NR 661 Week 4 APEA Modules: Men’s Health – APEA Practice Exam 3

Question: Noninfectious epididymitis is common in: Question: A 65 year-old patient has a firm, non-tender, symmetrical enlarged prostate gland on examination. His PSA is 3.9 ng/mL. This probably indicates: Question: W ...

Question: Noninfectious epididymitis is common in: Question: A 65 year-old patient has a firm, non-tender, symmetrical enlarged prostate gland on examination. His PSA is 3.9 ng/mL. This probably indicates: Question: What symptom listed below might be seen in a male patient with benign prostatic hyperplasia? Question: A patient with testicular torsion will have a: Question: What is the effect of digital rectal examination (DRE) on a male’s PSA (prostate specific antigen) level if it is measured on the same day as DRE? Question: Which of the following results in a clinically insignificant increase in the prostate specific antigen (PSA)? Question: 5-alpha-reductase inhibitors work by producing: Question: A localized tumor in the prostate gland associated with early stage prostate cancer is likely to produce: Question: A 22 year-old male who is otherwise healthy complains of scrotal pain. His pain has developed over the past 4 days. He is diagnosed with epididymitis. What is the most likely reason? Question: Hesselbach’s triangle forms the landmark for: Question: A 25 year-old male patient is training for a marathon. He reports an acute onset of scrotal pain after a 10 mile run. He has nausea and is found to have an asymmetric, high-riding testis on the right side. What should be suspected? Question: A 70 year-old male presents to your clinic with a lump in his breast. How should this be evaluated? Question: Digital rectal exam may be performed to assess the prostate gland. Which term does NOT describe a prostate gland that may have a tumor? Question: Rechecked? Question: A 50 year-old male comes to the nurse practitioner clinic for evaluation. He complains of fever 101F, chills, pelvic pain, and dysuria. He should be diagnosed with: Question: The following PSA levels have been observed in a patient. What conclusion can be made following these annual readings? Year 1: 3.2 ng/mL Year 2: 3.8 ng/mL Year 3: 4.2 ng/mL Question: What is the recommendation of American Cancer Society for initial screening of an African-American male for prostate cancer? Question: What class of medications can be used to treat benign prostatic hyperplasia and provide immediate relief? Question: A common presentation of an inguinal hernia is: Question: Hematuria is not a common clinical manifestation in: Question: What is American Cancer Society’s recommendation for prostate screening in a 70 year-old male? Question: What is the recommendation from American Cancer Society for assessment of the prostate gland in a man who is 45 years old and of average risk for development of prostate cancer? He should have: Question: A male patient has epididymitis. His most likely complaint will be: Question: Which of the following medications should be avoided in a 65 year-old male with benign prostatic hyperplasia (BPH)? Question: An elderly male patient is taking finasteride, a 5-alpha-reductase inhibitor. What affect might this have on his PSA level? Question: What is the recommendation of American Cancer Society for screening an average risk 40 year-old Caucasian male for prostate cancer? Question: According to ACS, Men should not be screened unless they have received this information. The discussion about screening should take place at: —————————————————- Question: Which of the following is inconsistent with the description of benign prostatic hyperplasia (BPH)? Question: When prescribing antihypertensive therapy for a man with BPH and hypertension, the NP considers that: Question: When assessing a 78-year-old man with suspected BPH, the NP considers that: Question: Which of the following medications can contribute to the development of acute urinary retention in an older man with BPH? Question: A 78-year-old man presents with a 3-day history of new-onset fatigue and difficulty with bladder emptying. Examination reveals a distended bladder but is otherwise unremarkable. Blood urea nitrogen level is 88 mg/dL (31.4 mmol/L); creatinine level is 2.8 mg/dL (247.5 μmol/L). T he most likely diagnosis is: Question: Surgical intervention in BPH should be … with all of the following except: Question: Finasteride (Proscar, Propecia) and dutasteride (Avodart) are helpful in the treatment of BPH because of their effect on: Question: Tamsulosin (Flomax) is helpful in the treatment of BPH because of its effect on: Question: Concerning BPH, which of the following statements is true? Question: Concerning herbal and nutritional therapies for BPH treatment, which of the following statements is false? Question: You examine a 32-year-old man with chancroid and anticipate finding: Question: All of the following are typical findings for a patient with chancroid except: Question: The causative organism of chancroid is: 14) Question: Treatment option for Chancroid includes includes all of the following except: 15) Question: When ordering laboratory tests to confirm chancroid the NP considers that: ————————————————————– Question: Age of Initial Cervical Screening Question: Cervical Cancer Question: When do we stop PAP? Question: How often we screen for PAP? Question: Discontinue pap Question: Significant of T zone is where you find squamous cell dysplasia Question: Colposcopy Indicated Question: VULVOVAGINITIS Question: A patient has been … with vulvovaginal candidiasis. Which choices listed below are predisposing factors? Select all that apply? Not number 4. mmunocompetence Question: Patient symptoms: Normal (clear, white, odorless), PH: 4.0 to 4.5, Whiff: Negative, KOH: Negative Question: Diagnostic Studies:Candiadias Question: Management for Yeast or Candidias Question: Topical agent Question: Which treatment for vulvovaginal candidiasis relieves symptoms most rapidly? Question: Atrophic vaginitis Question: A 60 year old female has begun to have a small amount of blood escaping from the vagina. What is the most common cause of malignancy, when one is … ? Question: Initially: Exam, EMB, US??? Question: OSTEOPOROSIS Question: Which T-score reflects a patient with osteopenia Question: Osteoporosis Screening Question: Oral Bisphosphonates Considered first line for most patients with osteoperosis Question: Breast Masses Question: Screening for breast ca Question: Which choices below are causes of secondary dysmenorrhea? Select all that apply. Question: A 17 year old female is HIV positive. What is the recommendation for cervical screening for her? Question: Truck driver Question: BENIGN PROSTATIC HYPERPLASIA Question: At what age is the finding of benign prostatic hyperplasia most likely? Question: Documentation should include the following for BPH: Question: PSA Question: What are the major causes of an … serum PSA? Select all that apply Question: PSA Velocity = Rate of PSA change over time Question: Management Question: ACUTEPROSTATITIS(Think Bacterial, consider STI) Question: Etiology Question: Assessment Findings for Bacterial prostatitis Question: Evaluation for acute prostatitis Question: Why should “gentle” prostate exam be … in the setting of likely bacterial prostatitis? Select all that apply Question: Management on bacterial prostatitis Question: CHRONIC PROSTATITIS Question: Most men who are … with prostate cancer present with: Question: Assessment Findings Question: Screening for prostate cancer is most beneficial in men who not have a life expectancy of < 10 years. Question: American Cancer Society Question: EPIDIDYMITIS Question: Etiology of Epidymitis Question: Epididymitis Question: A 22 year old male patient presents with complaint of scrotal pain after a minor car accident. What must be part of the differential diagnosis? Question: Which factor … below is NOT a risk factor for erectile dysfunction1. Question: Why should “gentle” prostate exam be … in the setting of likely bacterial prostatitis? Select all that apply Question: Management for acute prostatitis Question: CHRONIC PROSTAT