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Chapter 13: Male Genitalia and Hernias
Multiple Choice
1. A 28-year-old musician comes to your clinic, complaining of a “spot” on his penis. He states
his partner noticed it 2 days ago and it hasn't gone away. He says it doesn't hurt. He has had no
burning with urination and no pain during intercourse. He has had several partners in the last
year and uses condoms occasionally. His past medical history consists of nongonococcal
urethritis from Chlamydia and prostatitis. He denies any surgeries. He smokes two packs of
cigarettes a day, drinks a case of beer a week, and smokes marijuana and occasionally crack. He
has injected IV drugs before but not in the last few years. He is single and currently unemployed.
His mother has rheumatoid arthritis and he doesn't know anything about his father. On
examination you see a young man appearing deconditioned but pleasant. His vital signs are
unremarkable. On visualization of his penis there is a 6-mm red, oval ulcer with an indurated
base just proximal to the corona. There is no prepuce because of neonatal circumcision. On
palpation the ulcer is nontender. In the inguinal region there is nontender lymphadenopathy.
W...
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