NSG 6020 Wk 8 | 100% Correct Answers |
Verified | Latest 2024 Version
A 14-year-old junior high school student is brought in by his mother and father because he seems to be
developing breasts. The mother is upset because she read on the Internet that smoking marijuana leads
to breast enlargement in males. The young man adamantly denies using any tobacco, alcohol, or drugs.
He has recently noticed changes in his penis, testicles, and pubic hair pattern. Otherwise, his past
medical history is unremarkable. His parents are both in good health. He has two older brothers who
never had this problem. On examination you see a mildly overweight teenager with enlarged breast
tissue that is slightly tender on both sides. Otherwise his examination is normal. He is agreeable to
taking a drug test.
What is the most likely cause of his gynecomastia? - ✔✔- Imbalance of hormones of puberty
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? - ✔✔- 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? - ✔✔- 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? - ✔✔- 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 - ✔✔-
Scrotal (inguinal) hernia
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
with - ✔✔- Variocele
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 ap - ✔✔- Scrotal edema - Scrotal edema is a generalized swelling of the scrotum due to a
systemic illness. No discrete masses are palpated. In this case, with the history of diabetes, hypertension,
and coronary artery disease, the symptom of weight gain, and the signs of crackles in the lungs and an
extra heart sound, the patient is probably suffering from congestive heart failure.
A 36-year-old security officer comes to your clinic, complaining of a painless 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
Verified | Latest 2024 Version
A 14-year-old junior high school student is brought in by his mother and father because he seems to be
developing breasts. The mother is upset because she read on the Internet that smoking marijuana leads
to breast enlargement in males. The young man adamantly denies using any tobacco, alcohol, or drugs.
He has recently noticed changes in his penis, testicles, and pubic hair pattern. Otherwise, his past
medical history is unremarkable. His parents are both in good health. He has two older brothers who
never had this problem. On examination you see a mildly overweight teenager with enlarged breast
tissue that is slightly tender on both sides. Otherwise his examination is normal. He is agreeable to
taking a drug test.
What is the most likely cause of his gynecomastia? - ✔✔- Imbalance of hormones of puberty
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? - ✔✔- 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? - ✔✔- 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? - ✔✔- 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 - ✔✔-
Scrotal (inguinal) hernia
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
with - ✔✔- Variocele
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 ap - ✔✔- Scrotal edema - Scrotal edema is a generalized swelling of the scrotum due to a
systemic illness. No discrete masses are palpated. In this case, with the history of diabetes, hypertension,
and coronary artery disease, the symptom of weight gain, and the signs of crackles in the lungs and an
extra heart sound, the patient is probably suffering from congestive heart failure.
A 36-year-old security officer comes to your clinic, complaining of a painless 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
