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, ...
NSG6020 WEEK 8 QUIZ QUESTIONS AND
VERIFIED ANSWERS GRADED A+
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? - ANSWER- - 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? - ANSWER- - 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? - ANSWER- - 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? - ANSWER- -
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
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