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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 ANSWER: C. Refer to ED
immediately
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 ANSWER: B. 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 ANSWER: B. Pregnancy test
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 ANSWER: A. 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 ANSWER: A. Peyronie's disease
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 ANSWER: D. 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 ANSWER: D. 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 ANSWER: D. Bacterial vaginosis
A patient is experiencing extrapyramidal side effects from his antipsychotic medications.
The clinician would most likely take which of the following approaches to treating these
side effects?
a. Give the patient a "drug holiday" until the symptoms resolve and then restart the
medication.
b. Switch the patient to a different antipsychotic.
c. Treat the patient with anticholinergics.
d. Treat the patient with anticonvulsants. - CORRECT ANSWER: D. Treat patients with
anticholinergics
A patient presents to the clinician after experiencing four episodes in the last month of
sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10
minutes. The patient is now becoming very fearful of future events and has been
reluctant to leave the house. The clinician suspects panic disorder but wants to rule out
any possible medical causes. Which of the following medical conditions can mimic the
symptoms of a panic attack?
a. Pheochromocytoma
b. Hyperthyroidism
c. Cardiac arrhythmias
d. All of the above - CORRECT ANSWER: D. All of the above
A sunscreen with a sun-protection factor of at least what number will block most harmful
ultraviolet radiation?
a.4