COMMON DIAGNOSIS AND MANAGEMENT IN
ACUTE CARE FINAL COMPREHENSIVE
ASSESSMENT 2026 SOLVED QUESTIONS WITH
VERIFIED SOLUTION GUIDE
◉ 2 types of medication classes used for BPH treatment Answer:
alpha1-adrenergic antagonist
5-alpha-reductase inhibitors
◉ what does alpha1-adrenergic antagonist medication do for BPH?
Answer: relax the smooth muscle around the neck of the bladder
◉ what does 5-alpha-reductase inhibitors do for BPH? Answer: 5-
alpha-reductase is an enzyme that converts testosterone into DTH.
DTH plays a role in prostate growth.
5ARI inhibitors block the conversion of testosterone to DHT
used to shrink the enlarge prostate and improve flow of urine
◉ name of alpha1-adrenergic antagonist medications for BPH
Answer: tamsulosin (Flomax)
doxazosin (Cardura)
silodosin (Rapaflo)
,◉ Does, route and frequency of tamsulosin (Flomax) Answer: 0.4
mg-0.8 mg by mouth once daily
◉ Does, route and frequency of doxazosin (Cardura) Answer: 4 mg-8
mg by mouth once daily
◉ Does, route and frequency of silodosin (Rapaflo) Answer:
silodosin (Rapaflo) 4 mg-8 mg by mouth once daily
◉ Does, route and frequency finasteride (Proscar) Answer: 5 mg by
mouth once daily (alone or in combination with doxazosin)
◉ name of 5-alpha-reductase inhibitors medications for BPH
Answer: finasteride (Proscar)
dutasteride (Avodart)
◉ Does, route and frequency dutasteride (Avodart) Answer: 0.5 mg
by mouth once daily
◉ When is a TURP or prostatectomy indicated? Answer: AUASI score
greater than 20
Renal insufficiency d/t obstruction
,Acute urinary retention that requires urinary catheter
decompression
Markedly enlarged prostate with failure of pharmaceutical therapy.
◉ What is prostatitis? Answer: inflammation of the prostate gland
Prostatitis occurs with inflammation of the prostate gland, which
can be due to an infectious or noninfectious source.
◉ what are the 4 classifications of prostatitis? Answer: -acute
bacterial prostatitis
-chronic bacterial prostatitis
-chronic pelvic pain syndrome (CPPS)
inflammatory
noninflammatory
-asymptomatic inflammatory prostatitis
◉ what is the first line treatment for acute prostatitis? Answer:
trimethoprim/sulfamethoxazole (TMP/SMX) 160 mg/800 mg by
mouth twice daily x 7 days
◉ what is a diagnostic findings of a UA for prostatitis> Answer:
pyuria- >10 WBCs/hpf on UA
, ◉ What is pyelonephritis? Answer: Pyelonephritis is an infection of
the lower urinary tract which has progressed to an upper urinary
tract infection as the bacteria ascends into the kidney.
◉ Clinical presentation of Pyelonephritis? Answer: dysuria
urinary frequency
urgency
incomplete bladder emptying sensation
suprapubic pain
foul-smelling urine
hematuria
urethral discharge (associated with urethritis)
Fever
Chills
Nausea
Vomiting
CVA tenderness
Suprapubic tenderness and/or distention
◉ What is the Hallmark exam finding for Pyelonephritis? Answer:
pyelonephritis is costovertebral angle (CVA) tenderness over one
kidney.
ACUTE CARE FINAL COMPREHENSIVE
ASSESSMENT 2026 SOLVED QUESTIONS WITH
VERIFIED SOLUTION GUIDE
◉ 2 types of medication classes used for BPH treatment Answer:
alpha1-adrenergic antagonist
5-alpha-reductase inhibitors
◉ what does alpha1-adrenergic antagonist medication do for BPH?
Answer: relax the smooth muscle around the neck of the bladder
◉ what does 5-alpha-reductase inhibitors do for BPH? Answer: 5-
alpha-reductase is an enzyme that converts testosterone into DTH.
DTH plays a role in prostate growth.
5ARI inhibitors block the conversion of testosterone to DHT
used to shrink the enlarge prostate and improve flow of urine
◉ name of alpha1-adrenergic antagonist medications for BPH
Answer: tamsulosin (Flomax)
doxazosin (Cardura)
silodosin (Rapaflo)
,◉ Does, route and frequency of tamsulosin (Flomax) Answer: 0.4
mg-0.8 mg by mouth once daily
◉ Does, route and frequency of doxazosin (Cardura) Answer: 4 mg-8
mg by mouth once daily
◉ Does, route and frequency of silodosin (Rapaflo) Answer:
silodosin (Rapaflo) 4 mg-8 mg by mouth once daily
◉ Does, route and frequency finasteride (Proscar) Answer: 5 mg by
mouth once daily (alone or in combination with doxazosin)
◉ name of 5-alpha-reductase inhibitors medications for BPH
Answer: finasteride (Proscar)
dutasteride (Avodart)
◉ Does, route and frequency dutasteride (Avodart) Answer: 0.5 mg
by mouth once daily
◉ When is a TURP or prostatectomy indicated? Answer: AUASI score
greater than 20
Renal insufficiency d/t obstruction
,Acute urinary retention that requires urinary catheter
decompression
Markedly enlarged prostate with failure of pharmaceutical therapy.
◉ What is prostatitis? Answer: inflammation of the prostate gland
Prostatitis occurs with inflammation of the prostate gland, which
can be due to an infectious or noninfectious source.
◉ what are the 4 classifications of prostatitis? Answer: -acute
bacterial prostatitis
-chronic bacterial prostatitis
-chronic pelvic pain syndrome (CPPS)
inflammatory
noninflammatory
-asymptomatic inflammatory prostatitis
◉ what is the first line treatment for acute prostatitis? Answer:
trimethoprim/sulfamethoxazole (TMP/SMX) 160 mg/800 mg by
mouth twice daily x 7 days
◉ what is a diagnostic findings of a UA for prostatitis> Answer:
pyuria- >10 WBCs/hpf on UA
, ◉ What is pyelonephritis? Answer: Pyelonephritis is an infection of
the lower urinary tract which has progressed to an upper urinary
tract infection as the bacteria ascends into the kidney.
◉ Clinical presentation of Pyelonephritis? Answer: dysuria
urinary frequency
urgency
incomplete bladder emptying sensation
suprapubic pain
foul-smelling urine
hematuria
urethral discharge (associated with urethritis)
Fever
Chills
Nausea
Vomiting
CVA tenderness
Suprapubic tenderness and/or distention
◉ What is the Hallmark exam finding for Pyelonephritis? Answer:
pyelonephritis is costovertebral angle (CVA) tenderness over one
kidney.
