CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA EXAM –
UROLOGY QUESTION AND ANSWERS WITH EXPLANATIONS.
Question 1
In men, painful urination without frequency or urgency suggests:
A. cystitis.
B. urethritis.
C. constipation.
D. acute prostatitis.
Explanation:
In men, painful urination without frequency or urgency suggests urethritis. Cystitis presents
with frequency and urgency. Constipation usually does not present with urinary tract
symptoms. Acute prostatitis presents with frequency, urgency, and dysuria.
Question 2
A 65-year-old woman complains that when she feels the urge to urinate, she has to go
immediately or else she urinates "on herself". She has become homebound because she wants
to stay close to the bathroom. This condition is termed:
A. functional incontinence.
B. overflow incontinence.
C. urge incontinence.
D. stress incontinence.
Explanation:
In urge incontinence, (overactive bladder), urgency is followed by immediate involuntary
leakage due to uncontrolled detrusor contractions that overcome urethral resistance. Following
an urge to void, there is an involuntary loss of urine since the patient cannot get to the toilet
quickly enough. Overflow incontinence is associated with a neurological or anatomical
, obstruction from pelvic organs or the prostate which limits bladder emptying and causes an
overdistended bladder. Stress incontinence is commonly seen in women and arises from
decreased intraurethral pressure. This condition is generally noted when a patient coughs,
sneezes, or laughs. Functional incontinence usually arises from cognitive impairment,
musculoskeletal problems, or immobility.
Question 3
Symptoms of proctitis may include all of the following except:
A. left-sided abdominal pain.
B. rectal pain.
C. suprapubic pain.
D. tenesmus.
Explanation:
Proctitis is inflammation of the lining of the rectum leading to rectal pain, bleeding, and a
continuous sensation to defecate (tenesmus). Additional symptoms may also include leftsided
abdominal pain, diarrhea, pain with bowel movements, and a feeling of fullness in the rectum.
Suprapubic pain is not generally associated with proctitis.
Question 4
A 40 year old male complains of right flank pain. His temperature is 102° F. These symptoms
may be characteristic of:
A. renal calculi.
B. acute pyelonephritis.
C. urethritis.
D. prostatitis.
Explanation:
UROLOGY QUESTION AND ANSWERS WITH EXPLANATIONS.
Question 1
In men, painful urination without frequency or urgency suggests:
A. cystitis.
B. urethritis.
C. constipation.
D. acute prostatitis.
Explanation:
In men, painful urination without frequency or urgency suggests urethritis. Cystitis presents
with frequency and urgency. Constipation usually does not present with urinary tract
symptoms. Acute prostatitis presents with frequency, urgency, and dysuria.
Question 2
A 65-year-old woman complains that when she feels the urge to urinate, she has to go
immediately or else she urinates "on herself". She has become homebound because she wants
to stay close to the bathroom. This condition is termed:
A. functional incontinence.
B. overflow incontinence.
C. urge incontinence.
D. stress incontinence.
Explanation:
In urge incontinence, (overactive bladder), urgency is followed by immediate involuntary
leakage due to uncontrolled detrusor contractions that overcome urethral resistance. Following
an urge to void, there is an involuntary loss of urine since the patient cannot get to the toilet
quickly enough. Overflow incontinence is associated with a neurological or anatomical
, obstruction from pelvic organs or the prostate which limits bladder emptying and causes an
overdistended bladder. Stress incontinence is commonly seen in women and arises from
decreased intraurethral pressure. This condition is generally noted when a patient coughs,
sneezes, or laughs. Functional incontinence usually arises from cognitive impairment,
musculoskeletal problems, or immobility.
Question 3
Symptoms of proctitis may include all of the following except:
A. left-sided abdominal pain.
B. rectal pain.
C. suprapubic pain.
D. tenesmus.
Explanation:
Proctitis is inflammation of the lining of the rectum leading to rectal pain, bleeding, and a
continuous sensation to defecate (tenesmus). Additional symptoms may also include leftsided
abdominal pain, diarrhea, pain with bowel movements, and a feeling of fullness in the rectum.
Suprapubic pain is not generally associated with proctitis.
Question 4
A 40 year old male complains of right flank pain. His temperature is 102° F. These symptoms
may be characteristic of:
A. renal calculi.
B. acute pyelonephritis.
C. urethritis.
D. prostatitis.
Explanation:
