Reference no: EM133913544

Questions

1. 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. His past medical history is unremarkable. In addition to college, he works part-time for his father in construction. He is engaged to be married and has no children. His father is healthy, and his mother has hypothyroidism. On examination the young man appears healthy. His vital signs are unremarkable. 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?

Penile carcinoma

Genital herpes

Condylomas acuminata

Syphilitic chancre

2. Which of the following positive physical examination finding supports peritonitis?

Voluntary reflex contraction of the abdominal wall that persists over several examinations

Involuntary contraction of the abdominal wall

Localized pain over McBurney Point which lies 2 inches from the anterior superior spinous process of the ilium on a line drawn from that process to the umbilicus

Pressing down onto the abdomen firmly and slowly and withdrawing the hand quickly produces pain