At what ages should men perform monthly testicular self-exams?
18–30
35–45
45–60
18 and up
The Correct Answer is D
Choice A reason: While testicular cancer is most common in men aged 15–35, limiting self-exams to this age range may miss cases in older men. Monthly self-exams are recommended starting at age 18 and continuing throughout adulthood.
Choice B reason: This age range excludes younger men who are at higher risk for testicular cancer. It is not consistent with preventive guidelines.
Choice C reason: Testicular cancer is less common in men over 45, and this age range does not reflect the peak incidence period.
Choice D reason: Monthly testicular self-exams are recommended for men aged 18 and older to promote early detection of testicular cancer, which has a high cure rate when caught early. Regular self-exams help men become familiar with their baseline anatomy and detect changes promptly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Malignant prostatic hyperplasia is not a recognized medical term. Malignancy of the prostate refers to prostate cancer, which typically presents with elevated PSA levels and may include systemic symptoms or nodular findings on examination. This patient’s normal PSA and obstructive urinary symptoms point away from malignancy.
Choice B reason: Malignant prostatic hypertrophy is also not a standard diagnosis. Hypertrophy refers to enlargement, but when paired with “malignant,” it implies cancer. Again, the absence of elevated PSA and systemic signs makes this unlikely.
Choice C reason: Benign prostatic hyperplasia (BPH) is the most common cause of urinary symptoms in older men. It involves non-cancerous enlargement of the prostate gland, which compresses the urethra and impairs urine flow. Symptoms include frequency, hesitancy, weak stream, and incomplete emptying—all present in this case.
Choice D reason: Benign prostatic hypoplasia refers to underdevelopment of the prostate, which is rare and not associated with obstructive urinary symptoms. It does not fit the clinical presentation.
Correct Answer is D
Explanation
Choice A reason: Levothyroxine is a synthetic form of thyroxine (T4) used to treat hypothyroidism. Administering this to a patient with signs of hyperthyroidism, such as exophthalmos, tremors, and hypertension, would worsen the condition.
Choice B reason: Liotrix is a combination of synthetic T4 and T3 hormones, also used to treat hypothyroidism. Like levothyroxine, it is contraindicated in hyperthyroid states and would exacerbate the symptoms.
Choice C reason: Liothyronine is synthetic T3 and is used in hypothyroidism or myxedema coma. It is not appropriate for treating hyperthyroidism and would intensify the patient’s symptoms.
Choice D reason: Propylthiouracil (PTU) is an antithyroid medication that inhibits thyroid hormone synthesis and peripheral conversion of T4 to T3. It is indicated in hyperthyroidism and Graves’ disease, especially when symptoms include goiter and exophthalmos. PTU helps reduce hormone levels and alleviate symptoms.
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