Nr576 2025 LATEST ACTUAL EXAM QUESTIONS AND
WELL DETAILED ANSWERS(100% PASS)
Assessing for prior antibiotic use is a critical part of the history in patients
with presenting with _______________ due to_________________ -
ANSWER✔✔Diarrhea/CDiff
Irritable bowel syndrome - ANSWER✔✔disorder of the bowel function not from
anatomic abnormality--constipation, diarrhea, bloating, urgency w/diarrhea
+s/s--result from disordered sensations or abnormal function of the small and
large bowel
NOT associated with serious medical conditions, IBD, CA
Epididymis Positive Prehn's sign = pain relief. Neg = no pain relief = testicular
torsion).
Discuss common symptoms reported from a patient with BPH -
ANSWER✔✔Affects men age 40 years and older.
Obstructive symptoms include
• Decreased stream • Hesitancy
• Postvoid dribbling • Sensation of incomplete bladder emptying
• Overflow incontinence • Inability to voluntarily stop the urine stream
• Urinary retention • Straining
Irritative symptoms include
• Nocturia • Urinary frequency
• Urinary urgency • Dysuria
,Urge incontinence
Erectile dysfunction should be assessed on patient taking finasteride.
Discuss the hallmark characteristic of a varicocele - ANSWER✔✔The
hallmark characteristic of varicocele is the sensation that the testes feel like
a "bag of worms."
Explain spinal stenosis - ANSWER✔✔Narrowing of the spinal canal w/
compression of nerve roots
- Congenital or acquired (age)
- Most commonly from enlarging osteophytes at the facet joints, hypertrophy
of the ligamentum flavum and protrusion/buldging of the intervertebral discs
- May produce symptoms by directly pushing on nerve or interrupting the
blood supply to nerve
Common source of chronic low back pain, seen most with aging. All older
people have some degree of this
Discuss common characteristics (subjective findings) of patients with lumbar
spinal stenosis - ANSWER✔✔- Radicular complaints in calves, buttocks, upper
thighs
- Pain w/ walking or prolonged standing
o Vascular claudication - pain stops w/ rest
o Psuedoclaudication - pain doesn't stop immediately at rest
- Short term relief by leaning forward/stooping
- Sometimes relief w/ sitting
- Pain in back/leg when sleeping on back at night
- Pain w/ walking/standing
, 8. Discuss common characteristics (objective findings) of patients with
lumbar spinal stenosis - ANSWER✔✔- Muscle weakness
- Impaired proprioception
- Diminished reflexes
- Sensory changes (numbness/tingling)
- Bowel or bladder symptoms
o Sphincter tone decreased
o Don't confuse w/ prostate problems in older men
Identify the red flags associated with back and neck complaints which
warrant further investigation - ANSWER✔✔T-Trauma
U-Unexplained weight loss
N-Neurologic symptoms
A-Age>50
F-Fever
I-Iv Drug user
S-steroid use
H-Hx of CA (prostate, renal, breat, lung)
Define chronic pain - ANSWER✔✔• Pain that extends beyond the expected
period of healing
• Pain > 3 months in duration
• More generalized, less localized to the site of injury/initial complaint
• Referral patterns can shift in location, intensity, frequency & quality
• Pain does not change with movement, rest or time
WELL DETAILED ANSWERS(100% PASS)
Assessing for prior antibiotic use is a critical part of the history in patients
with presenting with _______________ due to_________________ -
ANSWER✔✔Diarrhea/CDiff
Irritable bowel syndrome - ANSWER✔✔disorder of the bowel function not from
anatomic abnormality--constipation, diarrhea, bloating, urgency w/diarrhea
+s/s--result from disordered sensations or abnormal function of the small and
large bowel
NOT associated with serious medical conditions, IBD, CA
Epididymis Positive Prehn's sign = pain relief. Neg = no pain relief = testicular
torsion).
Discuss common symptoms reported from a patient with BPH -
ANSWER✔✔Affects men age 40 years and older.
Obstructive symptoms include
• Decreased stream • Hesitancy
• Postvoid dribbling • Sensation of incomplete bladder emptying
• Overflow incontinence • Inability to voluntarily stop the urine stream
• Urinary retention • Straining
Irritative symptoms include
• Nocturia • Urinary frequency
• Urinary urgency • Dysuria
,Urge incontinence
Erectile dysfunction should be assessed on patient taking finasteride.
Discuss the hallmark characteristic of a varicocele - ANSWER✔✔The
hallmark characteristic of varicocele is the sensation that the testes feel like
a "bag of worms."
Explain spinal stenosis - ANSWER✔✔Narrowing of the spinal canal w/
compression of nerve roots
- Congenital or acquired (age)
- Most commonly from enlarging osteophytes at the facet joints, hypertrophy
of the ligamentum flavum and protrusion/buldging of the intervertebral discs
- May produce symptoms by directly pushing on nerve or interrupting the
blood supply to nerve
Common source of chronic low back pain, seen most with aging. All older
people have some degree of this
Discuss common characteristics (subjective findings) of patients with lumbar
spinal stenosis - ANSWER✔✔- Radicular complaints in calves, buttocks, upper
thighs
- Pain w/ walking or prolonged standing
o Vascular claudication - pain stops w/ rest
o Psuedoclaudication - pain doesn't stop immediately at rest
- Short term relief by leaning forward/stooping
- Sometimes relief w/ sitting
- Pain in back/leg when sleeping on back at night
- Pain w/ walking/standing
, 8. Discuss common characteristics (objective findings) of patients with
lumbar spinal stenosis - ANSWER✔✔- Muscle weakness
- Impaired proprioception
- Diminished reflexes
- Sensory changes (numbness/tingling)
- Bowel or bladder symptoms
o Sphincter tone decreased
o Don't confuse w/ prostate problems in older men
Identify the red flags associated with back and neck complaints which
warrant further investigation - ANSWER✔✔T-Trauma
U-Unexplained weight loss
N-Neurologic symptoms
A-Age>50
F-Fever
I-Iv Drug user
S-steroid use
H-Hx of CA (prostate, renal, breat, lung)
Define chronic pain - ANSWER✔✔• Pain that extends beyond the expected
period of healing
• Pain > 3 months in duration
• More generalized, less localized to the site of injury/initial complaint
• Referral patterns can shift in location, intensity, frequency & quality
• Pain does not change with movement, rest or time
