Male Genitourinary Problems-Dunphy Test Questions and
Answers Rated A
1. Which of the following would be considered D. bladder tumor - ANSWER -B.
the highest risk factor for the development of pyelonephritis
testicular cancer?
A. cryptorchidism 4. The main principle of management for
prostatitis is to treat the patient on an outpatient
B. caucasian race basis if he is afebrile. All of the following
antibiotics are recommended in the
C. HIV infection pharmacologic treatment in men with bacterial
prostatitis except
D. hormonal imbalance in utero -
ANSWER -A. cryptorchidism A. penicillin
B. nitrofurantoin (Macrobid)
2. Benign prostatic hypertrophy is a common
finding as men age. Classically, this condition C. doxycycline (Vibramycin)
may begin with difficulty initiating the urinary
stream, hesitancy, urgency, postvoid dribbling, D. quinolones (e.g., Ciprofloxacin) -
urinary frequency, nocturia, urinary retention, ANSWER -A. penicillin
sensation of a full bladder immediately after
voiding, and incontinence. These preceding
symptoms would also cause the NP to consider 5. A patient presents to the practitioner with
what other condition as a differential diagnosis? scrotal pain. The examinations of his scrotum,
penis, and rectum are normal. Which of the
A. epididymitis following conditions outside of the scrotum may
present as scrotal pain?
B. testicular cancer
A. inguinal herniation and peritonitis
C. cancer of the prostate
B. renal colic and cardiac ischemia
D. balanitis - ANSWER -C. cancer of the
prostate C. pancreatitis and Crohn's disease
D. polyarteritis nodosa and ulcerative colitis -
3. The NP percusses for pain at the ANSWER -A. inguinal herniation and
costovertebral angle when examining a male peritonitis
patient. What condition is the provider assessing
for?
6. Jordan, age 32, appears with a rapid onset of
A. urethritis unilateral scrotal pain radiating up to the groin
and flank. The NP is trying to differentiate
B. pyelonephritis between epididymitis and testicular torsion.
Which test should be the provider's first choice?
C. kidney stone
A. X-ray
,Male Genitourinary Problems-Dunphy Test Questions and
Answers Rated A
testicular self-exams for all men. Still, some
B. Ultrasound practitioners do recommend that all men examine
their testicles monthly after puberty. If teaching a
C. Technetium scan patient how to do a testicular self-examination,
which of the following do you tell him?
D. Physical examination - ANSWER -B.
Ultrasound A. "Examine your testicles when you are cold
because this makes them more sensitive."
7. Which of the following scrotal disorders is B. "Make sure your hands are dry to create
most common in adolescents? friction."
A. acute epididymitis C. "If you feel firmness above and behind the
testicle, make an appointment."
B. testicular torsion
D. "Make an appointment if you note any hard
C. atrophic testes lumps directly on the testicle, whether they are
tender or not." - ANSWER -D. "Make an
D. scrotal edema - ANSWER -B. testicular appointment if you note any hard lumps directly
torsion on the testicle, whether they are tender or not."
8. A 63 year old man presents to you with 10. Austin, age 63, has been on finasteride
hematuria, hesitancy, and dribbling. Digital rectal (Proscar) for 6 months for BPH. A decrease in his
exam (DRE) reveals a moderately enlarged PSA from the original value of 5.4 has not
prostate that is smooth. The client's prostate- occurred. Your initial expectation is
specific antigen (PSA) is 1.2. What is the most
appropriate management strategy for you to A. that his PSA would remain stable, neither
follow at this time? increasing nor decreasing
A. prescribe an alpha adrenergic blocker B. that Austin's dosage should be reduced only
after he has been on the medication for
B. recommend saw palmetto extract approximately 12 months
C. prescribe an antibiotic C. that a significant reduction in the overall PSA
would occur if the level is associated with true
D. refer the client to urology - ANSWER -A. BPH
prescribe an alpha adrenergic blocker
D. that an elevation of the antigen would occur
because of the effect of the alpha-adrenergic
9. Regular testicular self-exams have not been antagonist - ANSWER -C. that a significant
studied enough to show if they lower the risk of reduction in the overall PSA would occur if the
dying from testicular cancer. This is why the level is associated with true BPH
American Cancer Society and other agencies do
not have a recommendation about regular
, Male Genitourinary Problems-Dunphy Test Questions and
Answers Rated A
11. What is the most common cause of male C. urethritis
infertility?
D. varicocele - ANSWER -D. varicocele
A. Azoospermia
B. a problem with sperm motility 14. Bill, age 43, appears with a tender, ulcerated,
exudative, papular lesion on his penis. It has an
C. a varicocele erythematous halo, surrounding edema, and a
friable base. The NP should suspect
D. antisperm antibodies - ANSWER -C. a
varicocele A. a chancre
B. a chancroid
12. The NP is debating prescribing testosterone
therapy for a male patient with a low testosterone C. Condylomata acuminatum
level. In reviewing the contraindications to this
treatment, the NP notes that the hormone is D. genital herpes - ANSWER -B. a
contraindicated in which of the following chancroid
conditions?
A. men with breast or prostate cancer 15. When performing a rectal examination on the
aging man, the NP may normally note
B. men with palpable prostate nodules
A. fissures
C. men with untreated obstructive sleep apnea
B. a smaller prostate
D. all of the above - ANSWER -D. all of the
above C. a decrease in sphincter tone
D. a longer anal canal - ANSWER -C. a
13. A male patient presents for evaluation of decrease in sphincter tone
infertility to the clinic. Subjectively, the patient
complains of pain and fullness of the testes and
states, "My testicles feel like a bag of worms." On 16. Samuel, a 62 year old who takes many
objective physical examination, the NP notes different medications, is complaining of ED. The
tortuous veins posterior and above the testes NP knows that several medications could be the
that extend up into the external inguinal ring. cause of Samuel's problem. Which of his
Based on the preceding assessment, the NP medications is most likely the culprit?
refers the patient to surgery based on a
diagnosis of A. Furosemide (Lasix)
A. hydrocele B. Reserpine (Serpasil)
B. orchitis C. Omeprazole (Prilosec)
Answers Rated A
1. Which of the following would be considered D. bladder tumor - ANSWER -B.
the highest risk factor for the development of pyelonephritis
testicular cancer?
A. cryptorchidism 4. The main principle of management for
prostatitis is to treat the patient on an outpatient
B. caucasian race basis if he is afebrile. All of the following
antibiotics are recommended in the
C. HIV infection pharmacologic treatment in men with bacterial
prostatitis except
D. hormonal imbalance in utero -
ANSWER -A. cryptorchidism A. penicillin
B. nitrofurantoin (Macrobid)
2. Benign prostatic hypertrophy is a common
finding as men age. Classically, this condition C. doxycycline (Vibramycin)
may begin with difficulty initiating the urinary
stream, hesitancy, urgency, postvoid dribbling, D. quinolones (e.g., Ciprofloxacin) -
urinary frequency, nocturia, urinary retention, ANSWER -A. penicillin
sensation of a full bladder immediately after
voiding, and incontinence. These preceding
symptoms would also cause the NP to consider 5. A patient presents to the practitioner with
what other condition as a differential diagnosis? scrotal pain. The examinations of his scrotum,
penis, and rectum are normal. Which of the
A. epididymitis following conditions outside of the scrotum may
present as scrotal pain?
B. testicular cancer
A. inguinal herniation and peritonitis
C. cancer of the prostate
B. renal colic and cardiac ischemia
D. balanitis - ANSWER -C. cancer of the
prostate C. pancreatitis and Crohn's disease
D. polyarteritis nodosa and ulcerative colitis -
3. The NP percusses for pain at the ANSWER -A. inguinal herniation and
costovertebral angle when examining a male peritonitis
patient. What condition is the provider assessing
for?
6. Jordan, age 32, appears with a rapid onset of
A. urethritis unilateral scrotal pain radiating up to the groin
and flank. The NP is trying to differentiate
B. pyelonephritis between epididymitis and testicular torsion.
Which test should be the provider's first choice?
C. kidney stone
A. X-ray
,Male Genitourinary Problems-Dunphy Test Questions and
Answers Rated A
testicular self-exams for all men. Still, some
B. Ultrasound practitioners do recommend that all men examine
their testicles monthly after puberty. If teaching a
C. Technetium scan patient how to do a testicular self-examination,
which of the following do you tell him?
D. Physical examination - ANSWER -B.
Ultrasound A. "Examine your testicles when you are cold
because this makes them more sensitive."
7. Which of the following scrotal disorders is B. "Make sure your hands are dry to create
most common in adolescents? friction."
A. acute epididymitis C. "If you feel firmness above and behind the
testicle, make an appointment."
B. testicular torsion
D. "Make an appointment if you note any hard
C. atrophic testes lumps directly on the testicle, whether they are
tender or not." - ANSWER -D. "Make an
D. scrotal edema - ANSWER -B. testicular appointment if you note any hard lumps directly
torsion on the testicle, whether they are tender or not."
8. A 63 year old man presents to you with 10. Austin, age 63, has been on finasteride
hematuria, hesitancy, and dribbling. Digital rectal (Proscar) for 6 months for BPH. A decrease in his
exam (DRE) reveals a moderately enlarged PSA from the original value of 5.4 has not
prostate that is smooth. The client's prostate- occurred. Your initial expectation is
specific antigen (PSA) is 1.2. What is the most
appropriate management strategy for you to A. that his PSA would remain stable, neither
follow at this time? increasing nor decreasing
A. prescribe an alpha adrenergic blocker B. that Austin's dosage should be reduced only
after he has been on the medication for
B. recommend saw palmetto extract approximately 12 months
C. prescribe an antibiotic C. that a significant reduction in the overall PSA
would occur if the level is associated with true
D. refer the client to urology - ANSWER -A. BPH
prescribe an alpha adrenergic blocker
D. that an elevation of the antigen would occur
because of the effect of the alpha-adrenergic
9. Regular testicular self-exams have not been antagonist - ANSWER -C. that a significant
studied enough to show if they lower the risk of reduction in the overall PSA would occur if the
dying from testicular cancer. This is why the level is associated with true BPH
American Cancer Society and other agencies do
not have a recommendation about regular
, Male Genitourinary Problems-Dunphy Test Questions and
Answers Rated A
11. What is the most common cause of male C. urethritis
infertility?
D. varicocele - ANSWER -D. varicocele
A. Azoospermia
B. a problem with sperm motility 14. Bill, age 43, appears with a tender, ulcerated,
exudative, papular lesion on his penis. It has an
C. a varicocele erythematous halo, surrounding edema, and a
friable base. The NP should suspect
D. antisperm antibodies - ANSWER -C. a
varicocele A. a chancre
B. a chancroid
12. The NP is debating prescribing testosterone
therapy for a male patient with a low testosterone C. Condylomata acuminatum
level. In reviewing the contraindications to this
treatment, the NP notes that the hormone is D. genital herpes - ANSWER -B. a
contraindicated in which of the following chancroid
conditions?
A. men with breast or prostate cancer 15. When performing a rectal examination on the
aging man, the NP may normally note
B. men with palpable prostate nodules
A. fissures
C. men with untreated obstructive sleep apnea
B. a smaller prostate
D. all of the above - ANSWER -D. all of the
above C. a decrease in sphincter tone
D. a longer anal canal - ANSWER -C. a
13. A male patient presents for evaluation of decrease in sphincter tone
infertility to the clinic. Subjectively, the patient
complains of pain and fullness of the testes and
states, "My testicles feel like a bag of worms." On 16. Samuel, a 62 year old who takes many
objective physical examination, the NP notes different medications, is complaining of ED. The
tortuous veins posterior and above the testes NP knows that several medications could be the
that extend up into the external inguinal ring. cause of Samuel's problem. Which of his
Based on the preceding assessment, the NP medications is most likely the culprit?
refers the patient to surgery based on a
diagnosis of A. Furosemide (Lasix)
A. hydrocele B. Reserpine (Serpasil)
B. orchitis C. Omeprazole (Prilosec)
