are correct 2023/2025 graded A+
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?
Refer to a urologist immediately.
Obtain a computed tomography (CT) scan.
Instruct the patient to elevate the scrotum.
Prescribe ibuprofen. - ANSWER-Refer to a urologist 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?
Ceftriaxone
Doxycycline
Acyclovir
Metronidazole - ANSWER-Ceftriaxone
.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?
Pregnancy test
,Complete blood cell count
Thyroid-stimulating hormone
Urine dip for protein - ANSWER-Pregnancy test
.A 22-year-old male is seen in the clinic because he found a
hard lump in his testicle when performing testicular self-
examination (TSE). Which of the following should be included in the list of differential diagnoses?
Testicular cancer
Inguinal hernia
Varicocele
All of the above - ANSWER-All of the above
.A 23-year-old sexually active woman presents for her first
Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual
partners. Which of the following conditions should the clinician be particularly alert for during her
examination?
Human papillomavirus (HPV)
Endometrial hyperplasia Vagismus
Polycystic ovarian syndrome - ANSWER-Human papillomavirus (HPV)
.A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On physical examination, the
clinician notices a sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in
deep tendon reflexes. Which of the following tests should be ordered next?
,Serum calcium
TSH
Electrolytes
Urine specific gravity - ANSWER-TSH
.A 25-year-old woman is seen in the clinic complaining of
painful menstruation. Which of the following pelvic pathologies is the most common cause of
dysmenorrhea?
Pelvic inflammatory disease
Endometriosis
Sexually transmitted infections Ovarian cyst - ANSWER-Endometriosis
.A 26-year-old woman is seen with complaints of irregular
vaginal bleeding. Which of the following tests should be the
first priority?
Pregnancy test
Pelvic ultrasound
Endometrial biopsy
Platelet count - ANSWER-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
Testosterone level
Prostate-specific antigen
, Nocturnal penile tumescence
and rigidity
Prolactin level - ANSWER-Testosterone level
.A 32-year-old woman is seen in the clinic because she has
been unable to get pregnant after 12 months of unprotected sex. In order to determine the cause of
the infertility, the clinician should question her about which of these possible causes?
Pelvic inflammatory disease
Oral contraceptive use for 15 years
Early menarche
Diet high in soy protein - ANSWER-Pelvic inflammatory 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?
Fluconazole
Estrogen vaginal cream
Metronidazole
Doxycycline - ANSWER-Fluconazole
.A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer exercise. Pelvic exam
reveals a single, very large mass. Which of the following diagnostic tests should the clinician order
first?