NR667 / NR 667 VISE STUDY GUIDE (LATEST UPDATE 2025/2026)

NR667 / NR 667 VISE STUDY GUIDE (LATEST UPDATE 2025/2026) 1. BPH AUA Questions "Over the past month have you..." - Correct Answer 1. Sensation of incomplete emptying 2. Urinate less than 2 hours after you finished (Frequency) 3. How often have you found that you start and stop several times when urinating 4. found it difficult to postpose urination 5. Weak urinary stream 6. push or strain when urinating 7. how many times do you typically get up to urinate Mild= 0-7 moderate= 8-19 Severe 20-35 BPH Labs - Correct Answer U/A PSA High PSA and free PSA (cancerous is high PSA and normal to low free PSA) Renal panel post void residual BPH Differentials - Correct Answer Prostatitis Prostate cancer UTI Bladder cancer BPH Assessment - Correct Answer DRE Firm, smooth symmetrically enlarged prostate BPH Non-pharm education - Correct Answer Limit bedtime fluids Limit caffeine, alcohol, antihistamine/anticholinergics Limit salt intake BPH Pharm education - Correct Answer Alpha 1 Blocker Flomax 0.4mg daily at bedtime May cause dizziness Follow up in 2-4 weeks Urology if patient is not responding to treatment Annual PSA and DRE if initial PSA 2.5 2. Sinusitis (Maxillary) Assessment findings - Correct Answer Viral 10 days- treat symptomatically with NSAIDs, Acetaminophen Bacterial 10 days- 4 weeks HEENT Exam- facial tenderness, post nasal drip, middle ear effusion, halitosis, periorbital edema