Final Exam: NR509/ NR 509 (2023/ 2024 New
Update) Advanced Physical Assessment
Exam| 100% Correct Questions and Verified
Answers| Graded A -
... [Show More] Chamberlain
QUESTION
A 29-year-old graduate student states that he is able to achieve an erection and ejaculate during
sexual intercourse; however, he does not experience any pleasurable sensation of orgasm. He is
otherwise healthy and is not on any medications. What is the most likely cause of his problem?
a. Androgen insufficiency
b. Endocrine dysfunction
c. Peyronie disease
d. Psychogenic
e. Sexually transmitted infection (STI)
Answer:
d. Psychogenic
QUESTION
Multiple processes must take place in order for a male to sustain an erection. Various cues
stimulate sympathetic outflow from higher brain centers to the T11-L2 levels of the spinal cord
and parasympathetic outflow from S2 to S4 reflex arcs. Local vasodilatation within the penis
erectile tissue results from increased levels of which of the following?
a. Follicle-stimulating hormone (FSH)
b. Gonadotropin-releasing hormone (GRH)
c. Luteinizing hormone (LH)
d. Nitric oxide (NO) and cyclic guanosine monophosphate (cGMP)
e. Testosterone
Answer:
d. Nitric oxide (NO) and cyclic guanosine monophosphate (cGMP)
QUESTION
The human papillomavirus (HPV) can cause genital warts in males and females as well as
cervical cancer in females. Vaccination against HPV is available and should be offered to males
between what ages?
a. 6-9 months
b. 1-3 years
c. 5-7 years
d. 9-21 years
e. 30-50 years
Answer:
d. 9-21 years
QUESTION
A 32-year-old male complains of a painless, cystic mass just above his left testicle. During the
physical examination, a strong flashlight is placed behind the scrotum through the area in
question and transillumination is noted. What is the most likely diagnosis?
a. Direct hernia
b. Indirect hernia
c. Spermatocele
d. Testicular tumor
e. Varicocele
Answer:
c. Spermatocele
QUESTION
A 25-year-old graduate student presents to the clinic complaining of scrotal pain, which has
been increasing over the past 2 days. He is sexually active and has had unprotected intercourse
with multiple partners in the past couple of weeks. On examination, some mild to moderate
swelling of the scrotum on the right and tenderness with palpation of the right testicle are notes.
What is the most likely diagnosis?
a. Acute epididymitis
b. Hydrocele
c. Primary syphilis
d. Spermatocele
e. Testicular cancer
Answer:
a. Acute epididymitis
QUESTION
A 32-year-old elementary teacher requests a workup for infertility. He and his wife have been
trying to conceive for the last 2 years. He reports that his wife has been evaluated and does not
appear to have any infertility issues. The overall examination does not reveal any significant
abnormalities. He is of average height and weight and has normal secondary sex characteristics
of the genitalia. Of the following, which would be most likely be abnormal and causing male
infertility?
a. 5α-Dihydrotestosterone
b. 5α-Reductase
c. Follicle-stimulating hormone (FSH)
d. Luteinizing hormone (LH)
e. Thyroid-stimulating hormone (TSH)
Answer:
c. Follicle-stimulating hormone (FSH) [Show Less]