NR 511 FINAL QUESTION TO REVIEW QUESTIONS WITH
ACCURATE ANSWERS
A 14 year old male is seen with complains of severe testicular pain. The clinician
suspects testicular torsion. Which of the following is the appropriate actions
A Refer to a urologist immediately
B Obtain a CT scan
C Instruct the patient to elevate the scrotum
D Prescribe Ibuprofen correct answer A Refer to a urologist immediately
A 22 year old male is seen in the clinic because he found a hard lump in his
testicle when performing testicular self exam. Which of the following should be
included in the list of differential diagnosis
A Testicular cancer
B Inguinal hernia
C Varicocele
D All of the above correct answer D All of the above
A 23 year old male patient with hemophilia A says, How can I keep my children
from having hemophilia A. What of the following is the informative response.
A You need to select a very dependable mode of birth control
B You can only pass hemophilia B to your sons
C Your daughter may be a carrier and her children may have hemophilia A. Your
son is not at risk
D Your sons should have coagulation studies correct answer C Your daughter may
be a carrier and her children may have hemophilia A. Your son is not at risk
,A 23 year old sexually active man is seen in the clinic with unilateral painful
testicular swelling and he is diagnosed with epididymitis. In order to prescribe the
correct drug, the clinician much understand that which of these is the most
common causative organism?
A E Coli
B S Aureus
C Chlamydia trachomatis
D Pseudomonas aeruginosa correct answer C Chlamydia trachomatis
A 27 year old patient with hypothyroidism is referred to the dietitian for dietary
consultation. What should nutritional interventions include
A Frequent small meals high in carbs
B Calorie restricted meals
C caffeine rich beverages
D Fluid restrictions correct answer B Calorie restricted meals
A 30 year old man is seen with a CC of loss of libido. Which of the following lab
tests would help establish a diagnosis
A Testosterone level
B PSA
C Nocturnal penile tumescence and rigidity
D Prolactin level correct answer A Testosterone level
A 35 year old man presents with companies of painful erections, and he notices
his penis is crooked when erect. What is the most likely diagnosis
A Peyronies disease
,B Damage to the pudendal artery
C Scarring of the cavernosa
D All of the above correct answer A Peyronies disease
A 46 year old man presents with urinary hesitancy and low back pain. he has no
history of UTI. DRE reveals a normal prostate and a diagnosis of prostatodynia is
made. Which is the appropriate treatment?
A Terazosin 2 mg PO once a day
B Ice pack to the scrotal area
C Saw palmetto 320 mg per day
D All of the above correct answer A Terazosin 2 mg PO once a day
A 58 year old patient has been receiving leuprolide as treatment for prostate
cancer. The clinician should instruct the patient about which of these side effects
A Risk of osteopo
B May have hot flashes
C May have impotence
D All of the above correct answer D All of the above
A 60 year old man presents with an enlarged scrotum. The clinician uses a
penlights to transilluminate the scrotum. In a patient with a hydrocele, what
would the clinician expect to find
A The scrotum will be dark
B The scrotum will appear light pink or yellow
C The scrotum will appear milky white
, D The internal structures will be clearly visible correct answer B The scrotum will
appear light pink or yellow
A 63 year old man is seen in the clinic with a CC of nocturia. Which of the
following should be included in the differential diagnosis.
A Psychogenic nocturia
B Urethral polyp
C Irritative posterior urethral lesion
D BPH correct answer BPH
A 70 y/o female has fallen 2 weeks ago and developed immediate pain in her left
wrist. She thought she just bruised it but it worried because it has not improved.
She has used Tylenol and ice at home, and that has helped slightly. You examine
her and find she has moderate swelling and ecchymosis but no overtly obvious
deformity. Her ROM is uncomfortable and severely diminished due to the pain.
No crepitus is heard or felt. Her fingers are warm, her pulse is strong, and capillary
refill is less than 2 seconds. What should you do?
A. Make an immediate referral for an orthopedic evaluation without further
assessment
B. Tell her that it takes time for these bruises to improve so she should be patient
C. Obtain a wrist x ray and place her wrist in a splint or prescribe splint
D Send her to the emergency room for reduction of this obvious fracture. correct
answer Obtain a wrist x ray and place her wrist in a splint or prescribe splint
A 76 year old man is seen in the office for complaints of urinary incontinence. The
clinician should explore which of these causes of incontinence in men
A Urethral polyps
B UTI
ACCURATE ANSWERS
A 14 year old male is seen with complains of severe testicular pain. The clinician
suspects testicular torsion. Which of the following is the appropriate actions
A Refer to a urologist immediately
B Obtain a CT scan
C Instruct the patient to elevate the scrotum
D Prescribe Ibuprofen correct answer A Refer to a urologist immediately
A 22 year old male is seen in the clinic because he found a hard lump in his
testicle when performing testicular self exam. Which of the following should be
included in the list of differential diagnosis
A Testicular cancer
B Inguinal hernia
C Varicocele
D All of the above correct answer D All of the above
A 23 year old male patient with hemophilia A says, How can I keep my children
from having hemophilia A. What of the following is the informative response.
A You need to select a very dependable mode of birth control
B You can only pass hemophilia B to your sons
C Your daughter may be a carrier and her children may have hemophilia A. Your
son is not at risk
D Your sons should have coagulation studies correct answer C Your daughter may
be a carrier and her children may have hemophilia A. Your son is not at risk
,A 23 year old sexually active man is seen in the clinic with unilateral painful
testicular swelling and he is diagnosed with epididymitis. In order to prescribe the
correct drug, the clinician much understand that which of these is the most
common causative organism?
A E Coli
B S Aureus
C Chlamydia trachomatis
D Pseudomonas aeruginosa correct answer C Chlamydia trachomatis
A 27 year old patient with hypothyroidism is referred to the dietitian for dietary
consultation. What should nutritional interventions include
A Frequent small meals high in carbs
B Calorie restricted meals
C caffeine rich beverages
D Fluid restrictions correct answer B Calorie restricted meals
A 30 year old man is seen with a CC of loss of libido. Which of the following lab
tests would help establish a diagnosis
A Testosterone level
B PSA
C Nocturnal penile tumescence and rigidity
D Prolactin level correct answer A Testosterone level
A 35 year old man presents with companies of painful erections, and he notices
his penis is crooked when erect. What is the most likely diagnosis
A Peyronies disease
,B Damage to the pudendal artery
C Scarring of the cavernosa
D All of the above correct answer A Peyronies disease
A 46 year old man presents with urinary hesitancy and low back pain. he has no
history of UTI. DRE reveals a normal prostate and a diagnosis of prostatodynia is
made. Which is the appropriate treatment?
A Terazosin 2 mg PO once a day
B Ice pack to the scrotal area
C Saw palmetto 320 mg per day
D All of the above correct answer A Terazosin 2 mg PO once a day
A 58 year old patient has been receiving leuprolide as treatment for prostate
cancer. The clinician should instruct the patient about which of these side effects
A Risk of osteopo
B May have hot flashes
C May have impotence
D All of the above correct answer D All of the above
A 60 year old man presents with an enlarged scrotum. The clinician uses a
penlights to transilluminate the scrotum. In a patient with a hydrocele, what
would the clinician expect to find
A The scrotum will be dark
B The scrotum will appear light pink or yellow
C The scrotum will appear milky white
, D The internal structures will be clearly visible correct answer B The scrotum will
appear light pink or yellow
A 63 year old man is seen in the clinic with a CC of nocturia. Which of the
following should be included in the differential diagnosis.
A Psychogenic nocturia
B Urethral polyp
C Irritative posterior urethral lesion
D BPH correct answer BPH
A 70 y/o female has fallen 2 weeks ago and developed immediate pain in her left
wrist. She thought she just bruised it but it worried because it has not improved.
She has used Tylenol and ice at home, and that has helped slightly. You examine
her and find she has moderate swelling and ecchymosis but no overtly obvious
deformity. Her ROM is uncomfortable and severely diminished due to the pain.
No crepitus is heard or felt. Her fingers are warm, her pulse is strong, and capillary
refill is less than 2 seconds. What should you do?
A. Make an immediate referral for an orthopedic evaluation without further
assessment
B. Tell her that it takes time for these bruises to improve so she should be patient
C. Obtain a wrist x ray and place her wrist in a splint or prescribe splint
D Send her to the emergency room for reduction of this obvious fracture. correct
answer Obtain a wrist x ray and place her wrist in a splint or prescribe splint
A 76 year old man is seen in the office for complaints of urinary incontinence. The
clinician should explore which of these causes of incontinence in men
A Urethral polyps
B UTI
