drug use. On examination, you see a
mildly obese female who is breathing comfortably. Her vital signs are unremarkable. Looking
under her axilla, you see dark, velvet-like skin. Her annual examination is otherwise
unremarkable. What disorder of the breast or axilla is she most likely to have? - ✔✔✔-
Acanthosis nigricans
A 26-year-old sports store manager comes to your clinic, complaining of severe right-sided
abdominal pain for twelve hours. He began having a stomachache yesterday, with a decreased
appetite, but today the pain seems to be just on the lower right side. He has had some nausea
and vomiting but no constipation or diarrhea. His last bowel movement was the night before
and was normal. He has had no fever or chills. He denies any recent illnesses or injuries. His past
medical history is unremarkable. He is engaged. He denies any tobacco or drug use and drinks
four to six beers per week. His mother has breast cancer and his father has coronary artery
disease. On examination, he appears ill and is lying on his right side. His temperature is 100.4
degrees and his heart rate is 110. His bowel sounds are decreased and he has rebound and
involuntary guarding, one-third of the way between the anterior superior iliac spine and the -
✔✔✔-Acute appendicitis
A 28-year-old graduate student comes to your clinic for evaluation of pain "all over." With
further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands,
low back and knees. She denies swelling in her joints. She states that the pain is worse in the
morning. There is no limitation in her range of motion. On physical examination, she has several
points on the muscles of the neck, shoulders and back that are tender to palpation. Muscle
strength and range of motion are normal. Which one of the following is likely the cause of her
pain? - ✔✔✔-fibromyalgia
A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other symptoms and
no diagnosis of breast cancer in his first-degree relatives. What is the most likely diagnosis? -
✔✔✔-Breast tissue
A 12-year-old is brought to your clinic by his father. He 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 three 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 child 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 testicle is unremarkable. An examin - ✔✔✔-Acute orchitis
A 14-year-old junior high school student is brought in by his mother and father because he
seems to be developing breasts. The mother is upset because she read on the Internet that
smoking marijuana leads to breast enlargement in males. The young man adamantly denies
using any tobacco, alcohol, or drugs. He has recently noticed changes in his penis, testicles, and
pubic hair pattern. Otherwise, his past medical history is unremarkable. His parents are both in
good health. He has two older brothers who never had this problem. On examination, you see a
mildly overweight teenager with enlarged breast tissue that is slightly tender on both sides.
Otherwise, his examination is normal. He is agreeable to taking a drug test. What is the most
likely cause of his gynecomastia? - ✔✔✔-Imbalance of hormones of puberty
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 - ✔✔✔-Torsion of the
spermatic cord
A 23-year-old computer programmer comes to your office for an annual examination. She has
recently become sexually active and wants to be placed on birth control. Her only complaint is
, NSG6020 Final Study Guide Exam with Questions and Answers – 100% Solved
that the skin in her armpits has become darker. She states it looks like dirt, and she scrubs her
skin nightly with soap and water but the color stays. Her past medical symptoms consist of acne
and mild obesity. Her periods have been irregular for 3 years. Her mother has type 2 diabetes,
and her father has high blood pressure. The patient denies using tobacco but has four to five
drinks on Friday and Saturday nights. She denies any illegal drug use. On examination, you see a
mildly obese female who is breathing comfortably. Her vital signs are unremarkable. Looking
under her axilla, you see dark, velvet-like skin. Her annual examination is otherwise
unremarkable. What disorder of the breast or axilla is she most likely to have? - ✔✔✔-
Acanthosis nigricans
A 26-year-old sports store manager comes to your clinic, complaining of severe right-sided
abdominal pain for twelve hours. He began having a stomachache yesterday, with a decreased
appetite, but today the pain seems to be just on the lower right side. He has had some nausea
and vomiting but no constipation or diarrhea. His last bowel movement was the night before
and was normal. He has had no fever or chills. He denies any recent illnesses or injuries. His past
medical history is unremarkable. He is engaged. He denies any tobacco or drug use and drinks
four to six beers per week. His mother has breast cancer and his father has coronary artery
disease. On examination, he appears ill and is lying on his right side. His temperature is 100.4
degrees and his heart rate is 110. His bowel sounds are decreased and he has rebound and
involuntary guarding, one-third of the way between the anterior superior iliac spine and the -
✔✔✔-Acute appendicitis
A 28-year-old graduate student comes to your clinic for evaluation of pain "all over." With
further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands,
low back and knees. She denies swelling in her joints. She states that the pain is worse in the
morning. There is no limitation in her range of motion. On physical examination, she has several
points on the muscles of the neck, shoulders and back that are tender to palpation. Muscle
strength and range of motion are normal. Which one of the following is likely the cause of her
pain? - ✔✔✔-fibromyalgia
A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other symptoms and
no diagnosis of breast cancer in his first-degree relatives. What is the most likely diagnosis? -
✔✔✔-Breast tissue
