A 14 year old male is seen with complains of severe testicular
pain. The clinician suspects testicular torsion. Which of the
following is the appropriate actions
A Refer to a urologist immediately
B Obtain a CT scan
C Instruct the patient to elevate the scrotum
D Prescribe Ibuprofen Correct Answer A Refer to a urologist
immediately
A 22 year old male is seen in the clinic because he found a hard
lump in his testicle when performing testicular self exam. Which
of the following should be included in the list of differential
diagnosis
A Testicular cancer
B Inguinal hernia
C Varicocele
D All of the above Correct Answer D All of the above
A 23 year old male patient with hemophilia A says, How can I
keep my children from having hemophilia A. What of the
following is the informative response.
A You need to select a very dependable mode of birth control
B You can only pass hemophilia B to your sons
C Your daughter may be a carrier and her children may have
hemophilia A. Your son is not at risk
D Your sons should have coagulation studies Correct Answer
C Your daughter may be a carrier and her children may have
hemophilia A. Your son is not at risk
,A 23 year old sexually active man is seen in the clinic with
unilateral painful testicular swelling and he is diagnosed with
epididymitis. In order to prescribe the correct drug, the clinician
much understand that which of these is the most common
causative organism?
A E Coli
B S Aureus
C Chlamydia trachomatis
D Pseudomonas aeruginosa Correct Answer C Chlamydia
trachomatis
A 27 year old patient with hypothyroidism is referred to the
dietitian for dietary consultation. What should nutritional
interventions include
A Frequent small meals high in carbs
B Calorie restricted meals
C caffeine rich beverages
D Fluid restrictions Correct Answer B Calorie restricted meals
A 30 year old man is seen with a CC of loss of libido. Which of
the following lab tests would help establish a diagnosis
A Testosterone level
B PSA
C Nocturnal penile tumescence and rigidity
D Prolactin level Correct Answer A Testosterone level
A 35 year old man presents with companies of painful erections,
and he notices his penis is crooked when erect. What is the most
likely diagnosis
A Peyronies disease
B Damage to the pudendal artery
,C Scarring of the cavernosa
D All of the above Correct Answer A Peyronies disease
A 46 year old man presents with urinary hesitancy and low back
pain. he has no history of UTI. DRE reveals a normal prostate
and a diagnosis of prostatodynia is made. Which is the
appropriate treatment?
A Terazosin 2 mg PO once a day
B Ice pack to the scrotal area
C Saw palmetto 320 mg per day
D All of the above Correct Answer A Terazosin 2 mg PO once
a day
A 58 year old patient has been receiving leuprolide as treatment
for prostate cancer. The clinician should instruct the patient
about which of these side effects
A Risk of osteopo
B May have hot flashes
C May have impotence
D All of the above Correct Answer D All of the above
A 60 year old man presents with an enlarged scrotum. The
clinician uses a penlights to transilluminate the scrotum. In a
patient with a hydrocele, what would the clinician expect to find
A The scrotum will be dark
B The scrotum will appear light pink or yellow
C The scrotum will appear milky white
D The internal structures will be clearly visible Correct Answer
B The scrotum will appear light pink or yellow
, A 63 year old man is seen in the clinic with a CC of nocturia.
Which of the following should be included in the differential
diagnosis.
A Psychogenic nocturia
B Urethral polyp
C Irritative posterior urethral lesion
D BPH Correct Answer BPH
A 70 y/o female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it
but it worried because it has not improved. She has used Tylenol
and ice at home, and that has helped slightly. You examine her
and find she has moderate swelling and ecchymosis but no
overtly obvious deformity. Her ROM is uncomfortable and
severely diminished due to the pain. No crepitus is heard or felt.
Her fingers are warm, her pulse is strong, and capillary refill is
less than 2 seconds. What should you do?
A. Make an immediate referral for an orthopedic evaluation
without further assessment
B. Tell her that it takes time for these bruises to improve so she
should be patient
C. Obtain a wrist x ray and place her wrist in a splint or
prescribe splint
D Send her to the emergency room for reduction of this obvious
fracture. Correct Answer Obtain a wrist x ray and place her
wrist in a splint or prescribe splint
A 76 year old man is seen in the office for complaints of urinary
incontinence. The clinician should explore which of these causes
of incontinence in men
A Urethral polyps
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