Men's Health: Multiple Choice & Other Questions

Question 1

You are examining a 36 year-old man who has acute bacterial prostatitis. He is likely to present:

1. Very subtly
2. With fever and chills
3. With a prostatic abscess
4. With a normal PSA

Answer 1

2. With fever and chills

Question 2

You are examining a 36 year-old man who has acute bacterial prostatitis. What is known about performing a digital rectal exam? Select all that apply.

1. It can increase the PSA level
2. It will increase the risk of bacteremia
3. Blood may be found in a urine specimen post exam
4. Monitor post exam for prostatic abscess
5. This should be done gently
6. This exam is usually uncomfortable

Answer 2

1. It can increase the PSA level
2. It will increase the risk of bacteremia
3. This should be done gently
4. This exam is usually uncomfortable

Question 3

At what age would benign prostatic hyperplasia be most likely?

1. 30 years
2. 40 years
3. 60 years
4. 80 years

Answer 3

4. 80 years

Question 4

Mr. Boudreaux has BPH. What 3 symptoms are not likely related to lower urinary tract symptoms (LUTS)?

1. Scrotal heaviness
2. Erectile dysfunction
3. Weak urinary stream
4. Burning
5. Urgency
6. Hesitancy
7. Frequency

Answer 4

1. Scrotal heaviness
2. Erectile dysfunction
3. Burning

Question 5

Which conditions are most likely to be associated with LUTS (lower urinary tract symptoms)/

1. BPH
2. Prostate cancer
3. Prostate infection
4. Urinary tract infection

Answer 5

1. BPH
2. Prostate infection
3. Urinary tract infection

Question 6

You have diagnosed Mr. Boudreaux , who is allergic to PCN and sulfa, with BPH. His daily symptoms include frequency, urgency, and weakened urinary stream. What might help to manage his symptoms quickly? Select all that apply.

1. Tamsulosin
2. Dutasteride (Avodart)
3. Doxazosin (Cardura)
4. Tadalafil (Cialis)

Answer 6

3. Doxazosin (Cardura)
4. Tadalafil (Cialis)

Question 7

A 60 year-old man has an elevated serum PSA (4.0 ng/mL). what might be the cause? Select all that apply.

1. BPH
2. Prostate cancer
3. Prostate infection
4. Urinary tract infection

Answer 7

1. BPH
2. Prostate cancer
3. Prostate infection

Question 8

How is inguinal hernia most commonly diagnosed?

1. Transillumination
2. Ultrasound
3. Physical exam
4. MRI of the groin

Answer 8

3. Physical exam

NOTE: If not apparent on physical exam, then
#2 Ultrasound

Question 9

A 17 year-old soccer player has been diagnosed with a groin hernia. He is asymptomatic. How is this managed?

1. Watchful waiting
2. This is treated only when it becomes symptomatic
3. Follow up in 3 months unless he becomes symptomatic
4. Surgical referral

Answer 9

4. Surgical referral

Question 10

A 16 year-old boy presents with a painless swelling of his right testicle. the NP should suspect:

1. A normal occurrence during puberty
2. A sexually transmitted infection
3. Testicular cancer
4. A hernia

Answer 10

3. Testicular cancer

Question 11

A patient has been diagnosed with left testicular torsion. He has a positive right cremasteric reflex. What does this mean?

1. He does not have testicular torsion
2. He will have a positive left cremasteric reflex
3. He will have a negative left cremasteric reflex
4. He has bilateral testicular torsion

Answer 11

3. He will have a negative left cremasteric reflex