NSG 6020 FINAL PAPER 2026 COMPLETE
QUESTIONS AND CORRECT ANSWERS
GRADED A+
●● 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?.
Answer: - Breast tissue - Approximately one third of adult men will have
palpable breast tissue under the areola. While males can have breast
cancer, this is much less common. There are no lymph nodes in this area
●● A 28-year-old musician comes to your clinic, complaining of a "spot"
on his penis. He states his partner noticed it 2 days ago and it hasn't gone
away. He says it doesn't hurt. He has had no burning with urination and
no pain during intercourse. He has had several partners in the last year
and uses condoms occasionally. His past medical history consists of
nongonococcal urethritis from Chlamydia and prostatitis. His vital signs
are unremarkable. On visualization of his penis there is a 6-mm red, oval
ulcer with an indurated base just proximal to the corona. On palpation
the ulcer is nontender. In the inguinal region there is nontender
lymphadenopathy.
What disorder of the penis is most likely the diagnosis?.
Answer: - Syphilitic chancre
, ●● A 20-year-old part-time college student comes to your clinic,
complaining of growths on his penile shaft. They have been there for
about 6 weeks and haven't gone away. In fact, he thinks there may be
more now. He denies any pain with intercourse or urination. He has had
three former partners and has been with his current girlfriend for 6
months. He says that because she is on the pill they don't use condoms.
He denies any fever, weight loss, or night sweats. He is engaged to be
married and has no children. On visualization of his penis you see
several moist papules along all sides of his penile shaft and even two on
the corona. He has been circumcised. On palpation of his inguinal region
there is no inguinal lymphadenopathy.
Which abnormality of the penis does this patient most likely have?.
Answer: - Condylomata acuminate
●● A 29-year-old married computer programmer comes to your clinic,
complaining of "something strange" going on in his scrotum. Last month
while he was doing his testicular self-examination he felt a lump in his
left testis. He waited a month and felt the area again, but the lump was
still there. He has had some aching in his left testis but denies any pain
with urination or sexual intercourse. He denies any fever, malaise, or
night sweats. His past medical history consists of groin surgery when he
was a baby and a tonsillectomy as a teenager. His parents are both
healthy. On visualization the penis is circumcised with no lesions; there
is a scar in his right inguinal region. There is no lymphadenopathy.
Palpation of his scrotum is unremarkable on the right but indicates a
large mass on the left. Placing a finger through the inguinal ring on the
right, you have the patient bear down. Nothing is felt. You attempt to
place.
QUESTIONS AND CORRECT ANSWERS
GRADED A+
●● 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?.
Answer: - Breast tissue - Approximately one third of adult men will have
palpable breast tissue under the areola. While males can have breast
cancer, this is much less common. There are no lymph nodes in this area
●● A 28-year-old musician comes to your clinic, complaining of a "spot"
on his penis. He states his partner noticed it 2 days ago and it hasn't gone
away. He says it doesn't hurt. He has had no burning with urination and
no pain during intercourse. He has had several partners in the last year
and uses condoms occasionally. His past medical history consists of
nongonococcal urethritis from Chlamydia and prostatitis. His vital signs
are unremarkable. On visualization of his penis there is a 6-mm red, oval
ulcer with an indurated base just proximal to the corona. On palpation
the ulcer is nontender. In the inguinal region there is nontender
lymphadenopathy.
What disorder of the penis is most likely the diagnosis?.
Answer: - Syphilitic chancre
, ●● A 20-year-old part-time college student comes to your clinic,
complaining of growths on his penile shaft. They have been there for
about 6 weeks and haven't gone away. In fact, he thinks there may be
more now. He denies any pain with intercourse or urination. He has had
three former partners and has been with his current girlfriend for 6
months. He says that because she is on the pill they don't use condoms.
He denies any fever, weight loss, or night sweats. He is engaged to be
married and has no children. On visualization of his penis you see
several moist papules along all sides of his penile shaft and even two on
the corona. He has been circumcised. On palpation of his inguinal region
there is no inguinal lymphadenopathy.
Which abnormality of the penis does this patient most likely have?.
Answer: - Condylomata acuminate
●● A 29-year-old married computer programmer comes to your clinic,
complaining of "something strange" going on in his scrotum. Last month
while he was doing his testicular self-examination he felt a lump in his
left testis. He waited a month and felt the area again, but the lump was
still there. He has had some aching in his left testis but denies any pain
with urination or sexual intercourse. He denies any fever, malaise, or
night sweats. His past medical history consists of groin surgery when he
was a baby and a tonsillectomy as a teenager. His parents are both
healthy. On visualization the penis is circumcised with no lesions; there
is a scar in his right inguinal region. There is no lymphadenopathy.
Palpation of his scrotum is unremarkable on the right but indicates a
large mass on the left. Placing a finger through the inguinal ring on the
right, you have the patient bear down. Nothing is felt. You attempt to
place.
