NR 511 FINAL EXAM STUDY GUIDE.
Week 5
1. Identify the population most commonly affected by bacterial prostatitis
o Acute - Sexually active men 30 to 50 years
- Chronic bacterial prostatitis common in men older than 50 years old
- Athletes who run long distance are predisposed
- Complaints...
nr 511 final exam study guide week 5 1 identify the population most commonly affected by bacterial prostatitis o acute sexually active men 30 to 50 years chronic bacterial prostatitis common i
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NR 511 FINAL EXAM STUDY
GUIDE.
Week 5
1. Identify the population most commonly affected by bacterial prostatitis
o Acute - Sexually active men 30 to 50 years
- Chronic bacterial prostatitis common in men older than 50 years old
- Athletes who run long distance are predisposed
- Complaints of fever, chills, LBP, malaise, arthralgia, myalgia,
frequency, urgency, dysuria, nocturia, and bladder outlet obstruction
o Chronic bacterial prostatitis- men over age 50 years of age. Symptoms often
absent , perineal pain, lower abdomen pain, scrotal or penile pain, pain with
ejaculation, dysuria, irritative voiding
2. Discuss the physical exam characteristics of acute bacterial prostatitis
Abdominal exam to detect distended bladder, costovertebral angle tenderness, genital exam, and
digital rectal exam
Acute bacterial prostatitis- warm, tense, swollen , boggy and very tender prostate.
Most common pathogen Strep faecalis and staph aureus
3. Discuss how the Phren sign can differentiate between testicular torsion and
epididymitis
Epididymis characteristic is relief of discomfort with elevation of testis.
Positive Prehn’s sign = pain relief.
Testicular torsion elevation of the affected testicle does NOT relieve the pain
(Negative Prehn’s sign = pain is NOT relieved)
4. Discuss common symptoms reported from a patient with BPH
Affects men age 40 years and older.
1
,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.
5. Discuss the hallmark characteristic of a varicocele
The hallmark characteristic of varicocele is the sensation that the testes feel like a
“bag of worms.”
Varicocele can be bilateral, but if it is unilateral it is almost always on the left side
due to the anatomy of the vasculature drainage in the testes.
Tortuous veins posterior and above testes can be seen with patient sitting upright
Venous engorgement may increase with Valsalva maneuver; resolves when patient
lies down.
Grade 1 varicocele is one that is palpable only when the patient performs the
Valsalva maneuver.
Grade 2 varicocele is palpable when the patient is standing.
Grade 3 varicocele may be assessed with light palpation and visual inspection
6. Identify the population most affected by testicular cancer
Males between the ages of 15 and 35
7. Explain spinal stenosis
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
2
, degree of this.
3
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