practice questions for AGNP final exam |\ |\ |\ |\ |\ |\
Gero 2 – QUESTIONS WITH ANSWERS |\ |\ |\ |\ |\
A 62-year-old man complains of a weak urine flow and dribbling
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
at the end of urination. In suspecting BPH indicate which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following would be expected |\ |\ |\
Obliterated median sulcus, size larger than 2.5 cm times 3 cm,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sensation of incomplete emptying |\ |\ |\
When assessing a 68-year-old man with suspected BPH, the NP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
considers that |\
Prostate size does not correlate well with severity of symptoms
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following medication can contribute to the
|\ |\ |\ |\ |\ |\ |\ |\ |\
development of acute urinary retention and an older man with |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
benign plastic hyperplasia |\ |\
Amitriptyline
A 78-year-old man with a history of BPH presents with a three
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
day history of new onset fatigue and difficulty with bladder
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
emptying. Examination reveals a distended bladder but is
|\ |\ |\ |\ |\ |\ |\ |\
otherwise unremarkable. BUN level is 88, creatinine level is 2.8.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The most likely diagnosis is
|\ |\ |\ |\
post renal azotemia
|\ |\
,Surgical intervention in BPH should be considered with all of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following except |\
Acute kidney injury
|\ |\
Finasteride and dutasteride are helpful in the treatment of BPH
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
because of their affect on |\ |\ |\ |\
Prostate size |\
Tamsulosin is helpful in the treatment of BPH because of its affect
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on
|\
Activity at select bladder receptor sites
|\ |\ |\ |\ |\
When considering the use of tadalafil for the treatment of BPH,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse practitioner advises that this agent
|\ |\ |\ |\ |\ |\
Can be used with or without finasteride
|\ |\ |\ |\ |\ |\
Concerning BPH, which of the following statements is true
|\ |\ |\ |\ |\ |\ |\ |\
The use of a validated patient's symptom tool is an important
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
part of diagnosing the condition
|\ |\ |\ |\
,Concerning herbal and nutritional therapies for BPH treatment,
|\ |\ |\ |\ |\ |\ |\ |\
which of the following statements is false
|\ |\ |\ |\ |\ |\
These therapies are safest and most effective when used with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescription medication's |\
The presentation of acute epididymis in an otherwise well 22-
|\ |\ |\ |\ |\ |\ |\ |\ |\
year-old male includes |\ |\
The presence of a positive prehn sign
|\ |\ |\ |\ |\ |\
A 26 year old man presents with acute epididymitis. He states
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that his female partner was recently diagnosed with some kind of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
infection and was told I should get treated. The most likely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
causative organisms include |\ |\
c. trachomatis and n. gonorrhoeae
|\ |\ |\ |\
A likely causative pathogen in a 37-year-old man who has sex
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with men with acute epididymis is
|\ |\ |\ |\ |\
e. coli |\
A 30-year-old man who has sex with women and has acute
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
epididymitis presents with gastrointestinal upset and will be
|\ |\ |\ |\ |\ |\ |\ |\
, treated as an outpatient. Which of the following is a reasonable
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treatment option? |\
oral doxycycline with IM ceftriaxone
|\ |\ |\ |\
Appropriate treatment of acute epididymitis for a 32-year-old
|\ |\ |\ |\ |\ |\ |\ |\
man who is an insertive partner in anal intercourse is
|\ |\ |\ |\ |\ |\ |\ |\ |\
Oral levofloxacillin
|\
Which findings are present in acute epididymitis
|\ |\ |\ |\ |\ |\
irritative voiding symptoms |\ |\
penile discharge|\
scrotal swelling |\
Bilateral findings possible with later stages or with untreated
|\ |\ |\ |\ |\ |\ |\ |\ |\
disease
Risk factors for acute bacterial prostatitis include all of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following except |\
Diminished prostate specific antigen level |\ |\ |\ |\
The most common positive organisms of acute bacterial
|\ |\ |\ |\ |\ |\ |\ |\
prostatitis in men younger than 35 years of age are
|\ |\ |\ |\ |\ |\ |\ |\ |\
N gonorrhea and see tracomatis
|\ |\ |\ |\
Gero 2 – QUESTIONS WITH ANSWERS |\ |\ |\ |\ |\
A 62-year-old man complains of a weak urine flow and dribbling
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
at the end of urination. In suspecting BPH indicate which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following would be expected |\ |\ |\
Obliterated median sulcus, size larger than 2.5 cm times 3 cm,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sensation of incomplete emptying |\ |\ |\
When assessing a 68-year-old man with suspected BPH, the NP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
considers that |\
Prostate size does not correlate well with severity of symptoms
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following medication can contribute to the
|\ |\ |\ |\ |\ |\ |\ |\ |\
development of acute urinary retention and an older man with |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
benign plastic hyperplasia |\ |\
Amitriptyline
A 78-year-old man with a history of BPH presents with a three
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
day history of new onset fatigue and difficulty with bladder
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
emptying. Examination reveals a distended bladder but is
|\ |\ |\ |\ |\ |\ |\ |\
otherwise unremarkable. BUN level is 88, creatinine level is 2.8.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The most likely diagnosis is
|\ |\ |\ |\
post renal azotemia
|\ |\
,Surgical intervention in BPH should be considered with all of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following except |\
Acute kidney injury
|\ |\
Finasteride and dutasteride are helpful in the treatment of BPH
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
because of their affect on |\ |\ |\ |\
Prostate size |\
Tamsulosin is helpful in the treatment of BPH because of its affect
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on
|\
Activity at select bladder receptor sites
|\ |\ |\ |\ |\
When considering the use of tadalafil for the treatment of BPH,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse practitioner advises that this agent
|\ |\ |\ |\ |\ |\
Can be used with or without finasteride
|\ |\ |\ |\ |\ |\
Concerning BPH, which of the following statements is true
|\ |\ |\ |\ |\ |\ |\ |\
The use of a validated patient's symptom tool is an important
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
part of diagnosing the condition
|\ |\ |\ |\
,Concerning herbal and nutritional therapies for BPH treatment,
|\ |\ |\ |\ |\ |\ |\ |\
which of the following statements is false
|\ |\ |\ |\ |\ |\
These therapies are safest and most effective when used with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescription medication's |\
The presentation of acute epididymis in an otherwise well 22-
|\ |\ |\ |\ |\ |\ |\ |\ |\
year-old male includes |\ |\
The presence of a positive prehn sign
|\ |\ |\ |\ |\ |\
A 26 year old man presents with acute epididymitis. He states
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that his female partner was recently diagnosed with some kind of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
infection and was told I should get treated. The most likely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
causative organisms include |\ |\
c. trachomatis and n. gonorrhoeae
|\ |\ |\ |\
A likely causative pathogen in a 37-year-old man who has sex
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with men with acute epididymis is
|\ |\ |\ |\ |\
e. coli |\
A 30-year-old man who has sex with women and has acute
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
epididymitis presents with gastrointestinal upset and will be
|\ |\ |\ |\ |\ |\ |\ |\
, treated as an outpatient. Which of the following is a reasonable
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treatment option? |\
oral doxycycline with IM ceftriaxone
|\ |\ |\ |\
Appropriate treatment of acute epididymitis for a 32-year-old
|\ |\ |\ |\ |\ |\ |\ |\
man who is an insertive partner in anal intercourse is
|\ |\ |\ |\ |\ |\ |\ |\ |\
Oral levofloxacillin
|\
Which findings are present in acute epididymitis
|\ |\ |\ |\ |\ |\
irritative voiding symptoms |\ |\
penile discharge|\
scrotal swelling |\
Bilateral findings possible with later stages or with untreated
|\ |\ |\ |\ |\ |\ |\ |\ |\
disease
Risk factors for acute bacterial prostatitis include all of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following except |\
Diminished prostate specific antigen level |\ |\ |\ |\
The most common positive organisms of acute bacterial
|\ |\ |\ |\ |\ |\ |\ |\
prostatitis in men younger than 35 years of age are
|\ |\ |\ |\ |\ |\ |\ |\ |\
N gonorrhea and see tracomatis
|\ |\ |\ |\
