ABDOMINAL PROBLEMS, RENAL PROBLEMS, GENDER RELATED HEALTH
PROBLEMS (DUNPHY) PRACTICE TEST QUESTIONS WITH COMPLETE
SOLUTIONS.
1) Which of the following Macrobid doses is appropriate to treat a lower UTI?
A) 200 mg bid ´ 14 days
B) 100 mg bid ´ 5 days
C) 500 mg daily ´ 8 days
D) 800 mg daily ´ 2 days -- Correct Answer ✔✔ B. 100 mg bid ´ 5
days
2) A patient is seen in the office complaining of severe flank pain and hematuria. The
clinician should assess this patient for which risk factor for poststreptococcal
glomerulonephritis?
A) Hypertension
B) Constipation
C) Tubal ligation
D) Diabetes -- Correct Answer ✔✔ A. Hypertension
,3) A patient is diagnosed with urge incontinence. Before prescribing Detrol LA, the
provider should question the patient about which of these contraindications to
this medication?
A) Diarrhea
B) Parkinson's disease
C) Closed-angle glaucoma
D) Breast cancer -- Correct Answer ✔✔ C. Closed-angle glaucoma
4) A patient is diagnosed with overactive bladder. Which of the following
instructions should be given to this woman?
A) "Limit the amount of water that you drink."
B) "Eliminate caffeine from your diet."
C) "Wear panty liners."
D) "You should not attempt pregnancy." -- Correct Answer ✔✔ B.
"Eliminate caffeine from your diet."
5) A 34-year-old patient was treated for a UTI and has not responded to antibiotic
therapy. Which of the following actions should be taken next?
A) Send a urine specimen for microscopy and evaluate for fungal
colonies.
B) Increase the dose of antibiotic.
C) Order a cystoscopy.
D) Order a different antibiotic -- Correct Answer ✔✔ A. Send a
urine specimen for microscopy and evaluate for fungal colonies.
6) Which of the following are predisposing factors for pyelonephritis?
A) Pregnancy
B) Dehydration
, C) Smoking
D) Alkaline urine -- Correct Answer ✔✔ A. Pregnancy
7) Which of the following types of proteinuria is associated with Hodgkin's disease?
A) Tamm-Horsfall proteinuria
B) Tubulointerstitial area involvement
C) Altered glomerular capillary permeability
D) Bence Jones proteinuria -- Correct Answer ✔✔ D. Bence Jones
proteinuria
8) When proteinuria is detected in a low-risk patient, which laboratory testing
should be ordered in addition to Bence Jones proteins?
A) Serum glucose
B) Lipid panel
C) Hemoglobinopathy
D) Cerebrospinal fluid (CSF) lumbar puncture -- Correct Answer
✔✔ B. Lipid panel
9) Jeremy is a 27-year-old who comes to the clinic complaining of red-tinged urine.
The clinician performs a urine dipstick and finds that the protein is 2+. Which of
the following from Jeremy's history is related to this finding?
A) He is training for a marathon.
B) He recently broke a toe.
C) He began taking Lexapro 2 weeks ago.
D) He works in an office setting. -- Correct Answer ✔✔ A. He is
training for a marathon.
10) Which of the following is true regarding the cause of isolated hematuria?
, A) It is usually caused by anemia.
B) It can be due to bleeding in the urethra.
C) It is can be due to hemoglobinopathies.
D) It is usually due to sickle cell disease. -- Correct Answer ✔✔ B.
It can be due to bleeding in the urethra.
11) Which of the following medications may be linked to dysuria?
A) Vitamin A
B) Mirena
C) Paxil
D) Gabapentin -- Correct Answer ✔✔ C. Paxil
12) A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe
dysuria. She is diagnosed with acute pyelonephritis. How should this patient be
managed?
A) 3-day course of oral antibiotics
B) Hospitalization
C) Encourage cranberry juice intake
D) 6-week course of antibiotics -- Correct Answer ✔✔ B.
Hospitalization
13) A patient is seen with a sudden onset of flank pain accompanied by nausea,
vomiting, and diaphoresis. In addition to nephrolithiasis, which of the following
should be added to the list of differential diagnoses?
A) Pancreatitis
B) Urinary tract infection
C) Prostate tumor
PROBLEMS (DUNPHY) PRACTICE TEST QUESTIONS WITH COMPLETE
SOLUTIONS.
1) Which of the following Macrobid doses is appropriate to treat a lower UTI?
A) 200 mg bid ´ 14 days
B) 100 mg bid ´ 5 days
C) 500 mg daily ´ 8 days
D) 800 mg daily ´ 2 days -- Correct Answer ✔✔ B. 100 mg bid ´ 5
days
2) A patient is seen in the office complaining of severe flank pain and hematuria. The
clinician should assess this patient for which risk factor for poststreptococcal
glomerulonephritis?
A) Hypertension
B) Constipation
C) Tubal ligation
D) Diabetes -- Correct Answer ✔✔ A. Hypertension
,3) A patient is diagnosed with urge incontinence. Before prescribing Detrol LA, the
provider should question the patient about which of these contraindications to
this medication?
A) Diarrhea
B) Parkinson's disease
C) Closed-angle glaucoma
D) Breast cancer -- Correct Answer ✔✔ C. Closed-angle glaucoma
4) A patient is diagnosed with overactive bladder. Which of the following
instructions should be given to this woman?
A) "Limit the amount of water that you drink."
B) "Eliminate caffeine from your diet."
C) "Wear panty liners."
D) "You should not attempt pregnancy." -- Correct Answer ✔✔ B.
"Eliminate caffeine from your diet."
5) A 34-year-old patient was treated for a UTI and has not responded to antibiotic
therapy. Which of the following actions should be taken next?
A) Send a urine specimen for microscopy and evaluate for fungal
colonies.
B) Increase the dose of antibiotic.
C) Order a cystoscopy.
D) Order a different antibiotic -- Correct Answer ✔✔ A. Send a
urine specimen for microscopy and evaluate for fungal colonies.
6) Which of the following are predisposing factors for pyelonephritis?
A) Pregnancy
B) Dehydration
, C) Smoking
D) Alkaline urine -- Correct Answer ✔✔ A. Pregnancy
7) Which of the following types of proteinuria is associated with Hodgkin's disease?
A) Tamm-Horsfall proteinuria
B) Tubulointerstitial area involvement
C) Altered glomerular capillary permeability
D) Bence Jones proteinuria -- Correct Answer ✔✔ D. Bence Jones
proteinuria
8) When proteinuria is detected in a low-risk patient, which laboratory testing
should be ordered in addition to Bence Jones proteins?
A) Serum glucose
B) Lipid panel
C) Hemoglobinopathy
D) Cerebrospinal fluid (CSF) lumbar puncture -- Correct Answer
✔✔ B. Lipid panel
9) Jeremy is a 27-year-old who comes to the clinic complaining of red-tinged urine.
The clinician performs a urine dipstick and finds that the protein is 2+. Which of
the following from Jeremy's history is related to this finding?
A) He is training for a marathon.
B) He recently broke a toe.
C) He began taking Lexapro 2 weeks ago.
D) He works in an office setting. -- Correct Answer ✔✔ A. He is
training for a marathon.
10) Which of the following is true regarding the cause of isolated hematuria?
, A) It is usually caused by anemia.
B) It can be due to bleeding in the urethra.
C) It is can be due to hemoglobinopathies.
D) It is usually due to sickle cell disease. -- Correct Answer ✔✔ B.
It can be due to bleeding in the urethra.
11) Which of the following medications may be linked to dysuria?
A) Vitamin A
B) Mirena
C) Paxil
D) Gabapentin -- Correct Answer ✔✔ C. Paxil
12) A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe
dysuria. She is diagnosed with acute pyelonephritis. How should this patient be
managed?
A) 3-day course of oral antibiotics
B) Hospitalization
C) Encourage cranberry juice intake
D) 6-week course of antibiotics -- Correct Answer ✔✔ B.
Hospitalization
13) A patient is seen with a sudden onset of flank pain accompanied by nausea,
vomiting, and diaphoresis. In addition to nephrolithiasis, which of the following
should be added to the list of differential diagnoses?
A) Pancreatitis
B) Urinary tract infection
C) Prostate tumor
