NSG 6320 AGNP Board Exam – Men’s Health Assessment
Exam
1. Question:
When palpating the prostate gland during the rectal exam, the prostate feels
tender, swollen, “boggy,” and warm. This finding is consistent with:
a normal prostate gland.
acute bacterial prostatitis. Correct
benign prostatic hyperplasia.
carcinoma of the prostate.
Explanation:
The prostate gland feels tender, swollen, “boggy,” and warm in patients who
have acute bacterial prostatitis. As palpated through the anterior rectal wall,
the normal prostate is a rounded, heart-shaped structure, somewhat rubbery
and nontender. It measures approximately 2.5 cm long. In a patient with
benign prostatic hyperplasia (BPH), the gland feels enlarged and increases
with age. BPH is present in more than 50% of men by 50 years of age.
Carcinoma of the prostate gland is suggested by an area of hardness in the
gland. A distinct hard nodule that alters the contour of the gland may or may
not be palpable. However, as the cancer enlarges, the prostate feels
irregular and may extend beyond the confines of the gland.
2. Question:
A 31-year-old man with human immunodeficiency virus (HIV) infection states
that he has been having urinary frequency, hesitancy, fever, and nocturia.
Considering his medical history, he should be evaluated for:
a varicocele.
benign prostatic hypertrophy (BPH).
prostatitis. Correct
urolithiasis.
Explanation:
Human immunodeficiency virus (HIV) infection is an autoimmune deficiency
virus that predisposes men to bacterial infections such as prostatitis.
Symptoms include urinary frequency, hesitancy, burning, nocturia, and
fevers. Most men with varicocele have no symptoms. Benign prostatic
hypertrophy (BPH) is age-associated prostate enlargement without signs of
initial infection or fever symptoms. Urolithiasis involves a sharp pain during
urination, along with nausea, hematuria, and acute abdominal pain.
3. Question:
A 30-year-old man who has a history of heart disease will present with which
symptom related to the development of arteriosclerosis?
Hypogonadism
, Erectile dysfunction Correct
Enlarged prostate
Urinary incontinence
Explanation:
Erectile dysfunction is commonly caused by atherosclerosis in older men and
is frequently considered a manifestation of vascular disease. Hypogonadism
is caused by changes in testosterone. Prostate enlargement occurs in most
older men and is not specifically related to heart disease. Urinary
incontinence is a symptom associated with enlarged prostate and is not
specific to atherosclerotic changes.
4. Question:
At what age should a practitioner suggest a colonoscopy for a male patient
as part of primary care screening?
40 years
45 years
50 years Correct
55 years
Explanation:
The American Cancer Society recommends that a colonoscopy for colorectal
cancer screening be performed at age 50 and every 10 years afterward, as
long as screening is negative. Testing prior to age 50 depends on risk factors
such as family history or history of inflammatory bowel disease.
5. Question:
When the scrotum is transilluminated in a 4-month-old boy, it lights up
brightly. This finding may be consistent with:
normal scrotal findings.
an inguinal hernia.
cryptorchidism.
a hydrocele. Correct
Explanation:
A hydrocele is defined as swelling in the scrotum that lights up on
transillumination. Inguinal hernia and cryptorchidism are diagnosed using
palpation of the scrotum and testicle and are not associated with fluid
collection. Swelling of the scrotum and collection of serous fluid are not
normal findings.
6. Question:
When examining the prostate gland the examiner should inform the patient
that this procedure may:
cause him to urinate.
Exam
1. Question:
When palpating the prostate gland during the rectal exam, the prostate feels
tender, swollen, “boggy,” and warm. This finding is consistent with:
a normal prostate gland.
acute bacterial prostatitis. Correct
benign prostatic hyperplasia.
carcinoma of the prostate.
Explanation:
The prostate gland feels tender, swollen, “boggy,” and warm in patients who
have acute bacterial prostatitis. As palpated through the anterior rectal wall,
the normal prostate is a rounded, heart-shaped structure, somewhat rubbery
and nontender. It measures approximately 2.5 cm long. In a patient with
benign prostatic hyperplasia (BPH), the gland feels enlarged and increases
with age. BPH is present in more than 50% of men by 50 years of age.
Carcinoma of the prostate gland is suggested by an area of hardness in the
gland. A distinct hard nodule that alters the contour of the gland may or may
not be palpable. However, as the cancer enlarges, the prostate feels
irregular and may extend beyond the confines of the gland.
2. Question:
A 31-year-old man with human immunodeficiency virus (HIV) infection states
that he has been having urinary frequency, hesitancy, fever, and nocturia.
Considering his medical history, he should be evaluated for:
a varicocele.
benign prostatic hypertrophy (BPH).
prostatitis. Correct
urolithiasis.
Explanation:
Human immunodeficiency virus (HIV) infection is an autoimmune deficiency
virus that predisposes men to bacterial infections such as prostatitis.
Symptoms include urinary frequency, hesitancy, burning, nocturia, and
fevers. Most men with varicocele have no symptoms. Benign prostatic
hypertrophy (BPH) is age-associated prostate enlargement without signs of
initial infection or fever symptoms. Urolithiasis involves a sharp pain during
urination, along with nausea, hematuria, and acute abdominal pain.
3. Question:
A 30-year-old man who has a history of heart disease will present with which
symptom related to the development of arteriosclerosis?
Hypogonadism
, Erectile dysfunction Correct
Enlarged prostate
Urinary incontinence
Explanation:
Erectile dysfunction is commonly caused by atherosclerosis in older men and
is frequently considered a manifestation of vascular disease. Hypogonadism
is caused by changes in testosterone. Prostate enlargement occurs in most
older men and is not specifically related to heart disease. Urinary
incontinence is a symptom associated with enlarged prostate and is not
specific to atherosclerotic changes.
4. Question:
At what age should a practitioner suggest a colonoscopy for a male patient
as part of primary care screening?
40 years
45 years
50 years Correct
55 years
Explanation:
The American Cancer Society recommends that a colonoscopy for colorectal
cancer screening be performed at age 50 and every 10 years afterward, as
long as screening is negative. Testing prior to age 50 depends on risk factors
such as family history or history of inflammatory bowel disease.
5. Question:
When the scrotum is transilluminated in a 4-month-old boy, it lights up
brightly. This finding may be consistent with:
normal scrotal findings.
an inguinal hernia.
cryptorchidism.
a hydrocele. Correct
Explanation:
A hydrocele is defined as swelling in the scrotum that lights up on
transillumination. Inguinal hernia and cryptorchidism are diagnosed using
palpation of the scrotum and testicle and are not associated with fluid
collection. Swelling of the scrotum and collection of serous fluid are not
normal findings.
6. Question:
When examining the prostate gland the examiner should inform the patient
that this procedure may:
cause him to urinate.
