NUR 3069 FINAL EXAM | ACTUALEXAM QUEsTIoNs ANd
ANswERs PRACTICE QUEsTIoNs wITh soLUTIoNs NEwEsT 2026
/2027 | ALREAdy GRAdEd A+
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. He denies
any surgeries. He smokes two packs of cigarettes a day, drinks a case of beer a week,
and smokes marijuana and occasionally crack. He has injected IV drugs before but not
in the last few years. He is single and currently unemployed. His mother has rheumatoid
arthritis and he doesn't know anything about his father. On examination you see a
young man appearing deconditioned but pleasant. His vital signs are unremarkable. On
visualization of his penis there is a 6-mm red, oval ulcer with an indurated b -
ANSWER-Ans: C Feedback: Primary syphilis causes a larger ulcer that is firm and
painless. Syphilis is fairly uncommon but does occur in the highly promiscuous
population, especially when coupled with illegal drug use. You should consider further
questions and workup regarding HIV status.
2. 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. His past medical history is unremarkable. In
addition to college, he works part-time for his father in construction. He is engaged to
be married and has no children. His father is healthy and his mother has
hypothyroidism. On examination the young man appears healthy. His vital signs are
unremarkable. 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 - ANSWER-Ans: A
3. 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. He eats a healthy diet and works out at the gym five
times a week. He denies any tobacco or illegal drugs and drinks alcohol occasionally.
,His parents are both healthy. On examination you see a muscular, healthy, young-
appearing man with unremarkable vital signs. On visualization the penis is circumcised
with no lesions; there is a scar in his right inguinal region. There is no - ANSWER-Ans:
B
4. A 32-year-old white male comes to your clinic, complaining of aching on the right side
of his testicle. He has felt this aching for several months. He states that as the day
progresses the aching increases, but when he wakes up in the morning he is pain-free.
He denies any pain with urination and states that the pain doesn't change with sexual
activity. He denies any fatigue, weight gain, weight loss, fever, or night sweats. His past
medical history is unremarkable. He is a married hospital administrator with two
children. He notes that he and his wife have been trying to have another baby this year
but have so far been unsuccessful despite frequent intercourse. He denies using
tobacco, alcohol, or illegal drugs. His father has high blood pressure but his mother is
healthy. On examination you see a young man appearing his stated age with
unremarkable vital signs. On visualization of his penis, he is circumcised wi -
ANSWER-Ans: D
5. A 48-year-old policeman comes to your clinic, complaining of a swollen scrotum. He
states it began a couple of weeks ago and has steadily worsened. He says the longer he
stands up the worse it gets, but when he lies down it improves. He denies any pain with
urination. Because he is impotent he doesn't know if intercourse would hurt. He states
he has become more tired lately and has also gained 10 pounds in the last month. He
denies any fever or weight loss. He has had some shortness of breath with exertion. His
past medical history consists of type 2 diabetes for 20 years, high blood pressure, and
coronary artery disease. He is on insulin, three high blood pressure pills, and a water
pill. He has had his gallbladder removed. He is married and has five children. He is
currently on disability because of his health problems. Both of his parents died of
complications of diabetes. On examination you see a pleasant male - ANSWER-Ans: C
less mass in his scrotum. He found it 3 days ago during a testicular self-examination. He
has had no burning with urination and no pain during sexual intercourse. He denies any
weight loss, weight gain, fever, or night sweats. His past medical history is notable for
high blood pressure. He is married and has three healthy children. He denies using
illegal drugs, smokes two to three cigars a week, and drinks six to eight alcoholic
beverages per week. His mother is in good health and his father had high blood
pressure and coronary artery disease. On physical examination he appears anxious but
in no pain. His vital signs are unremarkable. On visualization of his penis, he is
circumcised and has no lesions. His inguinal region has no lymphadenopathy. Palpation
of his scrotum shows a soft cystic-like lesion measuring 2 cm over his right testicle.
There is no difficulty getting a gloved finger through either inguinal ring. - ANSWER-
Ans: A
,7. A 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
meatus. Visualization of the scrotal skin appears unremarkable. Palpation of the testes
shows s - ANSWER-Ans: B
8. A 15-year-old high school football player is brought to your office by his mother. He is
complaining of severe testicular pain since exactly 8:00 this morning. He denies any
sexual activity and states that he hurts so bad he can't even urinate. He is nauseated
and is throwing up. He denies any recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or drug use. His parents are both in
good health. On examination you see a young teenager lying on the bed with an emesis
basin. He is very uncomfortable and keeps shifting his position. His blood pressure is
150/100, his pulse is 110, and his respirations are 24. On visualization of the penis he is
circumcised and there are no lesions and no discharge from the meatus. His scrotal
skin is tense and red. Palpation of the left testicle causes severe pain and the patient
begins to cry. His prostate examination is unremarkable. His - ANSWER-Ans: C
9. A 16-year-old high school junior is brought to your clinic by his father. The teenager
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 3 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 teenager 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 testicl - ANSWER-Ans: A
10. A 45-year-old electrical engineer presents to your clinic, complaining of spots on his
scrotum. He first noticed the spots several months ago, and they have gotten bigger.
He denies any pain with urination or with sexual intercourse. He has had no fever, night
sweats, weight gain, or weight loss. His past medical history consists of a vasectomy 10
, years ago and mild obesity. He is on medication for hyperlipidemia. He denies any
tobacco or illegal drug use and drinks alcohol socially. His mother has Alzheimer's
disease and his father died of leukemia. On examination he appears relaxed and has
unremarkable vital signs. On visualization of his penis, he is circumcised and has no
lesions on his penis. Visualization of his scrotum shows three yellow nodules 2-3
millimeters in diameter. During palpation they are firm and nontender. What
abnormality of the male genitalia is this most likely to be? A) Condylomata acumina -
ANSWER-Ans: D
11. Jim is a 47-year-old man who is having difficulties with sexual function. He is
recently separated from his wife of 20 years. He notes that he has early morning
erections but otherwise cannot function. Which of the following is a likely cause for his
problem? A) Decreased testosterone levels B) Psychological issues C) Abnormal
hypogastric arterial circulation D) Impaired neural innervation - ANSWER-Ans: B
12. Which of the following conditions involves a tight prepuce which, once retracted,
cannot be returned? A) Phimosis B) Paraphimosis C) Balanitis D) Balanoposthitis -
ANSWER-Ans: B
13. Induration along the ventral surface of the penis suggests which of the following? A)
Urethral stricture B) Testicular carcinoma C) Peyronie's disease D) Epidermoid cysts -
ANSWER-Ans: A
14. A tender, painful swelling of the scrotum should suggest which of the following? A)
Acute epididymitis B) Strangulated inguinal hernia C) Torsion of the spermatic cord D)
All of the above - ANSWER-Ans: D
15. A young man feels something in his scrotum and comes to you for clarification. On
your examination, you note what feels like a "bag of worms" in the left scrotum,
superior to the testicles. Which of the following is most likely? A) Hydrocele of the
spermatic cord B) Varicocele C) Testicular carcinoma D) A normal vas deferens -
ANSWER-Ans: B
16. Which of the following would lead you to suspect a hydrocele versus other causes of
scrotal swelling? A) The presence of bowel sounds in the scrotum B) Being unable to
palpate superior to the mass C) A positive transillumination test D) Normal thickness of
the skin of the scrotum - ANSWER-Ans: C
ANswERs PRACTICE QUEsTIoNs wITh soLUTIoNs NEwEsT 2026
/2027 | ALREAdy GRAdEd A+
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. He denies
any surgeries. He smokes two packs of cigarettes a day, drinks a case of beer a week,
and smokes marijuana and occasionally crack. He has injected IV drugs before but not
in the last few years. He is single and currently unemployed. His mother has rheumatoid
arthritis and he doesn't know anything about his father. On examination you see a
young man appearing deconditioned but pleasant. His vital signs are unremarkable. On
visualization of his penis there is a 6-mm red, oval ulcer with an indurated b -
ANSWER-Ans: C Feedback: Primary syphilis causes a larger ulcer that is firm and
painless. Syphilis is fairly uncommon but does occur in the highly promiscuous
population, especially when coupled with illegal drug use. You should consider further
questions and workup regarding HIV status.
2. 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. His past medical history is unremarkable. In
addition to college, he works part-time for his father in construction. He is engaged to
be married and has no children. His father is healthy and his mother has
hypothyroidism. On examination the young man appears healthy. His vital signs are
unremarkable. 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 - ANSWER-Ans: A
3. 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. He eats a healthy diet and works out at the gym five
times a week. He denies any tobacco or illegal drugs and drinks alcohol occasionally.
,His parents are both healthy. On examination you see a muscular, healthy, young-
appearing man with unremarkable vital signs. On visualization the penis is circumcised
with no lesions; there is a scar in his right inguinal region. There is no - ANSWER-Ans:
B
4. A 32-year-old white male comes to your clinic, complaining of aching on the right side
of his testicle. He has felt this aching for several months. He states that as the day
progresses the aching increases, but when he wakes up in the morning he is pain-free.
He denies any pain with urination and states that the pain doesn't change with sexual
activity. He denies any fatigue, weight gain, weight loss, fever, or night sweats. His past
medical history is unremarkable. He is a married hospital administrator with two
children. He notes that he and his wife have been trying to have another baby this year
but have so far been unsuccessful despite frequent intercourse. He denies using
tobacco, alcohol, or illegal drugs. His father has high blood pressure but his mother is
healthy. On examination you see a young man appearing his stated age with
unremarkable vital signs. On visualization of his penis, he is circumcised wi -
ANSWER-Ans: D
5. A 48-year-old policeman comes to your clinic, complaining of a swollen scrotum. He
states it began a couple of weeks ago and has steadily worsened. He says the longer he
stands up the worse it gets, but when he lies down it improves. He denies any pain with
urination. Because he is impotent he doesn't know if intercourse would hurt. He states
he has become more tired lately and has also gained 10 pounds in the last month. He
denies any fever or weight loss. He has had some shortness of breath with exertion. His
past medical history consists of type 2 diabetes for 20 years, high blood pressure, and
coronary artery disease. He is on insulin, three high blood pressure pills, and a water
pill. He has had his gallbladder removed. He is married and has five children. He is
currently on disability because of his health problems. Both of his parents died of
complications of diabetes. On examination you see a pleasant male - ANSWER-Ans: C
less mass in his scrotum. He found it 3 days ago during a testicular self-examination. He
has had no burning with urination and no pain during sexual intercourse. He denies any
weight loss, weight gain, fever, or night sweats. His past medical history is notable for
high blood pressure. He is married and has three healthy children. He denies using
illegal drugs, smokes two to three cigars a week, and drinks six to eight alcoholic
beverages per week. His mother is in good health and his father had high blood
pressure and coronary artery disease. On physical examination he appears anxious but
in no pain. His vital signs are unremarkable. On visualization of his penis, he is
circumcised and has no lesions. His inguinal region has no lymphadenopathy. Palpation
of his scrotum shows a soft cystic-like lesion measuring 2 cm over his right testicle.
There is no difficulty getting a gloved finger through either inguinal ring. - ANSWER-
Ans: A
,7. A 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
meatus. Visualization of the scrotal skin appears unremarkable. Palpation of the testes
shows s - ANSWER-Ans: B
8. A 15-year-old high school football player is brought to your office by his mother. He is
complaining of severe testicular pain since exactly 8:00 this morning. He denies any
sexual activity and states that he hurts so bad he can't even urinate. He is nauseated
and is throwing up. He denies any recent illness or fever. His past medical history is
unremarkable. He denies any tobacco, alcohol, or drug use. His parents are both in
good health. On examination you see a young teenager lying on the bed with an emesis
basin. He is very uncomfortable and keeps shifting his position. His blood pressure is
150/100, his pulse is 110, and his respirations are 24. On visualization of the penis he is
circumcised and there are no lesions and no discharge from the meatus. His scrotal
skin is tense and red. Palpation of the left testicle causes severe pain and the patient
begins to cry. His prostate examination is unremarkable. His - ANSWER-Ans: C
9. A 16-year-old high school junior is brought to your clinic by his father. The teenager
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 3 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 teenager 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 testicl - ANSWER-Ans: A
10. A 45-year-old electrical engineer presents to your clinic, complaining of spots on his
scrotum. He first noticed the spots several months ago, and they have gotten bigger.
He denies any pain with urination or with sexual intercourse. He has had no fever, night
sweats, weight gain, or weight loss. His past medical history consists of a vasectomy 10
, years ago and mild obesity. He is on medication for hyperlipidemia. He denies any
tobacco or illegal drug use and drinks alcohol socially. His mother has Alzheimer's
disease and his father died of leukemia. On examination he appears relaxed and has
unremarkable vital signs. On visualization of his penis, he is circumcised and has no
lesions on his penis. Visualization of his scrotum shows three yellow nodules 2-3
millimeters in diameter. During palpation they are firm and nontender. What
abnormality of the male genitalia is this most likely to be? A) Condylomata acumina -
ANSWER-Ans: D
11. Jim is a 47-year-old man who is having difficulties with sexual function. He is
recently separated from his wife of 20 years. He notes that he has early morning
erections but otherwise cannot function. Which of the following is a likely cause for his
problem? A) Decreased testosterone levels B) Psychological issues C) Abnormal
hypogastric arterial circulation D) Impaired neural innervation - ANSWER-Ans: B
12. Which of the following conditions involves a tight prepuce which, once retracted,
cannot be returned? A) Phimosis B) Paraphimosis C) Balanitis D) Balanoposthitis -
ANSWER-Ans: B
13. Induration along the ventral surface of the penis suggests which of the following? A)
Urethral stricture B) Testicular carcinoma C) Peyronie's disease D) Epidermoid cysts -
ANSWER-Ans: A
14. A tender, painful swelling of the scrotum should suggest which of the following? A)
Acute epididymitis B) Strangulated inguinal hernia C) Torsion of the spermatic cord D)
All of the above - ANSWER-Ans: D
15. A young man feels something in his scrotum and comes to you for clarification. On
your examination, you note what feels like a "bag of worms" in the left scrotum,
superior to the testicles. Which of the following is most likely? A) Hydrocele of the
spermatic cord B) Varicocele C) Testicular carcinoma D) A normal vas deferens -
ANSWER-Ans: B
16. Which of the following would lead you to suspect a hydrocele versus other causes of
scrotal swelling? A) The presence of bowel sounds in the scrotum B) Being unable to
palpate superior to the mass C) A positive transillumination test D) Normal thickness of
the skin of the scrotum - ANSWER-Ans: C
