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Exam (elaborations)

Week 6 NSG 6420 Exam - with 100% Verified Solutions -

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Week 6 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 rightsided, 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

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