Midterm and Final N582 Questions With Complete
Solutions
A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following
is the appropriate action?
a. Instruct the patient to elevate the scrotum.
b. Prescribe ibuprofen.
c. Refer to immediately to the emergency department for evaluation
d. Obtain a computed tomography (CT) scan. - correct answersC. Refer to ED immediately
A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a
diagnosis?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity - correct answersA. Testosterone level
A 35-year-old man presents with complaints of painful erections, and he notices his penis is crooked when erect. What is the most
likely diagnosis?
a. Peyronie's disease
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion - correct answersA. Peyronie's disease
An 82-year-old man is seen in the primary-care office with complaints of dribbling urine and difficulty starting his stream. Which of
the following should be included in the list of differential diagnoses?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia - correct answersC. All of the above
Peter is a 40-year-old male with a recent diagnosis of low testosterone. Which of the following counseling points is correct regarding
low testosterone?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on testosterone
d.Testosterone deficiency is due to hypergonadism. - correct answersB. Lowering your A1C may improve your testosterone levels
The 56-year-old man with chronic prostatitis should be treated with levofloxacin for how long?
a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days - correct answersB. 4 to 6 weeks
The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this
patient for which of these side effects?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma - correct answersC. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer Society) recommendation of when to begin prostate screening?
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in good health should start screening at age 70.
c.Caucasian men should start screening at age 55.
d.African American men who have had a brother diagnosed with prostate cancer before the age of 65 should start screening at 45. -
correct answersD. African American men who have had a brother diagnosed with prostate cancer before the age of 65 should start
screening at 45.
Which of the following is an aerobic gram-negative bacteria involved in prostatitis?
a.Streptococcus faecalis
b.Staphylococcus
c.Pseudomonas
d.Diphtheroids - correct answersC. Pseudomonas
Which of the following would be an appropriate treatment for a patient with mild benign prostatic hyperplasia (BPH)?
a.Prescribe a trial of canagliflozin.
b.Referral to urologist for surgery.
c.Have a period of watchful waiting.
d.Recommend cranberry supplements. - correct answersC. Have a period of watchful waiting
A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the
treatment of choice for gonorrhea?
a.Acyclovir 400mg po tid for 10 days
b.Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
c.Metronidazole 500mg po q4h for 5 days
, d.Amoxicillin 500mg po q8h for 7 days - correct answersB. Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the following tests is essential before prescribing
any oral contraceptive?
a.Urine dip for protein
b.Pregnancy test
c.Thyroid-stimulating hormone
d.Complete blood cell count - correct answersB. Pregnancy test
A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium hydroxide (KOH) wet mount
of vaginal discharge, the clinician notices hyphae. Which of the following treatments would be appropriate?
a.Estrogen vaginal cream
b.Metronidazole
c.Doxycycline
d.Fluconazole - correct answersD. Fluconazole
A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last month. Which of the following should be
explored as the likely cause of her dyspareunia?
a.Dehydration
b.Excess lubrication
c.Excess progesterone
d.Menopause - correct answersD. Menopause
A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal
smear. Which of the following diagnoses is associated with this finding?
a.HPV
b.Herpes simplex virus
c.Trichomonas
d.Bacterial vaginosis - correct answersD. Bacterial vaginosis
Alice has been diagnosed with breast cancer. Its TNM staging is T2, N1, M0. She would like to know what this means. Which
statement made by the clinician is accurate?
a.Your tumor is 4 cm, has metastasized to a moveable lymph node, but has not metastasized to another location.
b.Your tumor is 5.5 cm and has not metastasized to lymph nodes or anywhere else.
c.Your tumor is 1.5 cm, has metastasized to a moveable lymph node, but has not metastasized to another location.
d.Your tumor is 3 cm, has metastasized to a moveable lymph node, and has only metastasized to supraclavicular lymph nodes. -
correct answersA. Your tumor is 4 cm, has metastasized to a moveable lymph node, but has not metastasized to another location
Tina is an 18-year-old female who would like to start using the transdermal contraceptive patch. Which of the following instructions
should the clinician discuss with Tina?
a.The patch is changed every 10 days.
b.If a patch becomes detached for less than 24 hours, it cannot be reapplied.
c.The patch should be applied to the buttocks or breasts.
d.Obesity can decrease the effectiveness of the patch. - correct answersD. Obesity can decrease the effectiveness of the patch
Which of the following is true of the IUD (intrauterine device)?
a.The IUD is 80% effective at preventing pregnancy.
b.The IUD has an inhibitory effect on sperm capacitation.
c.The IUD can only be inserted at menses.
d.The IUD can only be inserted in women with multiparity. - correct answersB. The IUD has an inhibitory effect on sperm
capacitation.
Which of the following medications is the treatment of choice for Trichomonas?
a.Metronidazole
b.Diflucan
c.Ceftriaxone
d.Doxycycline - correct answersA. Metronidazole
According to the USPSTF guideline, which of these patients needs a cervical cancer screening?
a.Sondra, a 66-year-old patient who had a negative Pap with negative HPV 11 years, 6 years, and 1 year ago
b.April, a 26-year-old patient who had a negative Pap with negative HPV 1 year ago
c.Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago
d.Lisa, a 45-year-old patient who has atypical squamous cells of uncertain significance (ASCUS) and a human papillomavirus (HPV)
positive Pap 1 month ago - correct answersc.Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago
A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet radiation?
a.4
b.8
c.15
d.10 - correct answersC. 15
Most adult poisonings are:
a.Intentional and self-inflicted
b.Accidental
c.Caused by someone wishing to do harm to the person
d.Not attributed to any reason - correct answersA. Intentional and self-inflicted
Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at
some point?
a.60% to 80%
b.40% to 50%
c.20% to 30%
Solutions
A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following
is the appropriate action?
a. Instruct the patient to elevate the scrotum.
b. Prescribe ibuprofen.
c. Refer to immediately to the emergency department for evaluation
d. Obtain a computed tomography (CT) scan. - correct answersC. Refer to ED immediately
A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a
diagnosis?
a. Testosterone level
b. Prostate-specific antigen
c. Prolactin level
d. Nocturnal penile tumescence and rigidity - correct answersA. Testosterone level
A 35-year-old man presents with complaints of painful erections, and he notices his penis is crooked when erect. What is the most
likely diagnosis?
a. Peyronie's disease
b. Damage to the pudendal artery
c. Erectile dysfunction
d. Testicular torsion - correct answersA. Peyronie's disease
An 82-year-old man is seen in the primary-care office with complaints of dribbling urine and difficulty starting his stream. Which of
the following should be included in the list of differential diagnoses?
a. Urethral stricture
b. Prostate cancer
c. All above
d. Benign prostatic hyperplasia - correct answersC. All of the above
Peter is a 40-year-old male with a recent diagnosis of low testosterone. Which of the following counseling points is correct regarding
low testosterone?
a.Stress has no effect on testosterone levels.
b.Lowering your HbA1c may improve your testosterone levels.
c.Abstaining from cigarette smoking has no effect on testosterone
d.Testosterone deficiency is due to hypergonadism. - correct answersB. Lowering your A1C may improve your testosterone levels
The 56-year-old man with chronic prostatitis should be treated with levofloxacin for how long?
a.3 to 7 days
b.4 to 6 weeks
c.6 to 12 weeks
d.14 to 21 days - correct answersB. 4 to 6 weeks
The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this
patient for which of these side effects?
a.Hypertension
b.Headache
c.Erectile dysfunction
d.Glaucoma - correct answersC. Erectile dysfunction
Which of the following is a correct ACS (the American Cancer Society) recommendation of when to begin prostate screening?
a.Asian American men should start screening at age 45.
b.Men with no symptoms of prostate cancer and who are in good health should start screening at age 70.
c.Caucasian men should start screening at age 55.
d.African American men who have had a brother diagnosed with prostate cancer before the age of 65 should start screening at 45. -
correct answersD. African American men who have had a brother diagnosed with prostate cancer before the age of 65 should start
screening at 45.
Which of the following is an aerobic gram-negative bacteria involved in prostatitis?
a.Streptococcus faecalis
b.Staphylococcus
c.Pseudomonas
d.Diphtheroids - correct answersC. Pseudomonas
Which of the following would be an appropriate treatment for a patient with mild benign prostatic hyperplasia (BPH)?
a.Prescribe a trial of canagliflozin.
b.Referral to urologist for surgery.
c.Have a period of watchful waiting.
d.Recommend cranberry supplements. - correct answersC. Have a period of watchful waiting
A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the
treatment of choice for gonorrhea?
a.Acyclovir 400mg po tid for 10 days
b.Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
c.Metronidazole 500mg po q4h for 5 days
, d.Amoxicillin 500mg po q8h for 7 days - correct answersB. Ceftriaxone 250mg IM plus single dose of azithromycin 1g orally
A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the following tests is essential before prescribing
any oral contraceptive?
a.Urine dip for protein
b.Pregnancy test
c.Thyroid-stimulating hormone
d.Complete blood cell count - correct answersB. Pregnancy test
A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium hydroxide (KOH) wet mount
of vaginal discharge, the clinician notices hyphae. Which of the following treatments would be appropriate?
a.Estrogen vaginal cream
b.Metronidazole
c.Doxycycline
d.Fluconazole - correct answersD. Fluconazole
A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last month. Which of the following should be
explored as the likely cause of her dyspareunia?
a.Dehydration
b.Excess lubrication
c.Excess progesterone
d.Menopause - correct answersD. Menopause
A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal
smear. Which of the following diagnoses is associated with this finding?
a.HPV
b.Herpes simplex virus
c.Trichomonas
d.Bacterial vaginosis - correct answersD. Bacterial vaginosis
Alice has been diagnosed with breast cancer. Its TNM staging is T2, N1, M0. She would like to know what this means. Which
statement made by the clinician is accurate?
a.Your tumor is 4 cm, has metastasized to a moveable lymph node, but has not metastasized to another location.
b.Your tumor is 5.5 cm and has not metastasized to lymph nodes or anywhere else.
c.Your tumor is 1.5 cm, has metastasized to a moveable lymph node, but has not metastasized to another location.
d.Your tumor is 3 cm, has metastasized to a moveable lymph node, and has only metastasized to supraclavicular lymph nodes. -
correct answersA. Your tumor is 4 cm, has metastasized to a moveable lymph node, but has not metastasized to another location
Tina is an 18-year-old female who would like to start using the transdermal contraceptive patch. Which of the following instructions
should the clinician discuss with Tina?
a.The patch is changed every 10 days.
b.If a patch becomes detached for less than 24 hours, it cannot be reapplied.
c.The patch should be applied to the buttocks or breasts.
d.Obesity can decrease the effectiveness of the patch. - correct answersD. Obesity can decrease the effectiveness of the patch
Which of the following is true of the IUD (intrauterine device)?
a.The IUD is 80% effective at preventing pregnancy.
b.The IUD has an inhibitory effect on sperm capacitation.
c.The IUD can only be inserted at menses.
d.The IUD can only be inserted in women with multiparity. - correct answersB. The IUD has an inhibitory effect on sperm
capacitation.
Which of the following medications is the treatment of choice for Trichomonas?
a.Metronidazole
b.Diflucan
c.Ceftriaxone
d.Doxycycline - correct answersA. Metronidazole
According to the USPSTF guideline, which of these patients needs a cervical cancer screening?
a.Sondra, a 66-year-old patient who had a negative Pap with negative HPV 11 years, 6 years, and 1 year ago
b.April, a 26-year-old patient who had a negative Pap with negative HPV 1 year ago
c.Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago
d.Lisa, a 45-year-old patient who has atypical squamous cells of uncertain significance (ASCUS) and a human papillomavirus (HPV)
positive Pap 1 month ago - correct answersc.Gillian, a 33-year-old patient who had a negative Pap with negative HPV 5 years ago
A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet radiation?
a.4
b.8
c.15
d.10 - correct answersC. 15
Most adult poisonings are:
a.Intentional and self-inflicted
b.Accidental
c.Caused by someone wishing to do harm to the person
d.Not attributed to any reason - correct answersA. Intentional and self-inflicted
Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at
some point?
a.60% to 80%
b.40% to 50%
c.20% to 30%
