3/27/25, 7:09 NR601 Final |
PM
NR601 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Terms in this set (99)
A healthy 86-year-old female presents to C) advise then to file an Advanced Directive
your office for a well check new
established patient her vitals are
normal. She introduces her partner of 35
years and states she would like to have
her be her medical decision-maker in
case of emergencies. What is the best
advice to give to this patient?
A) complete a POLST
B) advise them they have
enough documentation
C) advise them to file an Advanced
Directive
D) respond although they lack
documentation her partner will be
recognized as defacto
An 81-year-old transgender female with C) counseling on smoking cessation
history of hyper lipidemia and
depression. Present for routine wellness
exam. she endorses a history of
smoking one pack per day and
occasional alcohol use. she reports
taking atorvastatin and estrogen
therapy. What is the next important step for
primary care for this patient?
A) counseling in starting ASA
B)counseling on alcohol cessation
C) counseling on smoking cessation
D) counseling on mammograms
1/36
,3/27/25, 7:09 NR601 Final |
PM
An 84-year-old male with a history of D) urine/blood/anal swab/ oropharyngeal swab
Stroke without deficit, systolic HF and DB
type 2 presents to clinic for FU. He is
currently living independently and
assisted-living he reports having multiple
sexual partners, both men and women
with multiple areas of penetration,
including anal mouth and receiving versus
entering. What sexually transmitted sexual
screening should be recommended?
A) urine testing
B) urine/blood testing
C) urine/blood/anal swab
D)urine/blood/anal swab/ oropharyngeal
swab
As 79-year-old with breast cancer D) hormone therapy only
undergoes, the lump ectomy margins
are clear and uninvolved sentinel lift
make her to and hormone receptor
negative. She has no ideal dependency.
What treatment would you
recommend?
A) adjunct chemo B) adjunct chemo w/
irridation C) adjunct irridation only D)
hormone therapy only E) none of the
above
86-year-old man with ADL deficit stopped D) PSA in 6 months
driving due to macular degeneration is
evaluated for UTI associated with
urinary retention. Foley was placed.
PSA comes back at 12.three months later
after the Foley removed as a positive
response to tempos and his PSA is 10
what is the next step in care?
A) transrectal US B) emperic finasteride
C) bone Scan D) repeat PSA in 6
months E) observation
2/36
,3/27/25, 7:09 NR601 Final |
PM
8. Several years later, Mr. Hunter, who is D
now 75 years old, seeks additional
intervention for his urinary symptoms that
have progressed further. He now
experiences slow urinary stream, hesitancy,
straining, and a feeling of incomplete
emptying in addition to the previous
urinary urgency and frequency. At times,
he has noted blood in his urine. He has
had five urinary tract infections (UTIs) in
the past 2 years. His current IPSS is 24,
with a bother score of 5 indicating severe
voiding symptoms with high impact on his
quality of life.
Mr. Hunter's updated medical history
includes hypertension, coronary artery
disease, benign prostatic hyperplasia,
cataract surgery 4 years ago, and two falls
within the past year while rushing to
the bathroom during the night. Current
medications are aspirin, metoprolol,
finasteride, and tamsulosin. Physical
examination reveals an enlarged,
nontender prostate, about 50 g in size
wi
7. Two years later Mr. Hunter B
reports progression of his urinary
symptoms and desires "a pill to make
this better." His current IPSS is 17, with a
bother score of 3 indicating moderate
voiding symptoms with moderate impact
on his quality of life. On review of
systems he notes that his vision has
worsened, especially in his left eye. His
ophthalmologist has recommended
cataract surgery. For which of the following
medications would initiation of therapy
be delayed until after cataract surgery?
a. Finasteride
b.Tamsulosin
c.Tadalafil
d. Oxybutynin
3/36
, 3/27/25, 7:09 NR601 Final |
PM
. Mr. Hunter, a 69-year-old man, complains C
of urinary frequency and urgency that
have increased over the past several
months.
There is no dysuria, hematuria, or sensation
of incomplete voiding. He drinks 2 cups
of coffee daily and diet cola multiple
times a day. His International Prostate
Symptom Score (IPSS) is 6, with a bother
score of 1 indicating mild voiding
symptoms with low impact on his quality
of life. His medical history includes
hypertension, coronary artery disease,
and benign prostatic hyperplasia.
Current medications are aspirin,
metoprolol, and hydrochlorothiazide.
Physical examination reveals normal sized
prostate. Which of the following is the
best next step?
a. Urinalysis
b. Cystoscopy
c. Lifestyle modifications
d.Tamsulosin
e. Finasteride
Mr. Roberts, a 72-year-old patient who has D
sought medical care on an intermittent
basis in the past, complains of aching
discomfort in his perineal area, urinary
urgency, and frequency for the past few
years. He also complains of insomnia
and intermittent anxiety that he
attributes to loneliness after his wife's
death about a year ago. Digital rectal
examination (DRE) reveals a slightly
enlarged, nontender prostate with no
palpable nodules. Perineal examination is
normal. Bladder scan is unremarkable
and postvoid residual urine volume is 50
mL. Urinalysis shows no WBCs or RBCs.
Urine culture is negative. Previous
treatment has included dietary
modification and alpha-blocker
medication. What is the most
appropriate next step?
a.Start an 8-week course of ciprofloxacin.
b. Start a 5-alpha-reductase inhibitor.
c. Perform urodynamic testing.
d. Screen for depression.
4/36
PM
NR601 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Terms in this set (99)
A healthy 86-year-old female presents to C) advise then to file an Advanced Directive
your office for a well check new
established patient her vitals are
normal. She introduces her partner of 35
years and states she would like to have
her be her medical decision-maker in
case of emergencies. What is the best
advice to give to this patient?
A) complete a POLST
B) advise them they have
enough documentation
C) advise them to file an Advanced
Directive
D) respond although they lack
documentation her partner will be
recognized as defacto
An 81-year-old transgender female with C) counseling on smoking cessation
history of hyper lipidemia and
depression. Present for routine wellness
exam. she endorses a history of
smoking one pack per day and
occasional alcohol use. she reports
taking atorvastatin and estrogen
therapy. What is the next important step for
primary care for this patient?
A) counseling in starting ASA
B)counseling on alcohol cessation
C) counseling on smoking cessation
D) counseling on mammograms
1/36
,3/27/25, 7:09 NR601 Final |
PM
An 84-year-old male with a history of D) urine/blood/anal swab/ oropharyngeal swab
Stroke without deficit, systolic HF and DB
type 2 presents to clinic for FU. He is
currently living independently and
assisted-living he reports having multiple
sexual partners, both men and women
with multiple areas of penetration,
including anal mouth and receiving versus
entering. What sexually transmitted sexual
screening should be recommended?
A) urine testing
B) urine/blood testing
C) urine/blood/anal swab
D)urine/blood/anal swab/ oropharyngeal
swab
As 79-year-old with breast cancer D) hormone therapy only
undergoes, the lump ectomy margins
are clear and uninvolved sentinel lift
make her to and hormone receptor
negative. She has no ideal dependency.
What treatment would you
recommend?
A) adjunct chemo B) adjunct chemo w/
irridation C) adjunct irridation only D)
hormone therapy only E) none of the
above
86-year-old man with ADL deficit stopped D) PSA in 6 months
driving due to macular degeneration is
evaluated for UTI associated with
urinary retention. Foley was placed.
PSA comes back at 12.three months later
after the Foley removed as a positive
response to tempos and his PSA is 10
what is the next step in care?
A) transrectal US B) emperic finasteride
C) bone Scan D) repeat PSA in 6
months E) observation
2/36
,3/27/25, 7:09 NR601 Final |
PM
8. Several years later, Mr. Hunter, who is D
now 75 years old, seeks additional
intervention for his urinary symptoms that
have progressed further. He now
experiences slow urinary stream, hesitancy,
straining, and a feeling of incomplete
emptying in addition to the previous
urinary urgency and frequency. At times,
he has noted blood in his urine. He has
had five urinary tract infections (UTIs) in
the past 2 years. His current IPSS is 24,
with a bother score of 5 indicating severe
voiding symptoms with high impact on his
quality of life.
Mr. Hunter's updated medical history
includes hypertension, coronary artery
disease, benign prostatic hyperplasia,
cataract surgery 4 years ago, and two falls
within the past year while rushing to
the bathroom during the night. Current
medications are aspirin, metoprolol,
finasteride, and tamsulosin. Physical
examination reveals an enlarged,
nontender prostate, about 50 g in size
wi
7. Two years later Mr. Hunter B
reports progression of his urinary
symptoms and desires "a pill to make
this better." His current IPSS is 17, with a
bother score of 3 indicating moderate
voiding symptoms with moderate impact
on his quality of life. On review of
systems he notes that his vision has
worsened, especially in his left eye. His
ophthalmologist has recommended
cataract surgery. For which of the following
medications would initiation of therapy
be delayed until after cataract surgery?
a. Finasteride
b.Tamsulosin
c.Tadalafil
d. Oxybutynin
3/36
, 3/27/25, 7:09 NR601 Final |
PM
. Mr. Hunter, a 69-year-old man, complains C
of urinary frequency and urgency that
have increased over the past several
months.
There is no dysuria, hematuria, or sensation
of incomplete voiding. He drinks 2 cups
of coffee daily and diet cola multiple
times a day. His International Prostate
Symptom Score (IPSS) is 6, with a bother
score of 1 indicating mild voiding
symptoms with low impact on his quality
of life. His medical history includes
hypertension, coronary artery disease,
and benign prostatic hyperplasia.
Current medications are aspirin,
metoprolol, and hydrochlorothiazide.
Physical examination reveals normal sized
prostate. Which of the following is the
best next step?
a. Urinalysis
b. Cystoscopy
c. Lifestyle modifications
d.Tamsulosin
e. Finasteride
Mr. Roberts, a 72-year-old patient who has D
sought medical care on an intermittent
basis in the past, complains of aching
discomfort in his perineal area, urinary
urgency, and frequency for the past few
years. He also complains of insomnia
and intermittent anxiety that he
attributes to loneliness after his wife's
death about a year ago. Digital rectal
examination (DRE) reveals a slightly
enlarged, nontender prostate with no
palpable nodules. Perineal examination is
normal. Bladder scan is unremarkable
and postvoid residual urine volume is 50
mL. Urinalysis shows no WBCs or RBCs.
Urine culture is negative. Previous
treatment has included dietary
modification and alpha-blocker
medication. What is the most
appropriate next step?
a.Start an 8-week course of ciprofloxacin.
b. Start a 5-alpha-reductase inhibitor.
c. Perform urodynamic testing.
d. Screen for depression.
4/36
