NSG 6020 Wk 8 – Questions With Correct Solutions
A 14-year-old junior high school student is brought in by his mother and
father because he seems to be developing breasts. The mother is upset
because she read on the Internet that smoking marijuana leads to breast
enlargement in males. The young man adamantly denies using any tobacco,
alcohol, or drugs. He has recently noticed changes in his penis, testicles,
and pubic hair pattern. Otherwise, his past medical history is
unremarkable. His parents are both in good health. He has two older
brothers who never had this problem. On examination you see a mildly
overweight teenager with enlarged breast tissue that is slightly tender on
both sides. Otherwise his examination is normal. He is agreeable to taking a
drug test.
What is the most likely cause of his gynecomastia? Correct Ans - -
Imbalance of hormones of puberty
A 30-year-old man notices a firm, 2-cm mass under his areola. He has no
other symptoms and no diagnosis of breast cancer in his first-degree
relatives. What is the most likely diagnosis? Correct Ans - - Breast
tissue - Approximately one third of adult men will have palpable breast
tissue under the areola. While males can have breast cancer, this is much
less common. There are no lymph nodes in this area
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 hasn't gone away.
He says it doesn't 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 consists of nongonococcal
urethritis from Chlamydia and prostatitis. His vital signs are unremarkable.
On visualization of his penis there is a 6-mm red, oval ulcer with an
indurated base just proximal to the corona. On palpation the ulcer is
nontender. In the inguinal region there is nontender lymphadenopathy.
What disorder of the penis is most likely the diagnosis? Correct Ans -
- Syphilitic chancre
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
haven't gone away. In fact, he thinks there may be more now. He denies any
pain with intercourse or urination. He has had three former partners and
, has been with his current girlfriend for 6 months. He says that because she
is on the pill they don't use condoms. He denies any fever, weight loss, or
night sweats. He is engaged to be married and has no children. 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. On
palpation of his inguinal region there is no inguinal lymphadenopathy.
Which abnormality of the penis does this patient most likely have?
Correct Ans - - Condylomata acuminate
A 29-year-old married computer programmer comes to your clinic,
complaining 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 and 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 consists of groin surgery when he was a
baby and a tonsillectomy as a teenager. His parents are both healthy. 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
scrotum 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 Correct Ans - -
Scrotal (inguinal) hernia
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 increases, but when he wakes
up in the morning he is pain-free. He denies any pain with urination and
states that the pain doesn't 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 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 Correct Ans - -
Variocele
A 14-year-old junior high school student is brought in by his mother and
father because he seems to be developing breasts. The mother is upset
because she read on the Internet that smoking marijuana leads to breast
enlargement in males. The young man adamantly denies using any tobacco,
alcohol, or drugs. He has recently noticed changes in his penis, testicles,
and pubic hair pattern. Otherwise, his past medical history is
unremarkable. His parents are both in good health. He has two older
brothers who never had this problem. On examination you see a mildly
overweight teenager with enlarged breast tissue that is slightly tender on
both sides. Otherwise his examination is normal. He is agreeable to taking a
drug test.
What is the most likely cause of his gynecomastia? Correct Ans - -
Imbalance of hormones of puberty
A 30-year-old man notices a firm, 2-cm mass under his areola. He has no
other symptoms and no diagnosis of breast cancer in his first-degree
relatives. What is the most likely diagnosis? Correct Ans - - Breast
tissue - Approximately one third of adult men will have palpable breast
tissue under the areola. While males can have breast cancer, this is much
less common. There are no lymph nodes in this area
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 hasn't gone away.
He says it doesn't 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 consists of nongonococcal
urethritis from Chlamydia and prostatitis. His vital signs are unremarkable.
On visualization of his penis there is a 6-mm red, oval ulcer with an
indurated base just proximal to the corona. On palpation the ulcer is
nontender. In the inguinal region there is nontender lymphadenopathy.
What disorder of the penis is most likely the diagnosis? Correct Ans -
- Syphilitic chancre
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
haven't gone away. In fact, he thinks there may be more now. He denies any
pain with intercourse or urination. He has had three former partners and
, has been with his current girlfriend for 6 months. He says that because she
is on the pill they don't use condoms. He denies any fever, weight loss, or
night sweats. He is engaged to be married and has no children. 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. On
palpation of his inguinal region there is no inguinal lymphadenopathy.
Which abnormality of the penis does this patient most likely have?
Correct Ans - - Condylomata acuminate
A 29-year-old married computer programmer comes to your clinic,
complaining 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 and 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 consists of groin surgery when he was a
baby and a tonsillectomy as a teenager. His parents are both healthy. 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
scrotum 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 Correct Ans - -
Scrotal (inguinal) hernia
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 increases, but when he wakes
up in the morning he is pain-free. He denies any pain with urination and
states that the pain doesn't 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 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 Correct Ans - -
Variocele
