A 34-Year-Old Man Comes to the Office Due to a Persistent

question 400

Multiple Choice

A 34-year-old man comes to the office due to a persistent, painful erection for 12 hours without sexual stimulation.  He has had no trauma to the perineal region.  Over the past few months, the patient has also had fatigue.  He has no prior medical conditions and takes no medications.  Family history is significant for stroke in his father and hypothyroidism in his mother.  The patient does not use tobacco, alcohol, or illicit drugs.  Temperature is 36.8 C (98.2 F) , blood pressure is 120/78 mm Hg, and pulse is 100/min.  There is no lymphadenopathy.  Cardiopulmonary examination is normal.  The liver and spleen are palpable.  The penis is erect, is tender, and has venous engorgement.  The remainder of the examination shows no abnormalities.  The patient is given appropriate treatment, with reduction of symptoms.  Which of the following is the most appropriate diagnostic test to identify the cause of this patient's symptoms?

• A)Chest x-ray
• B)Complete blood count
• C)Electrocardiography
• D)Monospot test
• E)MRI of the spine
• F)Serum ferritin level

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Definitions:

Operant Conditioning

Operant conditioning is a learning process in which the likelihood of a behavior is modified by its consequences, involving reinforcements or punishments.

Transference Behaviors

Psychological phenomena where unresolved feelings, desires, and expectations from past relationships are projected onto current relationships, often occurring within therapy.

Aversive Conditioning

A type of counterconditioning that associates an unpleasant state (such as nausea) with an unwanted behavior (such as drinking alcohol).

Psychological Disorders

Psychological disorders, also known as mental disorders, are patterns of behavioral or psychological symptoms that impact multiple areas of life and create distress for the person experiencing them.