NSG 6420 WEEK 6 QUIZ
1.
What ETHNIC GROUP has the HIGHEST INCIDENCE of PROSTATE
CANCER?
AFRICAN AMERICAN
2.
Men with an initial PSA level below 2.5 ng/ml can reduce their screening
frequency to what intervals?
Every 6 months
B. Yearly
C. Every 2 years
D. Every 2 to 4 years
3.
Your 55-year-old male patient presents to your office with complaints of sudden
development of severe right-sided, colicky lower abdominal pain. He cannot sit
still on the examining table. The patient has previously been in good health. On
physical examination, there are no signs of peritoneal inflammation. A urine
sample reveals hematuria and crystalluria. Which is the next diagnostic test that
should be done immediately?
Ultrasound of the abdomen
B. Abdominal x-ray
C. Digital rectal examination
D. Spiral CT scan
4.
The most common complication of an untreated urinary obstruction due to a
ureteral calculus is:
Hydronephrosis
B. Renal artery stenosis
C. Ureteral rupture
D. Kidney mass
5.
A 43-year-old male patient complains of right-sided abdominal and pain in the
back in the right costovertebral angle region, fever, chills, dysuria, and nausea. On
physical examination, there is 102 degree fever, tachycardia, and right
costovertebral angle tenderness to percussion. The most likely condition is:
, A. Lower urinary tract infection
B. Pyelonephritis
C. Nephrolithiasis
D. Hydronephrosis
6.
On a physical examination for employment, a 45-year-old male shows no
significant findings and takes no medications. Past medical history and surgery are
unremarkable. On urinalysis, hematuria is present. The urinalysis is repeated on
another day and still reveals microscopic hematuria. It is important to recognize
that painless hematuria can be diagnostic of:
A. Urinary tract infection
B. Bladder cancer
C. Nephrolithiasis
D. Pyelonephritis
7.
On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but
asymmetrically shaped prostate. The patient has no symptoms and has a normal
urinalysis. The patient’s PSA is within normal limits for the patient’s age. The
clinician should:
A. Refer the patient for transrectal ultrasound guided prostate biopsy
B. Obtain an abdominal x-ray of kidneys, ureter, and bladder
C. Recognize this as a normal finding that requires periodic follow-up
D. Obtain urine culture and sensitivity for prostatitis
8.
Age-related changes in the bladder, urethra, and ureters include all of the following
in older women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
9.
Mr. Jones is a 68-year-old retired Air Force pilot that has been diagnosed with
prostate cancer in the past week. He has never had a surgical procedure in his life
and seeks clarification on the availability of treatments for prostate cancer. He asks
the nurse practitioner to tell him the side effects of a radical prostatectomy. Which
of the following is not a potential side effect of this procedure
1.
What ETHNIC GROUP has the HIGHEST INCIDENCE of PROSTATE
CANCER?
AFRICAN AMERICAN
2.
Men with an initial PSA level below 2.5 ng/ml can reduce their screening
frequency to what intervals?
Every 6 months
B. Yearly
C. Every 2 years
D. Every 2 to 4 years
3.
Your 55-year-old male patient presents to your office with complaints of sudden
development of severe right-sided, colicky lower abdominal pain. He cannot sit
still on the examining table. The patient has previously been in good health. On
physical examination, there are no signs of peritoneal inflammation. A urine
sample reveals hematuria and crystalluria. Which is the next diagnostic test that
should be done immediately?
Ultrasound of the abdomen
B. Abdominal x-ray
C. Digital rectal examination
D. Spiral CT scan
4.
The most common complication of an untreated urinary obstruction due to a
ureteral calculus is:
Hydronephrosis
B. Renal artery stenosis
C. Ureteral rupture
D. Kidney mass
5.
A 43-year-old male patient complains of right-sided abdominal and pain in the
back in the right costovertebral angle region, fever, chills, dysuria, and nausea. On
physical examination, there is 102 degree fever, tachycardia, and right
costovertebral angle tenderness to percussion. The most likely condition is:
, A. Lower urinary tract infection
B. Pyelonephritis
C. Nephrolithiasis
D. Hydronephrosis
6.
On a physical examination for employment, a 45-year-old male shows no
significant findings and takes no medications. Past medical history and surgery are
unremarkable. On urinalysis, hematuria is present. The urinalysis is repeated on
another day and still reveals microscopic hematuria. It is important to recognize
that painless hematuria can be diagnostic of:
A. Urinary tract infection
B. Bladder cancer
C. Nephrolithiasis
D. Pyelonephritis
7.
On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but
asymmetrically shaped prostate. The patient has no symptoms and has a normal
urinalysis. The patient’s PSA is within normal limits for the patient’s age. The
clinician should:
A. Refer the patient for transrectal ultrasound guided prostate biopsy
B. Obtain an abdominal x-ray of kidneys, ureter, and bladder
C. Recognize this as a normal finding that requires periodic follow-up
D. Obtain urine culture and sensitivity for prostatitis
8.
Age-related changes in the bladder, urethra, and ureters include all of the following
in older women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
9.
Mr. Jones is a 68-year-old retired Air Force pilot that has been diagnosed with
prostate cancer in the past week. He has never had a surgical procedure in his life
and seeks clarification on the availability of treatments for prostate cancer. He asks
the nurse practitioner to tell him the side effects of a radical prostatectomy. Which
of the following is not a potential side effect of this procedure
