APEA 3P Exam Prep- Men's
Health Questions and
Answers with Explanations
A 50-year-old male comes to the nurse practitioner clinic for evaluation. He
complains of chills, pelvic pain, and dysuria. He should be diagnosed with (VS in
image):
acute bacterial prostatitis.
chronic bacterial prostatitis.
urinary tract infection.
nonbacterial prostatitis.
A.
Acute bacterial prostatitis should always be considered first in a male patient who
presents with these symptoms. He may have cloudy urine and symptoms of
obstruction, like dribbling. Chronic bacterial prostatitis presents with a more subtle
presentation, such as frequency, urgency, and rarely, low-grade fever. Urinary tract
infection is far less common in men than women and is usually associated with anal
intercourse or being uncircumcised. Nonbacterial prostatitis presents like chronic
prostatitis except that urine and prostate secretion cultures are negative.
Noninfectious epididymitis is common in:
soccer players.
truck drivers. Correct
marathon runners.
men who wear boxer-style underwear.
, B.
Noninfectious epididymitis occurs when there is reflux of urine into the epididymis
from the ejaculatory ducts and vas deferens. This can cause ductal obstruction and
acute inflammation without infection. This can occur if males spend a lot of time
sitting. Truck drivers are particularly susceptible because they spend many
uninterrupted hours sitting when they are driving. Other typical risk factors are
vigorous exercise that involve heavy lifting or upper body workouts; especially sit-
ups or abdominal crunches.
The following PSA levels have been observed in a patient. What conclusion can be
made following these annual readings (SEE IMAGE)
They are all within the normal range.
None are within the normal range.
There is a steady increase that is worrisome.
There is a steady increase but not worrisome.
C.
Evaluation of PSA velocity generally requires three serial readings over a 12-24
month period. The PSA velocity (the rate of PSA change over time), is concerning. A
PSA velocity > .35 ng/mL per year is associated with high risk of death from
prostate cancer. This patient should have prostate biopsy by a urologist.
A 71-year-old male patient is taking dutasteride (Avodart), a 5-alpha-reductase
inhibitor. What effect might this have on his PSA level?
It will increase.
It will decrease.
There is no predictable change.
There will be a clinically insignificant increase.
B.
Health Questions and
Answers with Explanations
A 50-year-old male comes to the nurse practitioner clinic for evaluation. He
complains of chills, pelvic pain, and dysuria. He should be diagnosed with (VS in
image):
acute bacterial prostatitis.
chronic bacterial prostatitis.
urinary tract infection.
nonbacterial prostatitis.
A.
Acute bacterial prostatitis should always be considered first in a male patient who
presents with these symptoms. He may have cloudy urine and symptoms of
obstruction, like dribbling. Chronic bacterial prostatitis presents with a more subtle
presentation, such as frequency, urgency, and rarely, low-grade fever. Urinary tract
infection is far less common in men than women and is usually associated with anal
intercourse or being uncircumcised. Nonbacterial prostatitis presents like chronic
prostatitis except that urine and prostate secretion cultures are negative.
Noninfectious epididymitis is common in:
soccer players.
truck drivers. Correct
marathon runners.
men who wear boxer-style underwear.
, B.
Noninfectious epididymitis occurs when there is reflux of urine into the epididymis
from the ejaculatory ducts and vas deferens. This can cause ductal obstruction and
acute inflammation without infection. This can occur if males spend a lot of time
sitting. Truck drivers are particularly susceptible because they spend many
uninterrupted hours sitting when they are driving. Other typical risk factors are
vigorous exercise that involve heavy lifting or upper body workouts; especially sit-
ups or abdominal crunches.
The following PSA levels have been observed in a patient. What conclusion can be
made following these annual readings (SEE IMAGE)
They are all within the normal range.
None are within the normal range.
There is a steady increase that is worrisome.
There is a steady increase but not worrisome.
C.
Evaluation of PSA velocity generally requires three serial readings over a 12-24
month period. The PSA velocity (the rate of PSA change over time), is concerning. A
PSA velocity > .35 ng/mL per year is associated with high risk of death from
prostate cancer. This patient should have prostate biopsy by a urologist.
A 71-year-old male patient is taking dutasteride (Avodart), a 5-alpha-reductase
inhibitor. What effect might this have on his PSA level?
It will increase.
It will decrease.
There is no predictable change.
There will be a clinically insignificant increase.
B.
