FNP 2 MIDTERM EXAM (2026-2027) QUESTIONS
AND CORRECT ANSWERS GRADED A+
Which BPH medication temporarily shrinks the prostate, reduce risk of urinary
retention, and surgery
5ARI's
Ex. Finestaride (Proscar)
-can cause impotence
-only use in men w/prostate enlargement
what medication is good for LUTS secondary to BPH in men without an elevated
postvoid residual and when LUTS are predominantly irritative (storage)?
Anticholinergics
Ex. Tolterodine (Detrol)
Cystitis in men is caused by?
e.coli or chlamydia/gonorrhea
Older men with cystitis are more likely to have?
kidney stones
,Younger men with cystitis are more likely to have?
STI
*discharge is cause for further evaluation*
Treatment of cystitis without suspicion of STI?
Bactrim (sulfamethaxazole-trimethoprim)
** F/U in one week post treatment for repeat culture.
Treatment of cystitis with suspicion of STI?
Doxicycline
**F/U in one week post treatment for repeat culture.
AUA recommends against PSA screening in men under age _____ for prostate
cancer
40
USPSTF recommended against screening in men over age ____ for prostate cancer
75
,American Cancer Society (ACS) prostate screening recommendations
o Men aged 45 years or greater with a high risk of developing prostate cancer. This
includes African Americans and men who have a first-degree relative (father,
brother, or son) diagnosed with prostate cancer before age 65.
o Men aged 40 years or greater with multiple risk factors for prostate cancer.
o PSA of <2.5 ng/mL, testing should be repeated every 2 years.
o PSA levels 2.5-4 ng/mL or higher should have PSA testing yearly.
o PSA levels between 2.5-4.0 ng/mL, health care providers should consider an
individualized risk assessment.
Diagnostic test for prostate cancer?
biopsy by transurethral ultrasound
acute scrotal pain as a result of twisting of the testis and spermatic cord,
interrupting blood flow
testicular torsion
35Y man presents with waking up in the middle of the night or morning w/abrupt
onset of an extremely painful and swollen red scrotum, inguinal or lower abd pain,
nausea and vomiting
testicular torsion
**time to intervention sohuld be less than 6 hours
, physical exam shows which medical condition:
-elevated or shortened appearance to affected side
-negative cremasteric reflex
testicular torsion
Stroking or scratching the inside of the thigh causes elevation of the testicle
through the cremasteric muscle on that side.
Cremasteric reflex test
Management of testuclar torsion
Emergency --> send to ED -->STAT color doppler ultrasound
Causes of epididymitis
e. coli, STI
What condition is associated with these risk factors:
·sexual activity, bladder outlet obstruction, strenuous physical activity, cycling or
motorcycle riding
Epididymitis
AND CORRECT ANSWERS GRADED A+
Which BPH medication temporarily shrinks the prostate, reduce risk of urinary
retention, and surgery
5ARI's
Ex. Finestaride (Proscar)
-can cause impotence
-only use in men w/prostate enlargement
what medication is good for LUTS secondary to BPH in men without an elevated
postvoid residual and when LUTS are predominantly irritative (storage)?
Anticholinergics
Ex. Tolterodine (Detrol)
Cystitis in men is caused by?
e.coli or chlamydia/gonorrhea
Older men with cystitis are more likely to have?
kidney stones
,Younger men with cystitis are more likely to have?
STI
*discharge is cause for further evaluation*
Treatment of cystitis without suspicion of STI?
Bactrim (sulfamethaxazole-trimethoprim)
** F/U in one week post treatment for repeat culture.
Treatment of cystitis with suspicion of STI?
Doxicycline
**F/U in one week post treatment for repeat culture.
AUA recommends against PSA screening in men under age _____ for prostate
cancer
40
USPSTF recommended against screening in men over age ____ for prostate cancer
75
,American Cancer Society (ACS) prostate screening recommendations
o Men aged 45 years or greater with a high risk of developing prostate cancer. This
includes African Americans and men who have a first-degree relative (father,
brother, or son) diagnosed with prostate cancer before age 65.
o Men aged 40 years or greater with multiple risk factors for prostate cancer.
o PSA of <2.5 ng/mL, testing should be repeated every 2 years.
o PSA levels 2.5-4 ng/mL or higher should have PSA testing yearly.
o PSA levels between 2.5-4.0 ng/mL, health care providers should consider an
individualized risk assessment.
Diagnostic test for prostate cancer?
biopsy by transurethral ultrasound
acute scrotal pain as a result of twisting of the testis and spermatic cord,
interrupting blood flow
testicular torsion
35Y man presents with waking up in the middle of the night or morning w/abrupt
onset of an extremely painful and swollen red scrotum, inguinal or lower abd pain,
nausea and vomiting
testicular torsion
**time to intervention sohuld be less than 6 hours
, physical exam shows which medical condition:
-elevated or shortened appearance to affected side
-negative cremasteric reflex
testicular torsion
Stroking or scratching the inside of the thigh causes elevation of the testicle
through the cremasteric muscle on that side.
Cremasteric reflex test
Management of testuclar torsion
Emergency --> send to ED -->STAT color doppler ultrasound
Causes of epididymitis
e. coli, STI
What condition is associated with these risk factors:
·sexual activity, bladder outlet obstruction, strenuous physical activity, cycling or
motorcycle riding
Epididymitis
