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N582 EXAM MIDTERM AND FINAL (2026) EXAM
QUESTIONS & ANSWERS | LATEST UPDATE 2026
A 14-year-old male is seen with complaints of severe testicular pain.
The clinician suspects testicular torsion. Which of the following is the
appropriate action?
a. Instruct the patient to elevate the scrotum.
b. Prescribe ibuprofen.
c. Refer to immediately to the emergency department for evaluation
d. Obtain a computed tomography (CT) scan. ......ANSWER......C. Refer to
ED immediately
A 30-year-old man is seen with a chief complaint of loss of libido. Which
of the following laboratory tests would help establish a diagnosis?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity ......ANSWER......A.
Testosterone level
A 35-year-old man presents with complaints of painful erections, and he
notices his penis is crooked when erect. What is the most likely
diagnosis?
a. Peyronie's disease
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b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion ......ANSWER......A. Peyronie's disease
An 82-year-old man is seen in the primary-care office with complaints of
dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differential diagnoses?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia ......ANSWER......C. All of the above
Peter is a 40-year-old male with a recent diagnosis of low testosterone.
Which of the following counseling points is correct regarding low
testosterone?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on testosterone
d.Testosterone deficiency is due to hypergonadism. ......ANSWER......B.
Lowering your A1C may improve your testosterone levels
The 56-year-old man with chronic prostatitis should be treated with
levofloxacin for how long?
a.3 to 7 days
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b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days ......ANSWER......B. 4 to 6 weeks
The patient with BPH is seen for follow-up. He has been taking
finasteride (Proscar) for 6 months. The clinician should assess this
patient for which of these side effects?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma ......ANSWER......C. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer Society)
recommendation of when to begin prostate screening?
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in good
health should start screening at age 70.
c.Caucasian men should start screening at age 55.
d.African American men who have had a brother diagnosed with
prostate cancer before the age of 65 should start screening at 45.
......ANSWER......D. African American men who have had a brother
diagnosed with prostate cancer before the age of 65 should start
screening at 45.
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N582 EXAM MIDTERM AND FINAL (2026) EXAM
QUESTIONS & ANSWERS | LATEST UPDATE 2026
A 14-year-old male is seen with complaints of severe testicular pain.
The clinician suspects testicular torsion. Which of the following is the
appropriate action?
a. Instruct the patient to elevate the scrotum.
b. Prescribe ibuprofen.
c. Refer to immediately to the emergency department for evaluation
d. Obtain a computed tomography (CT) scan. ......ANSWER......C. Refer to
ED immediately
A 30-year-old man is seen with a chief complaint of loss of libido. Which
of the following laboratory tests would help establish a diagnosis?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity ......ANSWER......A.
Testosterone level
A 35-year-old man presents with complaints of painful erections, and he
notices his penis is crooked when erect. What is the most likely
diagnosis?
a. Peyronie's disease
pg. 1
,2|Page
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion ......ANSWER......A. Peyronie's disease
An 82-year-old man is seen in the primary-care office with complaints of
dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differential diagnoses?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia ......ANSWER......C. All of the above
Peter is a 40-year-old male with a recent diagnosis of low testosterone.
Which of the following counseling points is correct regarding low
testosterone?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on testosterone
d.Testosterone deficiency is due to hypergonadism. ......ANSWER......B.
Lowering your A1C may improve your testosterone levels
The 56-year-old man with chronic prostatitis should be treated with
levofloxacin for how long?
a.3 to 7 days
pg. 2
, 3|Page
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days ......ANSWER......B. 4 to 6 weeks
The patient with BPH is seen for follow-up. He has been taking
finasteride (Proscar) for 6 months. The clinician should assess this
patient for which of these side effects?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma ......ANSWER......C. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer Society)
recommendation of when to begin prostate screening?
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in good
health should start screening at age 70.
c.Caucasian men should start screening at age 55.
d.African American men who have had a brother diagnosed with
prostate cancer before the age of 65 should start screening at 45.
......ANSWER......D. African American men who have had a brother
diagnosed with prostate cancer before the age of 65 should start
screening at 45.
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