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Which is true of the pectinate or dentate line?

The nurse is concerned that the Mr. P’s prostate may be malignant due to the results found on physical exam.  What is the most likely physical finding associated with prostate cancer that the nurse found?

A 22-year-old complains of pain in his penis and left testicle that began last night and has steadily become worse. It hurts when he urinates and he has not attempted intercourse since the pain began. He took Tylenol and ibuprofen without improvement. He does find elevating the scrotum on a folded hand-towel helps some if he’s lying down.  He denies any fever or night sweats. He appears mildly ill. On examination, the penis is circumcised, with no lesions or discharge from the meatus. The scrotal skin appears unremarkable. Palpation of the testes shows severe tenderness at the superior pole of the normal-sized left testicle.  He also has tenderness on palpation of the structures superior to the testicle through the scrotal wall.   The right testicle is unremarkable. An examining finger is placed through each inguinal ring without bulges being noted with bearing down. His prostate examination is unremarkable. Urine analysis shows white blood cells and bacteria.Which diagnosis is most likely in this case?

The most emergent cause of testicular pain in a young male is:

A 32-year-old warehouse worker presents to clinic with complaints of pain in her left foot.  She states that she has been working long hours and wearing improperly fitting shoes.  Recently she noticed that she has a “bone” sticking out on the side of her big toe.  She states that at the end of the day the bulging area is warm and sore.  What is your diagnosis?

Which of the following represents metrorrhagia?

The examiner suspects that M.B. has carpal tunnel syndrome, and so the examiner asks her to perform the Phalen’s test.  To perform this test, M.B. would:

The Nurse Practitioner notes Heberden nodes at the DIP joints in a patient. This is most likely caused by:

When evaluating the patient’s knee you notice the drawer sign on your patient is positive. You highly suspect:

A 26-year-old sports store manager comes to clinic, complaining of severe right-sided abdominal pain that has increased in intensity over the last 6 hours. He states the pain is worse when he coughs. He began having a stomachache yesterday, with a decreased appetite, but today the pain seems to be just on the lower right side. He has had some nausea and vomiting but no constipation or diarrhea. His last bowel movement was last night and was normal. . On examination he appears ill and is lying on his right side. His temperature is 100.4 and his heart rate is 110. His bowel sounds are decreased and he has rebound and involuntary guarding, one third of the way between the anterior superior iliac spine and the umbilicus in the right lower quadrant. His rectal, inguinal, prostate, penile, and testicular examinations are normal. What is the most likely cause of his pain?