WGU D119 PEDIATRIC PRIMARY CARE
OBJECTIVE ASSESSMENT
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. Which of the following is a common cause of erectile dysfunction?
a) The use of antihypertensives.
b) Dietary supplements
c) Masturbation
d) It is a natural part of aging.
Correct Answer: The use of antihypertensives;
Erectile dysfunction can be commonly caused by the use of antihypertensives,
particularly thiazide diuretics and beta blockers.
2. A male patient presents with a complaint of sexual dysfunction. The FNP
understands that sexual dysfunction is an impairment of:
a) Erection only
b) Emission only
c) Ejaculation only
d) Erection, emission, or ejaculation
Correct Answer: In sexual dysfunction, erection, emission, or ejaculation may
not be functioning because of multifactorial causes such as medications, vascular
disorders, neuropathy, and trauma.
,3. What are the common symptoms of benign prostatic hyperplasia (BPH)?
a) Dribbling, hesitancy, loss of stream volume and force, and recurrent urinary
tract infections
b) Dysuria, urgency, frequency, nocturia, and suprapubic heaviness or discomfort
c) Obstructive symptoms such as a weak urine stream, abdominal straining to
void, hesitancy, incomplete bladder emptying, and terminal dribbling
d) Acute onset of fever, chills, flank pain, head ache, malaise, CVA tenderness, and
possibly hematuria
Correct Answer: Obstructive symptoms such as a weak urine stream,
abdominal straining to void, hesitancy, incomplete bladder emptying, and
terminal dribbling;
Obstructive symptoms are common in BPH. The other symptoms are associated
with different diagnoses.
4. Which of the following is correct regarding short-acting phosphodiesterase-5
inhibitors, such as sildenafil or vardenafil?
a) They work best in combination with a large fatty meal.
b) They should be taken 30 minutes to 1 hour before intercourse.
c) They are the only class of medications that is effective for treating ED.
d) They work in all men.
Correct Answer: They should be taken 30 minutes to 1 hour before
intercourse;
Phosphodiesterase-5 inhibitors should be taken 30-60 minutes prior to
intercourse. Fatty foods interfere with absorption.
5. What are the common side-effects of phosphodiesterase-5 inhibitors?
a) Erection lasting longer than 4 hours.
b) Headaches, flushing, and dyspepsia.
,c) Nausea and vomiting.
Rash, itching, and loss of appetite.
Correct Answer: Headaches, flushing, and dyspepsia.
6. What is an important contraindication to phosphodiesterase-5 inhibitors?
a) SSRIs
b) Beta blockers
c) Nitrates
d) Thiazide diuretics
Correct Answer: Nitrates;
Patients cannot concurrently take nitrates because of dangerous effects of
synergistic vasodilation.
7. A patient has been taking doxazosin 2 mg PO daily for 3 weeks for treatment of
BPH. He returns to the clinic and is complaining of feeling dizzy when he stands
up. Which action would the FNP take?
a) Determine BP when lying, sitting, and standing.
b) Order urinalysis to determine hematuria and presence of bacteria.
c) Review with patient his symptoms over the last 3 weeks.
d) Perform digital rectal exam to determine whether prostate is smaller than
previously noted.
Correct Answer: Determine BP when lying, sitting, and standing.;
Doxazosin is also used as an antihypertensive, the patient may be experiencing
orthostatic hypertension.
8. A 74-year-old male patient has BPH and stage one hypertension. Which of the
following medications would be the most appropriate selection to treat both
, disorders?
a) tamsulosin
b) finasteride
c) doxazosin
d) tadalafil
Correct Answer: Doxazosin is indicated as a treatment in both BPH and
hypertension because of its favorable side effect.
9. A 28-year-old man presents with complaints of fever, low back pain, perineal
pain, and intense pain on voiding. Rectal exam reveals a tender, swollen, firm,
warm prostate. Based on the patient's symptoms, what is the treatment of
choice?
a) ceftriaxone 250mg IM x1 followed by doxycycline 100mg PO BID x 10 days
b) tetracycline 250mg PO qid x 10 days
c) amoxicillin 500mg PO tid x 14 days
d) erythromycin 250mg PO q6h x 24 days
Correct Answer: The patient is presenting with classic symptoms of acute
bacterial prostatitis. The treatment of choice is IM ceftriaxone plus oral
doxycycline.
10. A 70-year-old man complains of scrotal pain with dysuria and frequency that
has been increasing over the last 2 weeks. Physical exam reveals extreme scrotal
tenderness and swelling, urethral discharge, and testes normal in size and
position. Urinalysis reveals pyuria. What is the treatment of choice for this
patient?
a) Nitrofurantoin 100mg PO QID x 14 days
b) Levofloxacin 750mg PO QD x 10 days
c) Doxazosin 1mg PO qd x 10 days
d) Oxybutynin 5mg PO TID x 10 days
OBJECTIVE ASSESSMENT
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. Which of the following is a common cause of erectile dysfunction?
a) The use of antihypertensives.
b) Dietary supplements
c) Masturbation
d) It is a natural part of aging.
Correct Answer: The use of antihypertensives;
Erectile dysfunction can be commonly caused by the use of antihypertensives,
particularly thiazide diuretics and beta blockers.
2. A male patient presents with a complaint of sexual dysfunction. The FNP
understands that sexual dysfunction is an impairment of:
a) Erection only
b) Emission only
c) Ejaculation only
d) Erection, emission, or ejaculation
Correct Answer: In sexual dysfunction, erection, emission, or ejaculation may
not be functioning because of multifactorial causes such as medications, vascular
disorders, neuropathy, and trauma.
,3. What are the common symptoms of benign prostatic hyperplasia (BPH)?
a) Dribbling, hesitancy, loss of stream volume and force, and recurrent urinary
tract infections
b) Dysuria, urgency, frequency, nocturia, and suprapubic heaviness or discomfort
c) Obstructive symptoms such as a weak urine stream, abdominal straining to
void, hesitancy, incomplete bladder emptying, and terminal dribbling
d) Acute onset of fever, chills, flank pain, head ache, malaise, CVA tenderness, and
possibly hematuria
Correct Answer: Obstructive symptoms such as a weak urine stream,
abdominal straining to void, hesitancy, incomplete bladder emptying, and
terminal dribbling;
Obstructive symptoms are common in BPH. The other symptoms are associated
with different diagnoses.
4. Which of the following is correct regarding short-acting phosphodiesterase-5
inhibitors, such as sildenafil or vardenafil?
a) They work best in combination with a large fatty meal.
b) They should be taken 30 minutes to 1 hour before intercourse.
c) They are the only class of medications that is effective for treating ED.
d) They work in all men.
Correct Answer: They should be taken 30 minutes to 1 hour before
intercourse;
Phosphodiesterase-5 inhibitors should be taken 30-60 minutes prior to
intercourse. Fatty foods interfere with absorption.
5. What are the common side-effects of phosphodiesterase-5 inhibitors?
a) Erection lasting longer than 4 hours.
b) Headaches, flushing, and dyspepsia.
,c) Nausea and vomiting.
Rash, itching, and loss of appetite.
Correct Answer: Headaches, flushing, and dyspepsia.
6. What is an important contraindication to phosphodiesterase-5 inhibitors?
a) SSRIs
b) Beta blockers
c) Nitrates
d) Thiazide diuretics
Correct Answer: Nitrates;
Patients cannot concurrently take nitrates because of dangerous effects of
synergistic vasodilation.
7. A patient has been taking doxazosin 2 mg PO daily for 3 weeks for treatment of
BPH. He returns to the clinic and is complaining of feeling dizzy when he stands
up. Which action would the FNP take?
a) Determine BP when lying, sitting, and standing.
b) Order urinalysis to determine hematuria and presence of bacteria.
c) Review with patient his symptoms over the last 3 weeks.
d) Perform digital rectal exam to determine whether prostate is smaller than
previously noted.
Correct Answer: Determine BP when lying, sitting, and standing.;
Doxazosin is also used as an antihypertensive, the patient may be experiencing
orthostatic hypertension.
8. A 74-year-old male patient has BPH and stage one hypertension. Which of the
following medications would be the most appropriate selection to treat both
, disorders?
a) tamsulosin
b) finasteride
c) doxazosin
d) tadalafil
Correct Answer: Doxazosin is indicated as a treatment in both BPH and
hypertension because of its favorable side effect.
9. A 28-year-old man presents with complaints of fever, low back pain, perineal
pain, and intense pain on voiding. Rectal exam reveals a tender, swollen, firm,
warm prostate. Based on the patient's symptoms, what is the treatment of
choice?
a) ceftriaxone 250mg IM x1 followed by doxycycline 100mg PO BID x 10 days
b) tetracycline 250mg PO qid x 10 days
c) amoxicillin 500mg PO tid x 14 days
d) erythromycin 250mg PO q6h x 24 days
Correct Answer: The patient is presenting with classic symptoms of acute
bacterial prostatitis. The treatment of choice is IM ceftriaxone plus oral
doxycycline.
10. A 70-year-old man complains of scrotal pain with dysuria and frequency that
has been increasing over the last 2 weeks. Physical exam reveals extreme scrotal
tenderness and swelling, urethral discharge, and testes normal in size and
position. Urinalysis reveals pyuria. What is the treatment of choice for this
patient?
a) Nitrofurantoin 100mg PO QID x 14 days
b) Levofloxacin 750mg PO QD x 10 days
c) Doxazosin 1mg PO qd x 10 days
d) Oxybutynin 5mg PO TID x 10 days
