1|Page
NR601MIDTERM EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
An 81-year-old transgender female with history of depression and
hyperlipidemia presents to your clinic for routine care. She
endorses a history of smoking, currently smoking 1 pack per day,
and occasionally drinks a glass of wine, although she denies illicit
drug use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy.
Which of the following is the most important next step in this
patient's primary care?
a. Counseling on starting aspirin
b. Counseling on alcohol cessation
c. Counseling on smoking cessation
d. Counseling on mammogram - ANSWER-c. Counseling on
smoking cessation
An 84-year-old male with history of stroke without residual deficit,
systolic heart failure, and type 2 diabetes presents to clinic for
follow-up. He is independently living in a retirement community
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and still works part time on a golf course. He currently takes
aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day),
furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his
last colonoscopy was 8 years ago, with no abnormality. He
reports he is sexually active with men and women, engaging in
receptive oral, receptive anal, and penetrative sex. He states he
has had over three sexual partners in the last year with
intermittent condom use.
What sexually transmitted infection testing should be offered?
a. Urine testing
b. Urine testing, blood testing
c. Urine testing, blood testing, anal swab
d. Urine testing, blood testing, anal swab, and oropharyngeal
swab - ANSWER-d. Urine testing, blood testing, anal swab, and
oropharyngeal swab
1. Which of the following is true about tolterodine?
a. It should be avoided in men with prostatic hypertrophy.
b. It increases the risk of constipation compared with oral
oxybutynin.
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c. It acts by ablating detrusor spasms.
d. It has greater risk of adverse effects with its twice-daily
formulation. - ANSWER-d. It has greater risk of adverse effects
with its twice-daily formulation.
An 82-year-old man, Mr. A, complains of worsening nocturia,
occurring four times per night. His other lower urinary tract
symptoms are slow stream, occasional urgency, and urgency-
related leakage once weekly. Medical problems include poorly
controlled hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications include lisinopril
20 mg daily, metoprolol succinate 75 mg daily, atorvastatin 10 mg
daily, metformin 500 mg twice daily, hydrocodone-acetaminophen
as needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was
recently added by his cardiologist. On review of systems, Mr. A
complains that nocturia is causing daytime fatigue, and he is more
constipated. Physical examination is notable for blood pressure
162/83 mmHg, heart rate 60 beats per minute, clear lungs, soft
abdomen, enlarged prostate, and 21 pretibial edema. Your next
step in management should be:
a. Stop hydroc - ANSWER-b. Stop amlodipine and increase
lisinopril.
, 4|Page
The daughter of a 79-year-old woman notes that her mother, who
has dementia and lives with her, is wetting herself when she
attends her new day program. Program staff have requested that
"something be done" as she is requiring a clothes change nearly
every time she is there. She cannot describe the circumstances of
leakage, saying "it just comes." Leakage is uncommon at home.
Her medications include donepezil and acetaminophen. Physical
examination is normal. Initial treatment approach will require
intervention by which of the following?
a. Mrs. A's physician
b. Mrs. A's daughter
c. Day program staff
d. Physical therapist through a home care agency - ANSWER-c.
Day program staff
Ms. J, who is 82 years old, complains of urine leakage while
playing golf. This has gotten worse over the past year, and she
rarely makes it through nine holes without feeling like she needs
to "run into the bushes and go." Leakage is usually small volume,
but causes her extreme embarrassment because she is afraid
NR601MIDTERM EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
An 81-year-old transgender female with history of depression and
hyperlipidemia presents to your clinic for routine care. She
endorses a history of smoking, currently smoking 1 pack per day,
and occasionally drinks a glass of wine, although she denies illicit
drug use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy.
Which of the following is the most important next step in this
patient's primary care?
a. Counseling on starting aspirin
b. Counseling on alcohol cessation
c. Counseling on smoking cessation
d. Counseling on mammogram - ANSWER-c. Counseling on
smoking cessation
An 84-year-old male with history of stroke without residual deficit,
systolic heart failure, and type 2 diabetes presents to clinic for
follow-up. He is independently living in a retirement community
,2|Page
and still works part time on a golf course. He currently takes
aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day),
furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his
last colonoscopy was 8 years ago, with no abnormality. He
reports he is sexually active with men and women, engaging in
receptive oral, receptive anal, and penetrative sex. He states he
has had over three sexual partners in the last year with
intermittent condom use.
What sexually transmitted infection testing should be offered?
a. Urine testing
b. Urine testing, blood testing
c. Urine testing, blood testing, anal swab
d. Urine testing, blood testing, anal swab, and oropharyngeal
swab - ANSWER-d. Urine testing, blood testing, anal swab, and
oropharyngeal swab
1. Which of the following is true about tolterodine?
a. It should be avoided in men with prostatic hypertrophy.
b. It increases the risk of constipation compared with oral
oxybutynin.
,3|Page
c. It acts by ablating detrusor spasms.
d. It has greater risk of adverse effects with its twice-daily
formulation. - ANSWER-d. It has greater risk of adverse effects
with its twice-daily formulation.
An 82-year-old man, Mr. A, complains of worsening nocturia,
occurring four times per night. His other lower urinary tract
symptoms are slow stream, occasional urgency, and urgency-
related leakage once weekly. Medical problems include poorly
controlled hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications include lisinopril
20 mg daily, metoprolol succinate 75 mg daily, atorvastatin 10 mg
daily, metformin 500 mg twice daily, hydrocodone-acetaminophen
as needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was
recently added by his cardiologist. On review of systems, Mr. A
complains that nocturia is causing daytime fatigue, and he is more
constipated. Physical examination is notable for blood pressure
162/83 mmHg, heart rate 60 beats per minute, clear lungs, soft
abdomen, enlarged prostate, and 21 pretibial edema. Your next
step in management should be:
a. Stop hydroc - ANSWER-b. Stop amlodipine and increase
lisinopril.
, 4|Page
The daughter of a 79-year-old woman notes that her mother, who
has dementia and lives with her, is wetting herself when she
attends her new day program. Program staff have requested that
"something be done" as she is requiring a clothes change nearly
every time she is there. She cannot describe the circumstances of
leakage, saying "it just comes." Leakage is uncommon at home.
Her medications include donepezil and acetaminophen. Physical
examination is normal. Initial treatment approach will require
intervention by which of the following?
a. Mrs. A's physician
b. Mrs. A's daughter
c. Day program staff
d. Physical therapist through a home care agency - ANSWER-c.
Day program staff
Ms. J, who is 82 years old, complains of urine leakage while
playing golf. This has gotten worse over the past year, and she
rarely makes it through nine holes without feeling like she needs
to "run into the bushes and go." Leakage is usually small volume,
but causes her extreme embarrassment because she is afraid
