& CORRECT ANSWERS
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 examine - correct answer ✔✔torsion of the
spermatic cord
important techniques in performing the rectal examination include which of the following -
correct answer ✔✔All of the above
Which of the following conditions involves a tight prepuce which, once retracted, cannot be
returned - correct answer ✔✔paraphimosis
22-year-old unemployed roofer presents to your clinic, complaining of pain in his testicle and
penis. He states the pain began last night and has steadily become worse. He states it hurts
when he urinates and he has not attempted intercourse since the pain began. He has tried
Tylenol and Ibuprofen without improvement. He denies any fever or night sweats. His past
medical history is unremarkable. He has had four previous sexual partners and has had a new
partner for the last month. She is on oral contraceptives, so he has not used condoms. His
parents are both in good health. On examination, you see a young man lying on his side. He
appears mildly ill. His temperature is 100.2 and his blood pressure, respirations, and pulse are
normal. On visualization of the penis he is circumcised, with no lesions or discharge from the