NR 661 Week 4 APEA Module: Men’s
Health Exam 2025| Actual Exam Questions
and Correct Answers
Question 1: Noninfectious epididymitis is common in:
A) Sexually active young men
B) Men with recent trauma or heavy physical activity
C) Older men with BPH
D) Men with urinary tract infections
Correct Answer: B) Men with recent trauma or heavy physical activity
Explanation: Noninfectious epididymitis is often caused by trauma, strenuous exercise, or reflux
of sterile urine, commonly seen in physically active men.
Question 2: A 65-year-old patient with a firm, non-tender, symmetrical enlarged prostate, PSA
3.9 ng/mL. This probably indicates:
A) Prostate cancer
B) Benign prostatic hyperplasia (BPH)
C) Acute prostatitis
D) Chronic prostatitis
Correct Answer: B) Benign prostatic hyperplasia (BPH)
Explanation: A firm, symmetrical, non-tender enlarged prostate with a normal PSA (≤4 ng/mL)
is consistent with BPH, common in men ≥65.
Question 3: Symptom seen in a male patient with benign prostatic hyperplasia:
A) Hematuria
B) Urinary hesitancy
C) Scrotal pain
D) Fever
,Correct Answer: B) Urinary hesitancy
Explanation: BPH causes lower urinary tract symptoms like hesitancy, weak stream, or
incomplete emptying due to prostate enlargement.
Question 4: A patient with testicular torsion will have:
A) Gradual onset pain
B) Positive Prehn’s sign
C) Acute severe pain and high-riding testis
D) Fever and dysuria
Correct Answer: C) Acute severe pain and high-riding testis
Explanation: Testicular torsion presents with sudden, severe scrotal pain, a high-riding testis,
and absent cremasteric reflex, requiring urgent surgical evaluation.
Question 5: Effect of digital rectal examination (DRE) on PSA level if measured the same day:
A) Significant increase
B) No effect
C) Clinically insignificant increase
D) Decrease in PSA
Correct Answer: C) Clinically insignificant increase
Explanation: DRE may cause a minor, transient PSA elevation, but it is clinically insignificant
and does not affect diagnostic accuracy.
Question 6: Which results in a clinically insignificant increase in PSA?
A) Prostate biopsy
B) Acute prostatitis
C) Ejaculation
D) Prostate cancer
Correct Answer: C) Ejaculation
Explanation: Ejaculation causes a small, transient PSA increase, unlike biopsy, prostatitis, or
cancer, which significantly elevate PSA.
, Question 7: 5-alpha-reductase inhibitors work by producing:
A) Smooth muscle relaxation
B) Decreased prostate size
C) Increased urinary flow
D) Reduced testosterone levels
Correct Answer: B) Decreased prostate size
Explanation: 5-alpha-reductase inhibitors (e.g., finasteride) reduce prostate size by inhibiting
conversion of testosterone to DHT, relieving BPH symptoms.
Question 8: A localized tumor in early-stage prostate cancer is likely to produce:
A) No symptoms
B) Severe pelvic pain
C) Gross hematuria
D) Fever
Correct Answer: A) No symptoms
Explanation: Early-stage prostate cancer is often asymptomatic, detected via screening (e.g.,
PSA, DRE), not by symptoms like pain or hematuria.
Question 9: A 22-year-old healthy male with scrotal pain for 4 days, diagnosed with
epididymitis. Most likely reason:
A) Chlamydia infection
B) Trauma or strenuous activity
C) Prostate cancer
D) Urinary tract infection
Correct Answer: B) Trauma or strenuous activity
Explanation: In young, healthy men, epididymitis is often noninfectious, caused by trauma or
heavy physical activity, unlike STI-related causes in sexually active men.
Question 10: Hesselbach’s triangle forms the landmark for:
Health Exam 2025| Actual Exam Questions
and Correct Answers
Question 1: Noninfectious epididymitis is common in:
A) Sexually active young men
B) Men with recent trauma or heavy physical activity
C) Older men with BPH
D) Men with urinary tract infections
Correct Answer: B) Men with recent trauma or heavy physical activity
Explanation: Noninfectious epididymitis is often caused by trauma, strenuous exercise, or reflux
of sterile urine, commonly seen in physically active men.
Question 2: A 65-year-old patient with a firm, non-tender, symmetrical enlarged prostate, PSA
3.9 ng/mL. This probably indicates:
A) Prostate cancer
B) Benign prostatic hyperplasia (BPH)
C) Acute prostatitis
D) Chronic prostatitis
Correct Answer: B) Benign prostatic hyperplasia (BPH)
Explanation: A firm, symmetrical, non-tender enlarged prostate with a normal PSA (≤4 ng/mL)
is consistent with BPH, common in men ≥65.
Question 3: Symptom seen in a male patient with benign prostatic hyperplasia:
A) Hematuria
B) Urinary hesitancy
C) Scrotal pain
D) Fever
,Correct Answer: B) Urinary hesitancy
Explanation: BPH causes lower urinary tract symptoms like hesitancy, weak stream, or
incomplete emptying due to prostate enlargement.
Question 4: A patient with testicular torsion will have:
A) Gradual onset pain
B) Positive Prehn’s sign
C) Acute severe pain and high-riding testis
D) Fever and dysuria
Correct Answer: C) Acute severe pain and high-riding testis
Explanation: Testicular torsion presents with sudden, severe scrotal pain, a high-riding testis,
and absent cremasteric reflex, requiring urgent surgical evaluation.
Question 5: Effect of digital rectal examination (DRE) on PSA level if measured the same day:
A) Significant increase
B) No effect
C) Clinically insignificant increase
D) Decrease in PSA
Correct Answer: C) Clinically insignificant increase
Explanation: DRE may cause a minor, transient PSA elevation, but it is clinically insignificant
and does not affect diagnostic accuracy.
Question 6: Which results in a clinically insignificant increase in PSA?
A) Prostate biopsy
B) Acute prostatitis
C) Ejaculation
D) Prostate cancer
Correct Answer: C) Ejaculation
Explanation: Ejaculation causes a small, transient PSA increase, unlike biopsy, prostatitis, or
cancer, which significantly elevate PSA.
, Question 7: 5-alpha-reductase inhibitors work by producing:
A) Smooth muscle relaxation
B) Decreased prostate size
C) Increased urinary flow
D) Reduced testosterone levels
Correct Answer: B) Decreased prostate size
Explanation: 5-alpha-reductase inhibitors (e.g., finasteride) reduce prostate size by inhibiting
conversion of testosterone to DHT, relieving BPH symptoms.
Question 8: A localized tumor in early-stage prostate cancer is likely to produce:
A) No symptoms
B) Severe pelvic pain
C) Gross hematuria
D) Fever
Correct Answer: A) No symptoms
Explanation: Early-stage prostate cancer is often asymptomatic, detected via screening (e.g.,
PSA, DRE), not by symptoms like pain or hematuria.
Question 9: A 22-year-old healthy male with scrotal pain for 4 days, diagnosed with
epididymitis. Most likely reason:
A) Chlamydia infection
B) Trauma or strenuous activity
C) Prostate cancer
D) Urinary tract infection
Correct Answer: B) Trauma or strenuous activity
Explanation: In young, healthy men, epididymitis is often noninfectious, caused by trauma or
heavy physical activity, unlike STI-related causes in sexually active men.
Question 10: Hesselbach’s triangle forms the landmark for:
