TEST 4 UTA NURS 5220
QUESTIONS AND ADVANCED
CORRECT ANSWERS LATEST
UPDATE 2026/2027
,1. 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 hasnt gone away. he says it doesnt 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 consits of nongonococcal urthreitis from chlamydia and prostatitis. he denies any surgeries. he smokes
two packs of cigarettes a day, drinks a case of beer a week and smoks marijuana and occasionally crack. he has
injected IV drugs before but not in the last few years. he is single and currently unemployed. his mother has RA
and he doesnt know anything babout his father. on examination you see a young man appearing deconditioned but
unplesant. his vital signs are unremarkable. on visualization of his penis there is a 6mm red, oval ulcer with an
indurated base just proximal to the corona. there is no prepuce because of neonatal circumcision. on palpation
the ulcer is nontender. the inguinal region there is nontender lymphadenopathy. what disorder of the penis is
most likely the diagnosis?
A. condylomoata acuminata
B. genital herpes
C. syphilitic chancr✔✔ Correct answer C. syphilitic chancre
primary syphilis causes a large ulcer that is firm and painless syphillis is high in people with illegal
drugs
2. 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 havent gone away. in fact, he thinks there may be more now. he
denies any pain with intercourse or urination. he has had 3 former partners and has been with his current girlfriend
for 6 months. he says that because she is on the pill they dont use condome. he denies any fever, weight loss, or
night sweats. his past medical history is unremarkable. 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 .
,which abnormality of the penis does this patient most likely have?
`A. condylomata acuminata
B. genital herpes
C. syphilitic chancre
D. penile carcinoma✔✔ Correct answer `A. condylomata acuminata
generally painless papules along the shaft and corona
3. a 29 year old married computer programmer comes to your clinic, com-plaining 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 adn 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 consist of groin surgery when he was a baby and a tonsillectomy as a teenager. he eats a healthy
diet and works out at the gym five times a week. 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 scrotom 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 your finger through the left inguinal ring but cannot
get above the mass. on rectal examination his prostate is unremarkable.
what disorder of the testes is most likely the diagnosis?
A. hydrocele
B. scrotal hernia
C. scrotal edema
D. vari✔✔ Correct answer B. scrotal hernia
because the examiner cannot get a finger above the hernia into the ring
4. 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 icnreases, but when he wakes
up in the
, morning he is pain free. he denies any pain with urination adn states that the pain doesnt 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 have 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 no lesions. he has no scars along his inguinal area. and palpation of the area shows
no lymphadenopathy. on palpation of his scrotum you feel testes with no discrete masses. upon placing your
finger through the right inguinal ring you feel what seems like a bunch of spagh✔✔ Correct answer D. varicocele
are varicose veins surrounding the spermatic cord, coming through the inguinal ring. these veins feel like spaghetti adn are often referred to as a bag of worms.
5. 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 doesnt 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 SOB with exertion. his past medical hisotry consists of type 2 diabets 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 complciation from diabetes. on examination you see a pleasant male
appearing chronically ill. he is afebrile but his blood pressure is 160/100 and his pulse is 90. his head, eyes, ears,
nose, throat, and neck examination are normal. there are some crackles in the base of each lung. during his
cardiac exam there is an extra heart sound. visualziation of his pen✔✔ Correct answer C. scrotal edema