Estudyr
NUR 600 - FINAL EXAM (ADVANCED CLINICAL
PHARMACOLOGY) QUESTIONS AND
ANSWERS| UPDATED
1. A patient presents with renal calculi. Which clinical manifestation is most expected?
A. Chest pain radiating to jaw
B. Severe flank pain with hematuria
C. Productive cough with fever
D. Abdominal bloating only
✔ Correct Answer: B. Severe flank pain with hematuria
Rationale:
Renal calculi cause obstruction of urine flow leading to renal colic, severe flank pain, CVA tenderness,
hematuria, and nausea/vomiting.
2. Urinary incontinence is best defined as:
A. Inability to control bowel function only
B. Inability to control bladder and/or bowel elimination
C. Complete urinary retention
D. Infection of the bladder
✔ Correct Answer: B. Inability to control bladder and/or bowel elimination
Rationale:
Incontinence refers to involuntary loss of urine or stool due to neurologic, functional, or structural
causes.
3. Which type of incontinence is caused by increased abdominal pressure such as coughing or
sneezing?
A. Urge incontinence
B. Stress incontinence
C. Overflow incontinence
D. Reflex incontinence
,Estudyr
✔ Correct Answer: B. Stress incontinence
Rationale:
Stress incontinence results from weak pelvic floor muscles allowing leakage during increased abdominal
pressure.
4. Best diagnostic test for evaluating urinary incontinence includes:
A. ECG
B. Bladder diary and post-void residual
C. Liver biopsy
D. Chest X-ray
✔ Correct Answer: B. Bladder diary and post-void residual
Rationale:
These assess urinary patterns and bladder emptying efficiency.
5. First-line nonpharmacologic treatment for incontinence includes:
A. Surgery immediately
B. Bladder training and pelvic exercises
C. Antibiotics
D. High-protein diet
✔ Correct Answer: B. Bladder training and pelvic exercises
Rationale:
Behavioral interventions are first-line before pharmacologic or surgical management.
6. Which medication worsens urinary incontinence symptoms?
A. Diuretics
B. Antihistamines
C. Antidepressants
D. All of the above
✔ Correct Answer: D. All of the above
Rationale:
These medications affect bladder tone and urine production.
, Estudyr
7. Patient education for nephrolithiasis includes:
A. High-sodium diet
B. High oxalate foods increase risk
C. Avoid hydration
D. High-fat diet encouraged
✔ Correct Answer: B. High oxalate foods increase risk
Rationale:
Oxalate-rich foods contribute to calcium oxalate stones.
8. First-line treatment for BPH includes:
A. Beta blockers
B. Alpha-1 blockers (tamsulosin)
C. Insulin
D. Antibiotics
✔ Correct Answer: B. Alpha-1 blockers (tamsulosin)
Rationale:
Alpha-1 blockers relax smooth muscle in prostate and bladder neck.
9. Erectile dysfunction is defined as:
A. Premature ejaculation
B. Inability to maintain erection sufficient for intercourse
C. Lack of libido only
D. Painful erection
✔ Correct Answer: B. Inability to maintain erection sufficient for intercourse
Rationale:
ED is persistent inability to achieve or maintain erection.
10. First-line pharmacologic treatment for erectile dysfunction:
NUR 600 - FINAL EXAM (ADVANCED CLINICAL
PHARMACOLOGY) QUESTIONS AND
ANSWERS| UPDATED
1. A patient presents with renal calculi. Which clinical manifestation is most expected?
A. Chest pain radiating to jaw
B. Severe flank pain with hematuria
C. Productive cough with fever
D. Abdominal bloating only
✔ Correct Answer: B. Severe flank pain with hematuria
Rationale:
Renal calculi cause obstruction of urine flow leading to renal colic, severe flank pain, CVA tenderness,
hematuria, and nausea/vomiting.
2. Urinary incontinence is best defined as:
A. Inability to control bowel function only
B. Inability to control bladder and/or bowel elimination
C. Complete urinary retention
D. Infection of the bladder
✔ Correct Answer: B. Inability to control bladder and/or bowel elimination
Rationale:
Incontinence refers to involuntary loss of urine or stool due to neurologic, functional, or structural
causes.
3. Which type of incontinence is caused by increased abdominal pressure such as coughing or
sneezing?
A. Urge incontinence
B. Stress incontinence
C. Overflow incontinence
D. Reflex incontinence
,Estudyr
✔ Correct Answer: B. Stress incontinence
Rationale:
Stress incontinence results from weak pelvic floor muscles allowing leakage during increased abdominal
pressure.
4. Best diagnostic test for evaluating urinary incontinence includes:
A. ECG
B. Bladder diary and post-void residual
C. Liver biopsy
D. Chest X-ray
✔ Correct Answer: B. Bladder diary and post-void residual
Rationale:
These assess urinary patterns and bladder emptying efficiency.
5. First-line nonpharmacologic treatment for incontinence includes:
A. Surgery immediately
B. Bladder training and pelvic exercises
C. Antibiotics
D. High-protein diet
✔ Correct Answer: B. Bladder training and pelvic exercises
Rationale:
Behavioral interventions are first-line before pharmacologic or surgical management.
6. Which medication worsens urinary incontinence symptoms?
A. Diuretics
B. Antihistamines
C. Antidepressants
D. All of the above
✔ Correct Answer: D. All of the above
Rationale:
These medications affect bladder tone and urine production.
, Estudyr
7. Patient education for nephrolithiasis includes:
A. High-sodium diet
B. High oxalate foods increase risk
C. Avoid hydration
D. High-fat diet encouraged
✔ Correct Answer: B. High oxalate foods increase risk
Rationale:
Oxalate-rich foods contribute to calcium oxalate stones.
8. First-line treatment for BPH includes:
A. Beta blockers
B. Alpha-1 blockers (tamsulosin)
C. Insulin
D. Antibiotics
✔ Correct Answer: B. Alpha-1 blockers (tamsulosin)
Rationale:
Alpha-1 blockers relax smooth muscle in prostate and bladder neck.
9. Erectile dysfunction is defined as:
A. Premature ejaculation
B. Inability to maintain erection sufficient for intercourse
C. Lack of libido only
D. Painful erection
✔ Correct Answer: B. Inability to maintain erection sufficient for intercourse
Rationale:
ED is persistent inability to achieve or maintain erection.
10. First-line pharmacologic treatment for erectile dysfunction:
