PD – Final Exam, 2026 – Study guide and practice material
Which of the following conditions is not generally associated with vaginal pruritic?
a. Candidiasis
b. Chlamydia trachomatis
c. bacterial vaginosis
d. trichomoniasis - correct answer ✔✔ B
Your pt is presenting with an intense itching sensation of the vagina and admits to a heavy
discharge that "resembles cottage cheese". What test will you order to confirm the suspected
dx?
a. KOH prep
b. Wet mount
c. culture
d. U/A
e. NAAT - correct answer ✔✔ a
vaginal candidiasis
A 29 year old female complains of a 2 week hx of a persistent vaginal discharge, which has a
fishy odor that worsens after intercourse. A wet prep is positive for clue cells. you should
suspect:
a. physiologic discharge
b. trichomoniasis
,c. candidiasis
d. Bacterial vaginosis - correct answer ✔✔ D
A 22-year-old sexually active female presents to the emergency department with burning on
urination and urinary frequency. An abdominal exam reveals suprapubic tenderness. Urine
cultures reveal significant bacteria. What is your most likely diagnosis?
A) Pelvic inflammatory disease
B) Nephrolithiasis
C) Glomerulonephritis
D) Urinary retention
E) Acute cystitis - correct answer ✔✔ E
Your pt presents with testicular pain and swelling. What should be at the top of your
differential? How do you diagnose? - correct answer ✔✔ *Suspect testicular torsion* and do
ultrasound
A 22 year old male presents for a physical. On examination you palpate a painless mass that
cannot be separated from the right testicle. Which of the following is the most likely diagnosis?
A) Spermatocele
B) Varicocele
C) Testicular cancer
D) Hydrocele - correct answer ✔✔ C ("feels like the tip of the elbow")
A 68-year old male presents with hematuria. He also complains of sharp flank pain that radiates
to the groin, beginning about 1 hour ago and now severe. What is the most likely diagnosis?
,A) Bladder Carcinoma
B) Nephrolithiasis
C) Acute Prostatitis
D) Renal tuberculosis - correct answer ✔✔ B
A 79-year old male presents with complaints of decrease in the force and caliber of his urinary
stream, dribbling, and the feeling of urinary hesitancy. Which of the following diagnosis is most
likely associated with this patients' complaint?
A)Benign prostatic hyperplasia
B) Prostatitis
C) Meatal stenosis
D) prostatic carcinoma - correct answer ✔✔ A
A 16-year-old male presents with increasing pain and swelling of the right scrotum. The right
testicle is extremely tender to palpation and phren's sign is negative. A Doppler ultrasound
shows decreased blood flow. What is the next step in this patients management?
A) Emergent surgery
B) Oral doxycycline
C) Incision and drainage
D) Scrotal elevation and ice packs - correct answer ✔✔ A
Scrotal swelling which has a positive transillumination on physical exam is most likely a
A. Varicocele
B. Hydrocele
, C. Testicular cancer
d. Inguinal hernia - correct answer ✔✔ B
All of the following are paired cartilages except:
a. arytenoid
b. corniculate
c. cuneiform
d. cricoid - correct answer ✔✔ D
When intubating, the Mac blade for laryngoscopy is typically sitting on the
a. epiglottis
b. vallecula
c. vocal cords
d. Tongue - correct answer ✔✔ B. With this one we sweep the tongue to the left
Vs the miller blade that goes in and balances on the tongue to lift the oral contents to visualize
the epiglottis
according to the Mallampati classification system, what type of airway is severely difficult, and
only the hard palate can be seen? (soft palate cannot be seen) - correct answer ✔✔ Type IV
Which of the following is used to determine the INTERIOR difficulty of an airway?
a. Mallampati
b. Cormack-Lehane
Which of the following conditions is not generally associated with vaginal pruritic?
a. Candidiasis
b. Chlamydia trachomatis
c. bacterial vaginosis
d. trichomoniasis - correct answer ✔✔ B
Your pt is presenting with an intense itching sensation of the vagina and admits to a heavy
discharge that "resembles cottage cheese". What test will you order to confirm the suspected
dx?
a. KOH prep
b. Wet mount
c. culture
d. U/A
e. NAAT - correct answer ✔✔ a
vaginal candidiasis
A 29 year old female complains of a 2 week hx of a persistent vaginal discharge, which has a
fishy odor that worsens after intercourse. A wet prep is positive for clue cells. you should
suspect:
a. physiologic discharge
b. trichomoniasis
,c. candidiasis
d. Bacterial vaginosis - correct answer ✔✔ D
A 22-year-old sexually active female presents to the emergency department with burning on
urination and urinary frequency. An abdominal exam reveals suprapubic tenderness. Urine
cultures reveal significant bacteria. What is your most likely diagnosis?
A) Pelvic inflammatory disease
B) Nephrolithiasis
C) Glomerulonephritis
D) Urinary retention
E) Acute cystitis - correct answer ✔✔ E
Your pt presents with testicular pain and swelling. What should be at the top of your
differential? How do you diagnose? - correct answer ✔✔ *Suspect testicular torsion* and do
ultrasound
A 22 year old male presents for a physical. On examination you palpate a painless mass that
cannot be separated from the right testicle. Which of the following is the most likely diagnosis?
A) Spermatocele
B) Varicocele
C) Testicular cancer
D) Hydrocele - correct answer ✔✔ C ("feels like the tip of the elbow")
A 68-year old male presents with hematuria. He also complains of sharp flank pain that radiates
to the groin, beginning about 1 hour ago and now severe. What is the most likely diagnosis?
,A) Bladder Carcinoma
B) Nephrolithiasis
C) Acute Prostatitis
D) Renal tuberculosis - correct answer ✔✔ B
A 79-year old male presents with complaints of decrease in the force and caliber of his urinary
stream, dribbling, and the feeling of urinary hesitancy. Which of the following diagnosis is most
likely associated with this patients' complaint?
A)Benign prostatic hyperplasia
B) Prostatitis
C) Meatal stenosis
D) prostatic carcinoma - correct answer ✔✔ A
A 16-year-old male presents with increasing pain and swelling of the right scrotum. The right
testicle is extremely tender to palpation and phren's sign is negative. A Doppler ultrasound
shows decreased blood flow. What is the next step in this patients management?
A) Emergent surgery
B) Oral doxycycline
C) Incision and drainage
D) Scrotal elevation and ice packs - correct answer ✔✔ A
Scrotal swelling which has a positive transillumination on physical exam is most likely a
A. Varicocele
B. Hydrocele
, C. Testicular cancer
d. Inguinal hernia - correct answer ✔✔ B
All of the following are paired cartilages except:
a. arytenoid
b. corniculate
c. cuneiform
d. cricoid - correct answer ✔✔ D
When intubating, the Mac blade for laryngoscopy is typically sitting on the
a. epiglottis
b. vallecula
c. vocal cords
d. Tongue - correct answer ✔✔ B. With this one we sweep the tongue to the left
Vs the miller blade that goes in and balances on the tongue to lift the oral contents to visualize
the epiglottis
according to the Mallampati classification system, what type of airway is severely difficult, and
only the hard palate can be seen? (soft palate cannot be seen) - correct answer ✔✔ Type IV
Which of the following is used to determine the INTERIOR difficulty of an airway?
a. Mallampati
b. Cormack-Lehane
